Key result
Dysregulated microRNAs drive cancer therapy cardiotoxicity, offering potential as biomarkers and therapeutic targets.
Why the study?
Cancer treatments are limited by cardiotoxicity, but the specific mechanisms leading to these adverse effects remain to be elucidated.
MicroRNAs play a key regulatory role in cancer treatment-induced cardiotoxicity and may serve as potential therapeutic targets.
May inform microRNA biomarker development in cardio-oncology; leaves open clinical utility pending prospective validation.
Cancer treatment has made significant progress in the cure of different types of tumors. Nevertheless, its clinical use is limited by unwanted cardiotoxicity. Aside from the conventional chemotherapy approaches, even the most newly developed, i.e., molecularly targeted therapy and immunotherapy, exhibit a similar frequency and severity of toxicities that range from subclinical ventricular dysfunction to severe cardiomyopathy and, ultimately, congestive heart failure. Specific mechanisms leading to cardiotoxicity still remain to be elucidated. For instance, oxidative stress and DNA damage are considered key players in mediating cardiotoxicity in different treatments. microRNAs (miRNAs) act as key regulators in cell proliferation, cell death, apoptosis, and cell differentiation. Their dysregulation has been associated with adverse cardiac remodeling and toxicity. This review provides an overview of the cardiotoxicity induced by different oncologic treatments and potential miRNAs involved in this effect that could be used as possible therapeutic targets.
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Pellegrini et al. (2020) conducted a review in Cancer Treatment-Induced Cardiotoxicity. Cancer treatments (anthracyclines, targeted therapies, immunotherapies, radiotherapy) was evaluated. Dysregulation of microRNAs plays a key role in mediating cardiotoxicity induced by various cancer treatments, suggesting their potential as early diagnostic biomarkers and therapeutic targets.
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