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Cardiovascular oncology: exploring the effects of targeted cancer therapies on atherosclerosis

机译:心血管肿瘤:探索靶向癌症疗法对动脉粥样硬化的影响

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Purpose of review Targeted cancer therapies have revolutionized the treatment of cancer in the past decade, but cardiovascular toxicity is a rising problem in cancer patients. Here we discuss the effects of targeted cancer therapies on atherosclerosis. Increasing the awareness of these adverse effects will promote the development of evidence-based preventive strategies in the emerging field of cardiovascular oncology. Recent findings Vascular endothelial growth factor inhibitors, immunomodulatory imide drugs, tyrosine kinase inhibitors and immune checkpoint inhibitors are successfully used as treatment for many types of solid and hematologic malignancies. However, clinical and experimental studies have demonstrated that these drugs can drive atherosclerosis, thereby causing adverse cardiovascular events such as myocardial infarction, stroke and peripheral arterial occlusive diseases. Summary In this review, we discuss how on-target and off-target effects of novel cancer drugs may affect atherosclerosis and we postulate how these cardiovascular adverse events can be prevented in the future.
机译:审查目标癌症疗法彻底改变了过去十年癌症的治疗,但心血管毒性是癌症患者的一个上升问题。在这里,我们讨论了靶向癌症疗法对动脉粥样硬化的影响。增加对这些不利影响的认识将促进新兴心血管肿瘤科学领域的循证预防策略的发展。最近发现血管内皮生长因子抑制剂,免疫调节酰亚胺药物,酪氨酸激酶抑制剂和免疫检查点抑制剂已成功用作许多类型的固体和血液学恶性肿瘤的治疗方法。然而,临床和实验研究表明,这些药物可以驱动动脉粥样硬化,从而导致心肌梗死,中风和外周血动脉闭塞疾病等不良心血管事件。摘要在本次审查中,我们讨论了新型癌症药物的目标和离心效应如何影响动脉粥样硬化,并且我们将来会消除这些心血管不良事件的情况。

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