Evidence map›Paper›PMID 33094495›Full record

ArticleEuropean journal of heart failure2020

Common mechanistic pathways in cancer and heart failure. A scientific roadmap on behalf of the Translational Research Committee of the Heart Failure Association (HFA) of the European Society of Cardiology (ESC).

Rudolf A de Boer, Jean-Sébastien Hulot, Carlo Gabriele Tocchetti, Joseph Pierre Aboumsallem, Pietro Ameri, Stefan D Anker, Johann Bauersachs, Edoardo Bertero, Andrew J S Coats, Jelena Čelutkienė and 31 more

Open access · bronzeAbstract read
In one paragraph

Article in European journal of heart failure, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 2 pooled it
13.0field-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

99 citing papers in PubMed, 2 syntheses or guidelines pooled it, 171 citations in OpenAlex.

  1. Pooled it
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  17. Advances in laboratory medicine · 2025
    Article
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  20. Cardio-Oncology Challenges in Elderly Patients.Journal of clinical medicine · 2025
    Article

39 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

41 authors at 20 institutions in 18 countries.

Rudolf A de BoerDepartment of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.
Jean-Sébastien HulotUniversité de Paris, PARCC, INSERM, Paris, France.
Carlo Gabriele TocchettiDepartment of Translational Medical Sciences and Interdepartmental Center of Clinical and Translational Research, Federico II University, Naples, Italy.
Joseph Pierre AboumsallemDepartment of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.
Pietro AmeriDepartment of Internal Medicine and Center of Excellence for Biomedical Research, University of Genova, Genoa, Italy.
Stefan D AnkerDepartment of Cardiology & Berlin Institute of Health Center for Regenerative Therapies (BCRT), German Center for Cardiovascular Research (DZHK), Partner Site Berlin, Charité-Universitätsmedizin Berlin (Campus CVK), Berlin, Germany.
Johann BauersachsDepartment of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.
Edoardo BerteroComprehensive Heart Failure Center, University Clinic Würzburg, Würzburg, Germany.
Andrew J S CoatsSan Raffaele Pisana Scientific Institute, Rome, Italy.
Jelena ČelutkienėClinic of Cardiac and Vascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
Ovidiu ChioncelEmergency Institute for Cardiovascular Diseases 'Prof. C.C. Iliescu', University of Medicine Carol Davila, Bucharest, Romania.
Pierre DodionInnate Pharma, Marseille, France.
Thomas EschenhagenInstitute of Experimental Pharmacology and Toxicology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Dimitrios FarmakisUniversity of Cyprus Medical School, Nicosia, Cyprus.
Antoni Bayes-GenisHeart Failure Unit and Cardiology Department, Hospital Universitari Germans Trias i Pujol, CIBERCV, Badalona, Spain.
Dirk JägerDepartment of Medical Oncology, National Center for Tumor Diseases (NCT), University Hospital Heidelberg, Heidelberg, Germany.
Ewa A JankowskaDepartment of Heart Diseases, Wroclaw Medical University, and Centre for Heart Diseases, University Hospital, Wroclaw, Poland.
Richard N KitsisDepartments of Medicine (Cardiology) and Cell Biology, Wilf Family Cardiovascular Research Institute, Albert Einstein Cancer Center, Albert Einstein College of Medicine, New York, NY, USA.
Suma H KonetyCardiovascular Division, Cardio-Oncology Program, Department of Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.
James LarkinRoyal Marsden NHS Foundation Trust, London, UK.
Lorenz LehmannCardio-Oncology Unit, Department of Cardiology, University of Heidelberg, Heidelberg, Germany.
Daniel J LenihanCardio-Oncology Center of Excellence, Cardiovascular Division, Washington University in St. Louis, St. Louis, MO, USA.
Christoph MaackComprehensive Heart Failure Center, University Clinic Würzburg, Würzburg, Germany.
Javid J MoslehiDivision of Cardiovascular Medicine and Oncology, Cardio-Oncology Program, Vanderbilt University Medical Center and Vanderbilt-Ingram Cancer Center, Nashville, TN, USA.
Oliver J MüllerDepartment of Internal Medicine III, University of Kiel, Kiel, Germany.
Patrycja Nowak-SliwinskaSchool of Pharmaceutical Sciences, University of Geneva, Institute of Pharmaceutical Sciences of Western Switzerland, University of Geneva, Geneva, Switzerland.
Massimo Francesco PiepoliHeart Failure Unit, Cardiology, G. da Saliceto Hospital, Piacenza, University of Parma, Parma, Italy.
Piotr PonikowskiDepartment of Heart Diseases, Wroclaw Medical University, and Centre for Heart Diseases, University Hospital, Wroclaw, Poland.
Radek Pudil1st Department Medicine-Cardioangiology, University Hospital and Medical Faculty, Hradec Kralove, Czech Republic.
Peter P RainerMedical University of Graz, University Heart Center - Division of Cardiology, Graz, Austria.
Frank RuschitzkaDepartment of Cardiology, University Hospital Zurich, University Heart Center, Zurich, Switzerland.
Douglas SawyerCenter for Molecular Medicine, Maine Medical Center Research Institute, Maine Medical Center, Scarborough, ME, USA.
Petar M SeferovicUniversity of Belgrade Faculty of Medicine, Serbian Academy of Sciences and Arts, Belgrade, Serbia.
Thomas SuterSwiss Cardiovascular Centre, Bern University, Bern, Switzerland.
Thomas ThumInstitute of Molecular and Translational Therapeutic Strategies (IMTTS), Hannover Medical School, Hannover, Germany.
Peter van der MeerDepartment of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.
Linda W Van LaakeDivision Heart and Lungs and Regenerative Medicine Centre, University Medical Centre Utrecht and Utrecht University, Utrecht, The Netherlands.
Stephan von HaehlingDepartment of Cardiology and Pneumology, Heart Center, University of Göttingen Medical Center, Göttingen, Germany.
Stephane HeymansDepartment of Cardiology, CARIM School for Cardiovascular Diseases Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Alexander R LyonCardio-Oncology Service, Royal Brompton Hospital, and National Heart and Lung Institute, Imperial College London, London, UK.
Johannes BacksInstitute of Experimental Cardiology, Heidelberg University Hospital, Heidelberg, Germany.
University Medical Center Groningen · NLMedizinische Hochschule Hannover · DEUniversity Hospital Heidelberg · DEWroclaw Medical University · PLAlbert Einstein College of Medicine · USAssistance Publique – Hôpitaux de Paris · FRCarol Davila University of Medicine and Pharmacy · ROCharité - Universitätsmedizin Berlin · DEComprehensive Cancer Center Mainfranken · DEFederico II University Hospital · ITGerman Centre for Cardiovascular Research · DEHeidelberg University · DEInnate Pharma (France) · FRInstituto de Salud Carlos III · ESMaastricht University · NLMaine Medical Center Research Institute · USMedical University of Graz · ATOspedale Policlinico San Martino · ITRoyal Brompton Hospital · GBRoyal Marsden NHS Foundation Trust · GB

