Journal
ANTIOXIDANTS & REDOX SIGNALING
Volume 32, Issue 15, Pages 1081-1097Publisher
MARY ANN LIEBERT, INC
DOI: 10.1089/ars.2020.8016
Keywords
anthracycline; inflammation; oxidative stress; cardiotoxicity; cardioprotection; intracellular signaling
Funding
- Fondazione Umberto Veronesi'' Post-Doctoral Fellowship (2019)
- Doctorate School in Life Science and Technology,'' University of Calabria
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Recent Advances: Over the years, the iatrogenic ANTs-induced cardiotoxicity was believed to be simply given by iron metabolism and reactive oxygen species production; however, several experimental data indicate that ANTs may use alternative damaging mechanisms, such as topoisomerase 2 beta inhibition, inflammation, pyroptosis, immunometabolism, and autophagy. Critical Issues: In this review, we aimed at discussing ANTs-induced cardiac injury from different points of view, updating and focusing on oxidative stress and inflammation, since these pathways are not exclusive or independent from each other but they together importantly contribute to the complexity of ANTs-induced multifactorial cardiotoxicity. Future Directions: A deeper understanding of the mechanistic signaling leading to ANTs side effects could reveal crucial targeting molecules, thus representing strategic knowledge to promote better therapeutic efficacy and lower cardiotoxicity during clinical application.
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