Evidence map›Paper›PMID 42696226›Full record

ReviewCurrent cardiology reports2026

Circulating Biomarkers in Cardio-Oncology: Prediction and Prognostication.

Jean Kim, Benjamin Lee, Audrey White, Le Huang, Faraaz Azam, Benjamin Yang, Kathleen Zhang, Daniel Addison, Amit Arbune, Vlad G Zaha and 1 more

Abstract readReview
In one paragraph

Review in Current cardiology reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Jean KimDivision of Cardiology, Department of Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA. jean.kim@utsouthwestern.edu.
Benjamin LeeDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Audrey WhiteDivision of Cardiology, Department of Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Le HuangDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Faraaz AzamDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Benjamin YangDivision of Cardiology, Department of Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Kathleen ZhangDivision of Cardiology, Department of Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Daniel AddisonDivision of Cardiology, Department of Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Amit ArbuneDivision of Cardiology, Department of Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Vlad G ZahaDivision of Cardiology, Department of Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Alvin ChandraDivision of Cardiology, Department of Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA. alvin.chandra@utsouthwestern.edu.ORCID https://orcid.org/0000-0003-1753-1644

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewCirculating biomarkers are increasingly utilized in cardio-oncology for risk stratification, early detection, and prognostication of cancer therapy-related cardiovascular toxicity. This review summarizes the current evidence supporting established and emerging biomarkers, with a focus on their clinical utility and limitations. RECENT

findingsCardiac troponins and natriuretic peptides remain the most widely studied biomarkers, with troponins demonstrating consistently strong prognostic value and natriuretic peptides showing more variable predictive performance for cardiotoxicity. Emerging data highlight limitations in biomarker-guided therapeutic strategies, with inconsistent evidence for improved clinical outcomes. Novel biomarkers, including soluble suppression of tumorigenicity 2 (sST2), galectin-3, myeloperoxidase (MPO), inflammatory markers, and circulating microRNAs, show early promise for detecting subclinical injury through distinct pathophysiological pathways but lack standardization and validation for routine clinical use. Imaging biomarkers, including global longitudinal strain (GLS) and cardiac MRI parametric mapping, complement circulating markers and are increasingly integrated into surveillance strategies, with emerging randomized evidence supporting GLS-guided cardio-protection. Increasing emphasis has been placed on multimarker approaches and their integration with imaging and clinical context to improve diagnostic accuracy, although prospective validation of these strategies remains needed. Circulating biomarkers play an increasingly important role in contemporary cardio-oncology practice; however, no single biomarker is sufficient to guide management across all clinical scenarios. A multimodal strategy incorporating biomarkers, imaging, and clinical assessment is increasingly recommended. Future research should focus on standardization, validation of emerging biomarkers, and defining the role of biomarker-guided interventions to improve cardiovascular and cancer outcomes.

Indexed as

Antineoplastic AgentsBiomarkersCardiotoxicityCardiovascular DiseasesNeoplasmsCardio-OncologyGalectin 3HumansMicroRNAsNatriuretic PeptidesPrognosisRisk AssessmentTroponinAntineoplastic AgentsBiomarkersGalectin 3MicroRNAsNatriuretic PeptidesTroponinBiomarkersCardio-oncologyCardiotoxicityGalectin-3MicroRNAMPOMultimarkerNatriuretic peptidesST2Troponins

Identifiers

PMID42696226
PMCPMC13545059

What OpenQuestion holds

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Registered trials

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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.