Key result
Kinase inhibitors show heterogeneous cardioprotective effects, aligning primarily on anti-fibrotic activity.
Why the study?
Kinase inhibitors cause cardiotoxicity through mechanisms overlapping with statin cardioprotective pathways, but their effects on these pathways in cardiomyocytes remain uncertain.
Kinase inhibitors exert heterogeneous, pathway-specific effects on statin-relevant cardioprotective gene programs in human cardiomyocytes, with nilotinib notably upregulating pro-inflammatory NF-κB signaling.
Answers are grounded in this paper and cite their sources.
Heterogeneous kinase inhibitor effects on cardiomyocyte pathways warrant cardio-oncology caution; leaves open clinical translation and requires prospective validation.
Background/Aim: Kinase inhibitors (KIs) can cause cardiotoxicity through mechanisms overlapping with statin cardioprotective pathways, yet their effects on these pathways in cardiomyocytes remain uncertain. We evaluated six literature-defined statin-relevant gene sets using transcriptomic and proteomic data. Materials and Methods: Pre-ranked gene set enrichment analysis was performed for 23 KIs in primary cardiac cells (GSE146096; n=319) and iPSC-derived cardiomyocytes (GSE217421; n=541), with cross-platform analysis of 21 KIs by shotgun proteomics (PXD014791; n=300). Pathway-specific concordance was assessed by Spearman correlation with Benjamini-Hochberg correction; protein scores were estimated after adjustment for cell line. Results: KI effects were heterogeneous. The anti-fibrotic pathway showed nominal concordance across the two transcriptomic datasets (ρ=0.495, p=0.016, q=0.098; 91% direction concordance) and significant cell-line-adjusted transcriptomic-proteomic concordance (ρ=0.644, p=0.0016, q=0.0081). Nilotinib reproducibly upregulated NF-κB pathway genes [normalized enrichment score (NES)=+2.29 and +2.18 in discovery and validation], with targeted inter-gene-correlation-adjusted testing supporting higher NF-κB expression than under rosuvastatin (CAMERA p=3.54×10−8). No global cross-omics summary remained significant after harmonizing pathway universes and accounting for repeated pathways. Conclusion: KI effects on statin-relevant pathways were pathway-specific. Anti-fibrotic concordance and nilotinib-associated NF-κB upregulation are hypothesis-generating candidates for experimental validation.
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KUO et al. (2026) studied Cardiotoxicity (n=1,160). Kinase inhibitors vs. pooled vehicle controls was evaluated on Pathway-specific concordance of kinase inhibitor effects on statin-relevant gene sets (ρ=0.644, p=0.0016). Kinase inhibitors showed heterogeneous effects on statin-relevant cardioprotective pathways, with significant transcriptomic-proteomic concordance for the anti-fibrotic pathway (ρ=0.644).
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