A new perspective in the prevention and treatment of antitumor therapy-related cardiotoxicity: Intestinal microecology

The continuous development of antitumor therapy has significantly reduced the mortality of patients with malignancies. However, the antitumor-related cardiotoxicity has become the leading cause of long-term mortality in patients with malignancies. Besides, the pathogenesis of antitumor-related cardi...

Full description

Bibliographic Details
Main Authors: Chenchen Meng, Xiaoming Wang, Lu Fan, Yajie Fan, Zhipeng Yan, Yunjiao Wang, Yanyang Li, Junping Zhang, Shichao Lv
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Biomedicine & Pharmacotherapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0753332223013860
_version_ 1797364330632577024
author Chenchen Meng
Xiaoming Wang
Lu Fan
Yajie Fan
Zhipeng Yan
Yunjiao Wang
Yanyang Li
Junping Zhang
Shichao Lv
author_facet Chenchen Meng
Xiaoming Wang
Lu Fan
Yajie Fan
Zhipeng Yan
Yunjiao Wang
Yanyang Li
Junping Zhang
Shichao Lv
author_sort Chenchen Meng
collection DOAJ
description The continuous development of antitumor therapy has significantly reduced the mortality of patients with malignancies. However, the antitumor-related cardiotoxicity has become the leading cause of long-term mortality in patients with malignancies. Besides, the pathogenesis of antitumor-related cardiotoxicity is still unclear, and practical means of prevention and treatment are lacking in clinical practice. Therefore, the major challenge is how to combat the cardiotoxicity of antitumor therapy effectively. More and more studies have shown that antitumor therapy kills tumor cells while causing damage to sensitive tissues such as the intestinal mucosa, leading to the increased permeability of the intestine and the dysbiosis of intestinal microecology. In addition, the dysbiosis of intestinal microecology contributes to the development and progression of cardiovascular diseases through multiple pathways. Thus, the dysbiosis of intestinal microecology may be a potential mechanism and target for antitumor-related cardiotoxicity. We summarized the characteristics of intestinal microecology disorders induced by antitumor therapy and the association between intestinal microecological dysbiosis and CVD. And on this basis, we hypothesized the potential mechanisms of intestinal microecology mediating the occurrence of antitumor-related cardiotoxicity. Then we reviewed the previous studies targeting intestinal microecology against antitumor-associated cardiotoxicity, aiming to provide a reference for future studies on the occurrence and prevention of antitumor-related cardiotoxicity by intestinal microecology.
first_indexed 2024-03-08T16:33:44Z
format Article
id doaj.art-e37261784c744039a83b95a65047dc36
institution Directory Open Access Journal
issn 0753-3322
language English
last_indexed 2024-03-08T16:33:44Z
publishDate 2024-01-01
publisher Elsevier
record_format Article
series Biomedicine & Pharmacotherapy
spelling doaj.art-e37261784c744039a83b95a65047dc362024-01-06T04:37:34ZengElsevierBiomedicine & Pharmacotherapy0753-33222024-01-01170115588A new perspective in the prevention and treatment of antitumor therapy-related cardiotoxicity: Intestinal microecologyChenchen Meng0Xiaoming Wang1Lu Fan2Yajie Fan3Zhipeng Yan4Yunjiao Wang5Yanyang Li6Junping Zhang7Shichao Lv8First Teaching Hospital of Tianjin University of Traditional Chinese Medicine (National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion), Tianjin, ChinaFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine (National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion), Tianjin, ChinaFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine (National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion), Tianjin, ChinaFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine (National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion), Tianjin, ChinaFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine (National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion), Tianjin, ChinaFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine (National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion), Tianjin, ChinaDepartment of integrated Chinese and Western medicine, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China; Correspondence to: Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, China.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine (National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion), Tianjin, China; Corresponding authors.