小分子激酶抑制剂在癌症治疗中的心脏毒性
Shuangli Zhu1, Kai Fu1, Sijia Li1
1State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangdong Esophageal Cancer Institute, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-Sen University Cancer Center, Guangzhou, 510060, Guangdong, People's Republic of China.
Experimental hematology & oncology
|May 9, 2025
概括
小分子激酶抑制剂 (SMKI) 是有效的癌症治疗方法,但可能导致心脏毒性. 本综述总结了SMKI心脏毒性机制和预防和设计更安全药物的策略.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 心脏病学 心脏病学
背景情况:
- 小分子激酶抑制剂 (SMKI) 代表了精密瘤学的重大进步,与传统化疗相比,它提供了更好的疗效和更低的毒性.
- 尽管有好处,但与SMKIs相关的心脏毒性不良事件是癌症治疗中的新兴问题.
- 新型SMKI越来越多的临床应用需要对它们对心脏的影响有充分的了解.
研究的目的:
- 综合审查目前对癌症患者中小分子激酶抑制剂 (SMKI) 诱导的心脏毒性的理解.
- 讨论关于SMKI相关心脏毒性背后的机制的最新发现.
- 确定新兴的预防心脏毒性策略,并设计下一代具有较低心脏风险的向药物.
主要方法:
- 关于小分子激酶抑制剂 (SMKI) 及其心脏毒性的最近研究的文献综述.
- 在临床试验中报告的心脏毒性不良事件和现实世界的数据的分析.
- 对SMKI心脏毒性分子和细胞机制的当前知识的综合.
主要成果:
- 小分子激酶抑制剂 (SMKI) 在治疗各种癌症方面表现出显著的疗效,自2001年以来已批准89种.
- 心脏毒性是某些SMKIs的显着副作用,在不同的药物和患者群体中以不同程度表现.
- 新出现的证据表明,特定的分子通路和细胞点参与了SMKI诱导的心脏功能障碍.
结论:
- 小分子激酶抑制剂 (SMKI) 在瘤学中提供了有价值的治疗策略,但需要仔细监测心脏毒性.
- 了解心脏毒性机制对于制定有效的预防和管理策略至关重要.
- 未来的研究应该专注于设计具有心脏风险降低的新型向疗法,以改善癌症幸存者的长期结果.
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