癌症治疗的血管毒性:2025年更新
Teodora Donisan1, Dinu V Balanescu1, Jun-Ichi Abe2
1Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN (T.D., D.V.B., A.L., J.H.).
Arteriosclerosis, thrombosis, and vascular biology
|December 11, 2025
概括
癌症治疗可以导致严重的血管毒性,包括异常的血管活性和加速动脉样硬化. 了解这些不良事件背后的机制对于开发癌症患者有效的预防和治疗策略至关重要.
科学领域:
- 在瘤学瘤学.
- 心血管医学 心血管医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 癌症疗法改善了患者的治疗结果,但往往会导致不良事件.
- 血管毒性是一个重大问题,从血管活性问题到动脉样硬化和血栓事件.
- 特定的癌症治疗与不同的血管并发症有关.
研究的目的:
- 综合审查各种癌症疗法的血管并发症机制.
- 确定这些毒性的关键贡献者,如内皮功能障碍,氧化应激和炎症.
- 为癌症患者制定最佳治疗和预防策略提供信息.
主要方法:
- 关于与化疗,向疗法,免疫疗法和辐射相关的血管并发症的文献综述.
- 分析包括内皮损伤,氧化应激和炎症在内的机制.
- 毒性按处理类型和特定剂的分类.
主要成果:
- 5-甲和VEGF抑制剂与异常的血管活性有关.
- BCR-ABL抑制剂和免疫检查点抑制剂与加速动脉样硬化有关.
- VEGF抑制剂与动脉动脉瘤和剖析有关,而免疫检查点抑制剂可以引起血管炎.
结论:
- 血管毒性是癌症治疗中的常见不良事件.
- 内皮损伤,氧化应激和炎症是导致这些并发症的关键机制.
- 了解这些机制对于改善患者护理和减轻风险至关重要.
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