Evidence map›Paper›PMID 33319255›Full record

ReviewHeart failure reviews2021

Oxidative stress and inflammation: determinants of anthracycline cardiotoxicity and possible therapeutic targets.

Iacopo Fabiani, Alberto Aimo, Chrysanthos Grigoratos, Vincenzo Castiglione, Francesco Gentile, Luigi F Saccaro, Chiara Arzilli, Daniela Cardinale, Claudio Passino, Michele Emdin

Open access · hybridAbstract readReview
In one paragraph

Review in Heart failure reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 2% 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

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

  1. Pooled it
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  8. Article
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  14. Light-induced interaction of anthraquinone derivative with Guanosine monophosphate: molecular mechanism and implication in cytotoxicity.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2025
    Article
  15. An innovative hybrid imaging protocol for whole-bodyCardio-oncology (London, England) · 2025
    Article
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  20. Triaptosis and Cancer: Next Hope?Research (Washington, D.C.) · 2025
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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

10 authors at 4 institutions in 1 country.

Iacopo Fabiani *Cardiology Division, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Alberto Aimo *Cardiology Division, Fondazione Toscana Gabriele Monasterio, Pisa, Italy. albertoaimo@libero.it.ORCID 0000-0001-9129-9519
Chrysanthos GrigoratosCardiology Division, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Vincenzo CastiglioneUniversity Hospital of Pisa, Pisa, Italy.
Francesco GentileUniversity Hospital of Pisa, Pisa, Italy.
Luigi F SaccaroInstitute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Chiara ArzilliUniversity Hospital of Pisa, Pisa, Italy.
Daniela CardinaleCardioncology Unit, European Institute of Oncology, IRCCS, Milan, Italy.
Claudio PassinoCardiology Division, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Michele EmdinCardiology Division, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Scuola Superiore Sant'Anna · ITAzienda Ospedaliera Universitaria Pisana · ITFondazione Toscana Gabriele Monasterio · ITEuropean Institute of Oncology · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chemotherapy with anthracycline-based regimens remains a cornerstone of treatment of many solid and blood tumors but is associated with a significant risk of cardiotoxicity, which can manifest as asymptomatic left ventricular dysfunction or overt heart failure. These effects are typically dose-dependent and cumulative and may require appropriate screening strategies and cardioprotective therapies in order to minimize changes to anticancer regimens or even their discontinuation. Our current understanding of cardiac damage by anthracyclines includes a central role of oxidative stress and inflammation. The identification of these processes through circulating biomarkers or imaging techniques might then be helpful for early diagnosis and risk stratification. Furthermore, therapeutic strategies relieving oxidative stress and inflammation hold promise to prevent heart failure development or at least to mitigate cardiac damage, although further evidence is needed on their efficacy, either alone or as part of combination therapies with neurohormonal antagonists, which are the current adopted standard.

Indexed as

AnthracyclinesCardiotoxicityAntibiotics, AntineoplasticHumansInflammationOxidative StressAnthracyclinesAntibiotics, AntineoplasticAnthracyclinesCardiotoxicityInflammationOxidative stress

Identifiers

PMID33319255
PMCPMC8149360
OpenAlexW3111595086

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.