癌症治疗诱导的心脏代谢重编程:心脏瘤学的新前沿
Zekun Lang1, Jing Zhao1, Kang Dong1
1The First School of Clinical Medicine of Lanzhou University, Lanzhou, Gansu 730000, China; Heart Center, The First Hospital of Lanzhou University, Lanzhou, Gansu 730000, China; Gansu Provine Clinical Research Center for Cardiovascular Diseases, Lanzhou, Gansu 730000, China.
International immunopharmacology
|August 24, 2025
概括
癌症治疗可以通过改变心脏新陈代谢来伤害心脏, 本综述详细介绍了这些变化,并建议对患者进行个性化监测以获得更好的治疗结果.
科学领域:
- 心脏病学
- 癌症学
- 代谢研究
背景情况:
- 心脏毒性在癌症治疗中越来越令人担忧,影响患者的生存和生活质量.
- 癌症治疗,包括化疗,向治疗和免疫治疗,可以引起心脏功能障碍.
- 了解癌症治疗期间心脏细胞的代谢变化对于减轻副作用至关重要.
研究的目的:
- 系统地审查由癌症治疗引起的心脏代谢重编程的机制.
- 突出各种癌症治疗对心脏细胞代谢的影响.
- 讨论早期发现和治疗心脏毒性的策略.
主要方法:
- 对癌症治疗引起的心脏毒性的当前文献进行系统审查.
- 化学疗法,向疗法和免疫疗法影响的代谢途径的分析.
- 探索"逆华堡效应"在心脏细胞中的作用.
主要成果:
- 癌症治疗促进心脏新陈代谢从脂肪酸氧化转变为糖解.
- 不正常的脂质代谢,氧化应激和炎症导致心脏功能受损.
- "逆华堡效应"在心脏细胞对药物诱导的压力反应中起作用.
结论:
- 需要个性化治疗策略,考虑到特定人群的心脏耐受性 (例如儿童和老年人).
- 多种药物整合,动态监测和数字健康为心脏毒性早期预警系统提供了潜力.
- 整合基础研究与临床实践对于开发"预防-监测-治疗"系统来提高癌症治疗安全性和患者的结果至关重要.
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