Anemia in patients receiving anticancer treatments: focus on novel therapeutic approaches

Anemia is common in cancer patients and impacts on quality of life and prognosis. It is typically multifactorial, often involving different pathophysiological mechanisms, making treatment a difficult task. In patients undergoing active anticancer treatments like chemotherapy, decreased red blood cel...

Full description

Bibliographic Details
Main Authors: Claudia Bozzini, Fabiana Busti, Giacomo Marchi, Alice Vianello, Claudio Cerchione, Giovanni Martinelli, Domenico Girelli
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-04-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2024.1380358/full
_version_ 1797230484106772480
author Claudia Bozzini
Claudia Bozzini
Fabiana Busti
Fabiana Busti
Giacomo Marchi
Giacomo Marchi
Alice Vianello
Alice Vianello
Claudio Cerchione
Giovanni Martinelli
Domenico Girelli
Domenico Girelli
author_facet Claudia Bozzini
Claudia Bozzini
Fabiana Busti
Fabiana Busti
Giacomo Marchi
Giacomo Marchi
Alice Vianello
Alice Vianello
Claudio Cerchione
Giovanni Martinelli
Domenico Girelli
Domenico Girelli
author_sort Claudia Bozzini
collection DOAJ
description Anemia is common in cancer patients and impacts on quality of life and prognosis. It is typically multifactorial, often involving different pathophysiological mechanisms, making treatment a difficult task. In patients undergoing active anticancer treatments like chemotherapy, decreased red blood cell (RBC) production due to myelosuppression generally predominates, but absolute or functional iron deficiency frequently coexists. Current treatments for chemotherapy-related anemia include blood transfusions, erythropoiesis-stimulating agents, and iron supplementation. Each option has limitations, and there is an urgent need for novel approaches. After decades of relative immobilism, several promising anti-anemic drugs are now entering the clinical scenario. Emerging novel classes of anti-anemic drugs recently introduced or in development for other types of anemia include activin receptor ligand traps, hypoxia-inducible factor-prolyl hydroxylase inhibitors, and hepcidin antagonists. Here, we discuss their possible role in the treatment of anemia observed in patients receiving anticancer therapies.
first_indexed 2024-04-24T15:29:13Z
format Article
id doaj.art-c927b11e5f2648af9d7e98c881b53cf5
institution Directory Open Access Journal
issn 2234-943X
language English
last_indexed 2024-04-24T15:29:13Z
publishDate 2024-04-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj.art-c927b11e5f2648af9d7e98c881b53cf52024-04-02T05:01:49ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2024-04-011410.3389/fonc.2024.13803581380358Anemia in patients receiving anticancer treatments: focus on novel therapeutic approachesClaudia Bozzini0Claudia Bozzini1Fabiana Busti2Fabiana Busti3Giacomo Marchi4Giacomo Marchi5Alice Vianello6Alice Vianello7Claudio Cerchione8Giovanni Martinelli9Domenico Girelli10Domenico Girelli11Department of Medicine, Section of Internal Medicine, University of Verona, Verona, ItalyEuroBloodNet Referral Center, Azienda Ospedaliera Universitaria Integrata Verona, Verona, ItalyDepartment of Medicine, Section of Internal Medicine, University of Verona, Verona, ItalyEuroBloodNet Referral Center, Azienda Ospedaliera Universitaria Integrata Verona, Verona, ItalyDepartment of Medicine, Section of Internal Medicine, University of Verona, Verona, ItalyEuroBloodNet Referral Center, Azienda Ospedaliera Universitaria Integrata Verona, Verona, ItalyDepartment of Medicine, Section of Internal Medicine, University of Verona, Verona, ItalyEuroBloodNet Referral Center, Azienda Ospedaliera Universitaria Integrata Verona, Verona, ItalyIstituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Istituto Romagnolo per lo Studio dei Tumori (IRST) “Dino