Evidence map›Paper›PMID 31256318›Full record

ReviewHeart failure reviews2019

Sex differences in anthracycline-induced cardiotoxicity: the benefits of estrogens.

Christian Cadeddu Dessalvi, Alessia Pepe, Claudia Penna, Alessia Gimelli, Rosalinda Madonna, Donato Mele, Ines Monte, Giuseppina Novo, Cinzia Nugara, Concetta Zito and 5 more

Open access · greenAbstract readComparative StudyReview
PubMed Publisher
In one paragraph

Review in Heart failure reviews, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Childhood cancer and future cardiometabolic health.npj metabolic health and disease · 2026
    Review
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  6. Article
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  9. Article
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  17. Doxorubicin-induced cardiotoxicity and risk factors.International journal of cardiology. Heart & vasculature · 2024
    Article
  18. Article
  19. Article
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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

15 authors at 12 institutions in 4 countries.

Christian Cadeddu DessalviDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Alessia PepeMagnetic Resonance Imaging Unit, Fondazione G. Monasterio C.N.R.- Regione Toscana, Pisa, Italy.
Claudia PennaDepartment of Clinical and Biological Sciences, University of Turin, Turin, Italy.
Alessia GimelliNuclear Medicine Unit, Fondazione G. Monasterio C.N.R.- Regione Toscana, Pisa, Italy.
Rosalinda MadonnaCenter of Aging Sciences and Translational Medicine - CESI-MeT, "G. d'Annunzio" University, Chieti, Italy.
Donato MeleCardiology Unit, Emergency Department, University Hospital of Ferrara, Ferrara, Italy.
Ines MonteDepartment of General Surgery and Medical-Surgery Specialities- Cardiology, University of Catania, Catania, Italy.
Giuseppina NovoDepartment of Cardiology, University of Palermo, Palermo, Italy.
Cinzia NugaraDepartment of Cardiology, University of Palermo, Palermo, Italy.
Concetta ZitoDepartment of Clinical and Experimental Medicine - Cardiology, University of Messina, Messina, Italy.
Javid J MoslehiVanderbilt Ingram Cancer Center, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Rudolf A de BoerUniversity Medical Center Groningen, Department of Cardiology, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, the Netherlands.
Alexander R LyonRoyal Brompton Hospital and Imperial College London, London, UK.
Carlo Gabriele TocchettiDepartment of Translational Medical Sciences, Federico II University, Naples, Italy. carlogabriele.tocchetti@unina.it.ORCID http://orcid.org/0000-0001-5983-688X
Giuseppe MercuroDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Fondazione Toscana Gabriele Monasterio · ITUniversity of Cagliari · ITUniversity of Palermo · ITFederico II University Hospital · ITRoyal Brompton Hospital · GBUniversity Medical Center Groningen · NLUniversity of Catania · ITUniversity of Chieti-Pescara · ITUniversity of Ferrara · ITUniversity of Messina · ITUniversity of Turin · ITVanderbilt University Medical Center · US

Funding

Netherlands Heart Foundation CVON DOSIS, grant 2014-40Netherlands Heart Foundation CVON RED-CVD, grant 2017-11Netherlands Heart Foundation CVON SHE-PREDICTS-HF, grant 2017-21Netherlands Organization for Scientific Research NWO VIDI, grant 917.13.350Università degli Studi di Napoli Federico II Ricerca di Ateneo
6 · The paper itself

Abstract

Anthracyclines are the cornerstone for many oncologic treatments, but their cardiotoxicity has been recognized for several decades. Female subjects, especially before puberty and adolescence, or after menopause, seem to be more at increased risk, with the prognostic impact of this sex issue being less consistent compared to other cardiovascular risk factors. Several studies imply that sex differences could depend on the lack of the protective effect of sex hormones against the anthracycline-initiated damage in cardiac cells, or on differential mitochondria-related oxidative gene expression. This is also reflected by the results obtained with different diagnostic methods, such as cardiovascular biomarkers and imaging techniques (echocardiography, magnetic resonance, and nuclear medicine) in the diagnosis and monitoring of cardiotoxicity, confirming that sex differences exist. The same is true about protective strategies from anthracycline cardiotoxicity. Indeed, first studied to withstand oxidative damage in response to ischemia/reperfusion (I/R) injury, cardioprotection has different outcomes in men and women. A number of studies assessed the differences in I/R response between male and female hearts, with oxidative stress and apoptosis being shared mechanisms between the I/R and anthracyclines heart damage. Sex hormones can modulate these mechanisms, thus confirming their importance in the pathophysiology in cardioprotection not only from the ischemia/reperfusion damage, but also from anthracyclines, fueling further cardio-oncologic research on the topic.

Indexed as

AnthracyclinesBiomarkersCardiotonic AgentsCardiotoxicityEchocardiographyFemaleGonadal Steroid HormonesHeartHeart FailureHumansMagnetic Resonance SpectroscopyMaleMitochondriaNuclear MedicineOxidative StressPrognosisAnthracyclinesBiomarkersCardiotonic AgentsGonadal Steroid HormonesAnthracycline cardiotoxicityGender differencesPathophysiology, monitoring, and protection from anthracycline cardiotoxicity

Identifiers

PMID31256318
OpenAlexW2954275614

What OpenQuestion holds

Textmetadata
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.