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine (National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion), Tianjin, China; Corresponding authors.The continuous development of antitumor therapy has significantly reduced the mortality of patients with malignancies. However, the antitumor-related cardiotoxicity has become the leading cause of long-term mortality in patients with malignancies. Besides, the pathogenesis of antitumor-related cardiotoxicity is still unclear, and practical means of prevention and treatment are lacking in clinical practice. Therefore, the major challenge is how to combat the cardiotoxicity of antitumor therapy effectively. More and more studies have shown that antitumor therapy kills tumor cells while causing damage to sensitive tissues such as the intestinal mucosa, leading to the increased permeability of the intestine and the dysbiosis of intestinal microecology. In addition, the dysbiosis of intestinal microecology contributes to the development and progression of cardiovascular diseases through multiple pathways. Thus, the dysbiosis of intestinal microecology may be a potential mechanism and target for antitumor-related cardiotoxicity. We summarized the characteristics of intestinal microecology disorders induced by antitumor therapy and the association between intestinal microecological dysbiosis and CVD. And on this basis, we hypothesized the potential mechanisms of intestinal microecology mediating the occurrence of antitumor-related cardiotoxicity. Then we reviewed the previous studies targeting intestinal microecology against antitumor-associated cardiotoxicity, aiming to provide a reference for future studies on the occurrence and prevention of antitumor-related cardiotoxicity by intestinal microecology.http://www.sciencedirect.com/science/article/pii/S0753332223013860Antitumor therapyCardiotoxicityIntestinal microecology
spellingShingle Chenchen Meng
Xiaoming Wang
Lu Fan
Yajie Fan
Zhipeng Yan
Yunjiao Wang
Yanyang Li
Junping Zhang
Shichao Lv
A new perspective in the prevention and treatment of antitumor therapy-related cardiotoxicity: Intestinal microecology
Biomedicine & Pharmacotherapy
Antitumor therapy
Cardiotoxicity
Intestinal microecology
title A new perspective in the prevention and treatment of antitumor therapy-related cardiotoxicity: Intestinal microecology
title_full A new perspective in the prevention and treatment of antitumor therapy-related cardiotoxicity: Intestinal microecology
title_fullStr A new perspective in the prevention and treatment of antitumor therapy-related cardiotoxicity: Intestinal microecology
title_full_unstemmed A new perspective in the prevention and treatment of antitumor therapy-related cardiotoxicity: Intestinal microecology
title_short A new perspective in the prevention and treatment of antitumor therapy-related cardiotoxicity: Intestinal microecology
title_sort new perspective in the prevention and treatment of antitumor therapy related cardiotoxicity intestinal microecology
topic Antitumor therapy
Cardiotoxicity
Intestinal microecology
url http://www.sciencedirect.com/science/article/pii/S0753332223013860
work_keys_str_mv AT chenchenmeng anewperspectiveinthepreventionandtreatmentofantitumortherapyrelatedcardiotoxicityintestinalmicroecology
AT xiaomingwang anewperspectiveinthepreventionandtreatmentofantitumortherapyrelatedcardiotoxicityintestinalmicroecology
AT lufan anewperspectiveinthepreventionandtreatmentofantitumortherapyrelatedcardiotoxicityintestinalmicroecology
AT yajiefan anewperspectiveinthepreventionandtreatmentofantitumortherapyrelatedcardiotoxicityintestinalmicroecology
AT zhipengyan anewperspectiveinthepreventionandtreatmentofantitumortherapyrelatedcardiotoxicityintestinalmicroecology
AT yunjiaowang anewperspectiveinthepreventionandtreatmentofantitumortherapyrelatedcardiotoxicityintestinalmicroecology
AT yanyangli anewperspectiveinthepreventionandtreatmentofantitumortherapyrelatedcardiotoxicityintestinalmicroecology
AT junpingzhang anewperspectiveinthepreventionandtreatmentofantitumortherapyrelatedcardiotoxicityintestinalmicroecology
AT shichaolv anewperspectiveinthepreventionandtreatmentofantitumortherapyrelatedcardiotoxicityintestinalmicroecology
AT chenchenmeng newperspectiveinthepreventionandtreatmentofantitumortherapyrelatedcardiotoxicityintestinalmicroecology
AT xiaomingwang newperspectiveinthepreventionandtreatmentofantitumortherapyrelatedcardiotoxicityintestinalmicroecology
AT lufan newperspectiveinthepreventionandtreatmentofantitumortherapyrelatedcardiotoxicityintestinalmicroecology
AT yajiefan newperspectiveinthepreventionandtreatmentofantitumortherapyrelatedcardiotoxicityintestinalmicroecology
AT zhipengyan newperspectiveinthepreventionandtreatmentofantitumortherapyrelatedcardiotoxicityintestinalmicroecology
AT yunjiaowang newperspectiveinthepreventionandtreatmentofantitumortherapyrelatedcardiotoxicityintestinalmicroecology
AT yanyangli newperspectiveinthepreventionandtreatmentofantitumortherapyrelatedcardiotoxicityintestinalmicroecology
AT junpingzhang newperspectiveinthepreventionandtreatmentofantitumortherapyrelatedcardiotoxicityintestinalmicroecology
AT shichaolv newperspectiveinthepreventionandtreatmentofantitumortherapyrelatedcardiotoxicityintestinalmicroecology