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January 1, 1993Leukemia & lymphoma/Leukemia and lymphoma

The Role of Iron and Iron Chelators in Anthracycline Cardiotoxicity

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Key result

Iron deprivation using chelators like ICRF-187 prevents anthracycline-induced free radical formation and clinical cardiac toxicity, particularly in the setting of iron overload.

Why the study?

Do iron chelators like ICRF-187 prevent anthracycline-induced cardiotoxicity in patients and preclinical models?

Population

Patients receiving long-term anthracycline therapy and rat heart cell cultures

Design

Review

Authors

CHC HershkoGLGabriela LinkMTMiryam Tzahor

Discussion

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Overview

May support chelation in iron-overloaded anthracycline recipients; leaves open confirmation in prospective trials.

Key Points

  • To explore how iron and iron chelators affect the cardiotoxicity associated with anthracyclines.
  • Examined the role of iron in the formation of toxic radicals during anthracycline therapy.
  • Utilized ICRF-187 to assess its ability to reduce hydroxyl radical formation in vitro.
  • Performed studies in rat heart cell cultures to evaluate the effects of iron overload and chelation.
  • Iron overload worsens cardiotoxicity from anthracyclines, evidenced by increased free radical formation.
  • ICRF-187 successfully decreases adriamycin-induced free hydroxyl radical formation, preventing cardiac toxicity.
  • Clinical implications suggest chelation therapy may benefit patients with iron overload undergoing anthracycline treatment.

Structured PICO

Do iron chelators like ICRF-187 prevent anthracycline-induced cardiotoxicity in patients and preclinical models?

P
Population
Patients receiving long-term anthracycline therapy and rat heart cell cultures
I
Intervention
Iron chelators (e.g., ICRF-187)
O
Outcome
Anthracycline-induced cardiotoxicity and free hydroxyl radical formationsafety

Iron chelation with agents like ICRF-187 may prevent anthracycline-induced cardiotoxicity, which is particularly relevant for patients with iron overload from transfusions.

Cite This Study

Hershko et al. (1993) conducted a review in Anthracycline Cardiotoxicity. Iron chelators (e.g., ICRF-187) was evaluated. Iron deprivation using chelators like ICRF-187 prevents anthracycline-induced free radical formation and clinical cardiac toxicity, particularly in the setting of iron overload.

synapsesocial.com/papers/6a6eb6c035aa2c282ce05f11https://doi.org/10.3109/10428199309086997
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Adriamycin stimulates low-affinity Ca2+ binding and lipid peroxidation but depresses myocardial function1986 · 105 citations
  2. 2The Anticancer Agent Adriamycin Can Be Actively Cytotoxic Without Entering Cells1982 · 572 citations
  3. 3The Anthracycline Antineoplastic Drugs1981 · 798 citations