Evidence map›Paper›PMID 36592899›Full record

ReviewToxicology and applied pharmacology2023

Upcycling the anthracyclines: New mechanisms of action, toxicology, and pharmacology.

Claudine E Bayles, Danielle E Hale, Ali Konieczny, Veronica D Anderson, Claire R Richardson, Katelyn V Brown, Jennifer T Nguyen, Jacob Hecht, Nora Schwartz, Madan K Kharel and 3 more

Abstract readReview
In one paragraph

Review in Toxicology and applied pharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Variability in anthracycline dose conversions and cardiotoxicity monitoring: insights from hospital pharmacists on institutional protocols in oncology practice.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Drug Repositioning in Doxorubicin-Induced Cardiotoxicity Protection.International journal of molecular sciences · 2025
    Review
  8. Article
  9. Design of New Daunorubicin Derivatives with High Cytotoxic Potential.International journal of molecular sciences · 2025
    Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Determination ofTechnology in cancer research & treatment
    Article
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

13 authors.

Claudine E BaylesDepartment of Pharmaceutical Sciences, College of Pharmacy, Ferris State University, Big Rapids, MI, USA.
Danielle E HaleDepartment of Pharmaceutical Sciences, College of Pharmacy, Ferris State University, Big Rapids, MI, USA.
Ali KoniecznyDepartment of Pharmaceutical Sciences, College of Pharmacy, Ferris State University, Big Rapids, MI, USA.
Veronica D AndersonDepartment of Pharmaceutical Sciences, College of Pharmacy, Ferris State University, Big Rapids, MI, USA.
Claire R RichardsonDepartment of Pharmaceutical Sciences, College of Pharmacy, Ferris State University, Big Rapids, MI, USA.
Katelyn V BrownDepartment of Pharmaceutical Sciences, College of Pharmacy, Ferris State University, Big Rapids, MI, USA.
Jennifer T NguyenDepartment of Pharmaceutical Sciences, College of Pharmacy, Ferris State University, Big Rapids, MI, USA.
Jacob HechtDepartment of Pharmaceutical Sciences, College of Pharmacy, Ferris State University, Big Rapids, MI, USA.
Nora SchwartzDepartment of Pharmaceutical Sciences, College of Pharmacy, Ferris State University, Big Rapids, MI, USA.
Madan K KharelDepartment of Pharmaceutical Sciences, School of Pharmacy and Health Professions, University of Maryland Eastern Shore, Princess Anne, MD, USA.
Felix AmissahDepartment of Pharmaceutical Sciences, College of Pharmacy, Ferris State University, Big Rapids, MI, USA.
Thomas C DowlingDepartment of Pharmaceutical Sciences, College of Pharmacy, Ferris State University, Big Rapids, MI, USA.
S Eric NyboDepartment of Pharmaceutical Sciences, College of Pharmacy, Ferris State University, Big Rapids, MI, USA. Electronic address: EricNybo@Ferris.edu.

Funding

Combinatorial biosynthesis and metabolism studies of novel tetracenomycinsR15CA252830 · NCI · FERRIS STATE UNIVERSITY · PI NYBO, ERIC · 2020 to 2020
$385k
NCI NIH HHS R15 CA252830
6 · The paper itself

Abstract

The anthracyclines are a family of natural products isolated from soil bacteria with over 2000 chemical representatives. Since their discovery seventy years ago by Waksman and co-workers, anthracyclines have become one of the best-characterized anticancer chemotherapies in clinical use. The anthracyclines exhibit broad-spectrum antineoplastic activity for the treatment of a variety of solid and liquid tumors, however, their clinical use is limited by their dose-limiting cardiotoxicity. In this review article, we discuss the toxicity of the anthracyclines on several organ systems, including new insights into doxorubicin-induced cardiotoxicity. In addition, we discuss new medicinal chemistry developments in the biosynthesis of new anthracycline analogs and the synthesis of new anthracycline analogs with diminished cardiotoxicity. Lastly, we review new studies that describe the repurposing of the anthracyclines, or "upcycling" of the anthracyclines, as anti-infective agents, or drugs for niche indications. Altogether, the anthracyclines remain a mainstay in the clinic with a potential new "lease on life" due to deeper insight into the mechanism underlying their cardiotoxicity and new developments into potential new clinical indications for their use. Keywords: Anthracycline, chemotherapy, toxicology, medicinal chemistry, biosynthesis.

Indexed as

AnthracyclinesAntineoplastic AgentsAntibiotics, AntineoplasticCardiotoxicityDoxorubicinHumansAnthracyclinesAntibiotics, AntineoplasticAntineoplastic AgentsDoxorubicin

Identifiers

PMID36592899
PMCPMC9840691

What OpenQuestion holds

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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.