Funding

Novel mechanisms and predictors of VEGF receptor inhibitor-associated hypertensionR01HL141466 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MOSLEHI, JAVID J · 2019 to 2023
$3.3M
Chaperone-Mediated Autophagy in Normal Cardiac Biology and Heart FailureR01HL138475 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KITSIS, RICHARD N · 2017 to 2020
$2.4M
A new molecular pathway for diabetic cardiomyopathyR01HL130861 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KITSIS, RICHARD N, YOSHIOKA, JUN · 2016 to 2019
$2.4M
Novel mechanisms and predictors of VEGF receptor inhibitor-associated hypertensionR56HL141466 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MOSLEHI, JAVID J · 2018 to 2018
$613k
NHLBI NIH HHS R01 HL130861NHLBI NIH HHS R01 HL138475NHLBI NIH HHS R01 HL141466NHLBI NIH HHS R56 HL141466
6 · The paper itself

Abstract

The co-occurrence of cancer and heart failure (HF) represents a significant clinical drawback as each disease interferes with the treatment of the other. In addition to shared risk factors, a growing body of experimental and clinical evidence reveals numerous commonalities in the biology underlying both pathologies. Inflammation emerges as a common hallmark for both diseases as it contributes to the initiation and progression of both HF and cancer. Under stress, malignant and cardiac cells change their metabolic preferences to survive, which makes these metabolic derangements a great basis to develop intersection strategies and therapies to combat both diseases. Furthermore, genetic predisposition and clonal haematopoiesis are common drivers for both conditions and they hold great clinical relevance in the context of personalized medicine. Additionally, altered angiogenesis is a common hallmark for failing hearts and tumours and represents a promising substrate to target in both diseases. Cardiac cells and malignant cells interact with their surrounding environment called stroma. This interaction mediates the progression of the two pathologies and understanding the structure and function of each stromal component may pave the way for innovative therapeutic strategies and improved outcomes in patients. The interdisciplinary collaboration between cardiologists and oncologists is essential to establish unified guidelines. To this aim, pre-clinical models that mimic the human situation, where both pathologies coexist, are needed to understand all the aspects of the bidirectional relationship between cancer and HF. Finally, adequately powered clinical studies, including patients from all ages, and men and women, with proper adjudication of both cancer and cardiovascular endpoints, are essential to accurately study these two pathologies at the same time.

Indexed as

Heart FailureNeoplasmsComorbidityHumansInflammationRisk FactorsAngiogenesisCancerCardio-oncologyCardiotoxicityClonal haematopoiesisExtracellular matrixHeart failureInflammationMetabolism

Identifiers

PMID33094495
PMCPMC7894564
OpenAlexW3093860253

What OpenQuestion holds

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LicenceCC BY-NC
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.