Evidence map›Paper›PMID 29563880›Full record

ReviewFrontiers in physiology2018

Antineoplastic Drug-Induced Cardiotoxicity: A Redox Perspective.

Gilda Varricchi, Pietro Ameri, Christian Cadeddu, Alessandra Ghigo, Rosalinda Madonna, Giancarlo Marone, Valentina Mercurio, Ines Monte, Giuseppina Novo, Paolo Parrella and 7 more

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in physiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 2 pooled it
10.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 2 syntheses or guidelines pooled it, 150 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Pharmacovigilance study and development of a clinical decision flowchart for personalized selection of trastuzumab, T-DXd, and T-DM1 in breast cancer patients.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  14. TSLP: contrasting roles in cancer.Frontiers in immunology · 2025
    Review
  15. Neoadjuvant chemotherapy and perioperative cardiotoxicity.Journal of anesthesia and translational medicine · 2024
    Review
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23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 9 institutions in 1 country.

Gilda VarricchiDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Pietro AmeriClinic of Cardiovascular Diseases, IRCCS San Martino IST, Genova, Italy.
Christian CadedduDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Alessandra GhigoDepartment of Molecular Biotechnology and Health Sciences, Molecular Biotechnology Center, University of Turin, Turin, Italy.
Rosalinda MadonnaInstitute of Cardiology, Center of Excellence on Aging, Università degli Studi "G. d'Annunzio" Chieti - Pescara, Chieti, Italy.
Giancarlo MaroneSection of Hygiene, Department of Public Health, University of Naples Federico II, Naples, Italy.
Valentina MercurioDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Ines MonteDepartment of General Surgery and Medical-Surgery Specialities, University of Catania, Catania, Italy.
Giuseppina NovoU.O.C. Magnetic Resonance Imaging, Fondazione Toscana G. Monasterio C.N.R., Pisa, Italy.
Paolo ParrellaDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Flora PirozziDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Antonio PecoraroDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Paolo SpallarossaClinic of Cardiovascular Diseases, IRCCS San Martino IST, Genova, Italy.
Concetta ZitoDivision of Clinical and Experimental Cardiology, Department of Medicine and Pharmacology, Policlinico "G. Martino" University of Messina, Messina, Italy.
Giuseppe MercuroDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Pasquale PagliaroDepartment of Clinical and Biological Sciences, University of Turin, Turin, Italy.
Carlo G TocchettiDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
University of Naples Federico II · ITOspedale Policlinico San Martino · ITUniversity of Cagliari · ITUniversity of Turin · ITFondazione Toscana Gabriele Monasterio · ITOspedale Monaldi · ITUniversity of Catania · ITUniversity of Chieti-Pescara · ITUniversity of Messina · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antineoplastic drugs can be associated with several side effects, including cardiovascular toxicity (CTX). Biochemical studies have identified multiple mechanisms of CTX. Chemoterapeutic agents can alter redox homeostasis by increasing the production of reactive oxygen species (ROS) and reactive nitrogen species RNS. Cellular sources of ROS/RNS are cardiomyocytes, endothelial cells, stromal and inflammatory cells in the heart. Mitochondria, peroxisomes and other subcellular components are central hubs that control redox homeostasis. Mitochondria are central targets for antineoplastic drug-induced CTX. Understanding the mechanisms of CTX is fundamental for effective cardioprotection, without compromising the efficacy of anticancer treatments. Type 1 CTX is associated with irreversible cardiac cell injury and is typically caused by anthracyclines and conventional chemotherapeutic agents. Type 2 CTX, associated with reversible myocardial dysfunction, is generally caused by biologicals and targeted drugs. Although oxidative/nitrosative reactions play a central role in CTX caused by different antineoplastic drugs, additional mechanisms involving directly and indirectly cardiomyocytes and inflammatory cells play a role in cardiovascular toxicities. Identification of cardiologic risk factors and an integrated approach using molecular, imaging, and clinical data may allow the selection of patients at risk of developing chemotherapy-related CTX. Although the last decade has witnessed intense research related to the molecular and biochemical mechanisms of CTX of antineoplastic drugs, experimental and clinical studies are urgently needed to balance safety and efficacy of novel cancer therapies.

Indexed as

chemotherapyHER-2 inhibitorsoxidative/nitrosative stresstyrosine kinase inhibitorsvascular endothelial growth factor

Identifiers

PMID29563880
PMCPMC5846016
OpenAlexW2793072973

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.