Molecular pathogenetic mechanisms and new therapeutic perspectives in anthracycline-induced cardiomyopathy.

Molecular pathogenetic mechanisms and new therapeutic perspectives in anthracycline-induced cardiomyopathy.
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DOI:
10.1186/1824-7288-35-37
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发表时间:
2009-11-20
影响因子:
3.6
通讯作者:
Distefano G
Distefano G
中科院分区:
医学3区
文献类型:
--
作者:
Distefano G

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蒽环类药物是治疗儿童和成年期肿瘤疾病的最有效药物之一。然而,它们的主要疗效可能会被引起心肌病伴慢性心力衰竭的附带毒性心脏效应严重损害,这是传统药物治疗难以治愈的。本文报道了蒽环类药物诱发心肌病可能的亚细胞分子改变(活性氧形成、细胞凋亡、炎症信号传导、心肌细胞特异性基因表达改变等),并指出了进一步了解其分子发病机制所带来的一些新的治疗前景。
Anthracyclines are among the most powerful drugs for the treatment of oncologic diseases both in childhood and in adulthood. Nevertheless, their major antineoplastic efficacy can be seriously impaired by collateral toxic cardiac effects causing cardiomyopathy with chronic heart failure that is refractory to conventional medical therapy. This article reports possible subcellular molecular alterations of anthracycline-induced cardiomyopathy (reactive oxygen species formation, apoptosis, inflammatory signalling, altered expression of cardiomyocytes specific genes, etc) and indicates some new therapeutic perspectives resulting from a better understanding of the molecular pathogenetic mechanisms.
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