Evidence map›Paper›PMID 41009661›Full record

ReviewInternational journal of molecular sciences2025

Long-Term Cardiovascular Toxicity of Immunotherapy: Too Important to Ignore.

Andrea Camerini, Alessandro Inno, Maria Laura Canale, Stefano Oliva, Andrea Tedeschi, Alessandra Greco, Marzia De Biasio, Nicola Maurea, Irma Bisceglia, Luigi Tarantini and 9 more

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Review
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

19 authors.

Andrea CameriniMedical Oncology, Versilia Hospital, Azienda USL Toscana Nord-Ovest, 55041 Lido di Camaiore, Italy.ORCID 0000-0002-1436-8397
Alessandro InnoMedical Oncology, IRCCS Ospedale Sacro Cuore Don Calabria, 37024 Negrar di Valpolicella, Italy.ORCID 0000-0001-6331-6908
Maria Laura CanaleCardiology, Versilia Hospital, Azienda USL Toscana Nord-Ovest, 55041 Lido di Camaiore, Italy.ORCID 0000-0003-0990-6397
Stefano OlivaUOSD Cardiologia di Interesse Oncologico, IRCCS Istituto Tumori "Giovanni Paolo II", 70124 Bari, Italy.
Andrea TedeschiCardiology, "Guglielmo da Saliceto" Hospital, 29121 Piacenza, Italy.ORCID 0000-0003-0315-3304
Alessandra GrecoCardiology Division, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0002-3130-0079
Marzia De BiasioCardiology, Azienda Sanitaria Universitaria Friuli Centrale, 33100 Udine, Italy.ORCID 0000-0003-1873-1891
Nicola MaureaCardiology Division, Istituto Nazionale Tumori, IRCCS Fondazione G. Pascale, 80131 Napoli, Italy.
Irma BiscegliaServizi Cardiologici Integrati, Dipartimento di Scienze Cardio-Toraco-Vascolari, Azienda Ospedaliera San Camillo Forlanini, 00152 Roma, Italy.ORCID 0000-0002-0689-0695
Luigi TarantiniCardiology, Arcispedale Santa Maria Nuova Hospital, Azienda USL di Reggio Emilia-IRCCS, 42122 Reggio Emilia, Italy.ORCID 0000-0003-2580-0963
Giuseppina GallucciPrivate Practice, 85025 Melfi, Italy.
Carmine RiccioDipartimento Cardio-Vascolare, AORN Sant'Anna e San Sebastiano, 81100 Caserta, Italy.
Giovanna GeraciCardiology, Sant'Antonio Abate Hospital, ASP Trapani, 91016 Erice, Italy.
Claudio BilatoCardiology, Ospedali dell'Ovest Vicentino, Azienda ULSS 8 Berica, 36100 Vicenza, Italy.ORCID 0000-0003-3474-0579
Alessandro NavazioCardiology, Arcispedale Santa Maria Nuova Hospital, Azienda USL di Reggio Emilia-IRCCS, 42122 Reggio Emilia, Italy.ORCID 0000-0001-8417-7783
Attilio IacovoniSSD Chirurgia dei Trapianti e del Trattamento Chirurgico dello Scompenso, Dipartimento Cardiovascolare, ASST Papa Giovanni XXIII, 24127 Bergamo, Italy.
Furio ColivicchiUOC Cardiologia Clinica e Riabilitativa, Presidio Ospedaliero San Filippo Neri-ASL Roma 1, 00135 Roma, Italy.
Massimo GrimaldiUOC Cardiologia-UTIC, Ospedale Miulli, 70021 Acquaviva delle Fonti, Italy.
Fabrizio OlivaCardiologia 1-Emodinamica, Dipartimento Cardio-toraco-vascolare "A. De Gasperis", ASST Grande Ospedale Metropolitano Niguarda, 20162 Milano, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunotherapy improved survival in a significant number of cancer patients as never before. Its benefits spread across cancer types and stages, and new drugs, new combination, and new indications are on the way. Both atherosclerosis and cancer are associated with the same risk factors, molecular processes, and a persistent inflammatory state that is attributed to immune system dysregulation. Clinicians are now facing a new category of patients that are long survivors/cured by immunotherapy. While short-to-medium-term side effects of immunotherapy are well characterized, long-term exposure to immune checkpoint inhibitors could be associated with new and unpredicted toxicity with a potential impact on survival, reducing the clear advantage of immunotherapy. Because of this, it is clear that the worsening of atherosclerosis emerges as the most relevant long-term side effect, translating into an increased incidence of atherosclerosis-related cardiovascular events, such as myocardial infarction, ischemic stroke, and peripheral artery disease. We review the available evidence of this relevant association, providing an overview for all clinicians involved in the multidisciplinary cancer care process.

Indexed as

Cardiovascular DiseasesImmune Checkpoint InhibitorsImmunotherapyNeoplasmsAtherosclerosisHumansRisk FactorsImmune Checkpoint Inhibitorsatherosclerosiscancercardiovascular toxicityimmune checkpoint inhibitorsimmunotherapyischemic strokemyocardial infarction

Identifiers

PMID41009661
PMCPMC12469902

What OpenQuestion holds

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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.