Amadori”, Meldola, ItalyIstituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Istituto Romagnolo per lo Studio dei Tumori (IRST) “Dino Amadori”, Meldola, ItalyDepartment of Medicine, Section of Internal Medicine, University of Verona, Verona, ItalyEuroBloodNet Referral Center, Azienda Ospedaliera Universitaria Integrata Verona, Verona, ItalyAnemia is common in cancer patients and impacts on quality of life and prognosis. It is typically multifactorial, often involving different pathophysiological mechanisms, making treatment a difficult task. In patients undergoing active anticancer treatments like chemotherapy, decreased red blood cell (RBC) production due to myelosuppression generally predominates, but absolute or functional iron deficiency frequently coexists. Current treatments for chemotherapy-related anemia include blood transfusions, erythropoiesis-stimulating agents, and iron supplementation. Each option has limitations, and there is an urgent need for novel approaches. After decades of relative immobilism, several promising anti-anemic drugs are now entering the clinical scenario. Emerging novel classes of anti-anemic drugs recently introduced or in development for other types of anemia include activin receptor ligand traps, hypoxia-inducible factor-prolyl hydroxylase inhibitors, and hepcidin antagonists. Here, we discuss their possible role in the treatment of anemia observed in patients receiving anticancer therapies.https://www.frontiersin.org/articles/10.3389/fonc.2024.1380358/fullanemiaactivin receptor ligand trapscancerchemotherapyhepcidiniron
spellingShingle Claudia Bozzini
Claudia Bozzini
Fabiana Busti
Fabiana Busti
Giacomo Marchi
Giacomo Marchi
Alice Vianello
Alice Vianello
Claudio Cerchione
Giovanni Martinelli
Domenico Girelli
Domenico Girelli
Anemia in patients receiving anticancer treatments: focus on novel therapeutic approaches
Frontiers in Oncology
anemia
activin receptor ligand traps
cancer
chemotherapy
hepcidin
iron
title Anemia in patients receiving anticancer treatments: focus on novel therapeutic approaches
title_full Anemia in patients receiving anticancer treatments: focus on novel therapeutic approaches
title_fullStr Anemia in patients receiving anticancer treatments: focus on novel therapeutic approaches
title_full_unstemmed Anemia in patients receiving anticancer treatments: focus on novel therapeutic approaches
title_short Anemia in patients receiving anticancer treatments: focus on novel therapeutic approaches
title_sort anemia in patients receiving anticancer treatments focus on novel therapeutic approaches
topic anemia
activin receptor ligand traps
cancer
chemotherapy
hepcidin
iron
url https://www.frontiersin.org/articles/10.3389/fonc.2024.1380358/full
work_keys_str_mv AT claudiabozzini anemiainpatientsreceivinganticancertreatmentsfocusonnoveltherapeuticapproaches
AT claudiabozzini anemiainpatientsreceivinganticancertreatmentsfocusonnoveltherapeuticapproaches
AT fabianabusti anemiainpatientsreceivinganticancertreatmentsfocusonnoveltherapeuticapproaches
AT fabianabusti anemiainpatientsreceivinganticancertreatmentsfocusonnoveltherapeuticapproaches
AT giacomomarchi anemiainpatientsreceivinganticancertreatmentsfocusonnoveltherapeuticapproaches
AT giacomomarchi anemiainpatientsreceivinganticancertreatmentsfocusonnoveltherapeuticapproaches
AT alicevianello anemiainpatientsreceivinganticancertreatmentsfocusonnoveltherapeuticapproaches
AT alicevianello anemiainpatientsreceivinganticancertreatmentsfocusonnoveltherapeuticapproaches
AT claudiocerchione anemiainpatientsreceivinganticancertreatmentsfocusonnoveltherapeuticapproaches
AT giovannimartinelli anemiainpatientsreceivinganticancertreatmentsfocusonnoveltherapeuticapproaches
AT domenicogirelli anemiainpatientsreceivinganticancertreatmentsfocusonnoveltherapeuticapproaches
AT domenicogirelli anemiainpatientsreceivinganticancertreatmentsfocusonnoveltherapeuticapproaches