Novel molecular biomarkers of cancer therapy‐induced cardiotoxicity in adult population: a scoping review

Abstract Aim Cancer treatments are associated with cardiotoxic events that predispose to cardiac pathology and compromise the survival of patients, making necessary the identification of new molecular biomarkers to detect cardiotoxicity. This scoping review aims to identify the available evidence on...

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Main Authors: Irene Cartas‐Espinel, Marcelino Telechea‐Fernández, Carlos Manterola Delgado, Andrés Ávila Barrera, Nicolás Saavedra Cuevas, Angela L. Riffo‐Campos
Format: Article
Language:English
Published: Wiley 2022-06-01
Series:ESC Heart Failure
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Online Access:https://doi.org/10.1002/ehf2.13735
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author Irene Cartas‐Espinel
Marcelino Telechea‐Fernández
Carlos Manterola Delgado
Andrés Ávila Barrera
Nicolás Saavedra Cuevas
Angela L. Riffo‐Campos
author_facet Irene Cartas‐Espinel
Marcelino Telechea‐Fernández
Carlos Manterola Delgado
Andrés Ávila Barrera
Nicolás Saavedra Cuevas
Angela L. Riffo‐Campos
author_sort Irene Cartas‐Espinel
collection DOAJ
description Abstract Aim Cancer treatments are associated with cardiotoxic events that predispose to cardiac pathology and compromise the survival of patients, making necessary the identification of new molecular biomarkers to detect cardiotoxicity. This scoping review aims to identify the available evidence on novel molecular biomarkers associated with cardiotoxicity in the adult population undergoing cancer therapy. Methods and results The databases Medline, Web of Science, Scopus, and Embase were screened for the identification of published studies until 23 August 2020, searching for novel molecular biomarkers reported in cancer therapy‐related cardiac dysfunction in adult patients. A total of 42 studies that met the eligibility criteria were included. Fourteen studies reported 44 new protein biomarkers, 18 studies reported 57 new single nucleotide polymorphism biomarkers, and 11 studies reported 171 new gene expression profiles associated with cardiotoxicity. Data were extracted for 272 novel molecular biomarkers reported and evaluated in 7084 cancer patients, of which only 13 were identified in more than one study (MPO, sST2, GDF‐15, TGF‐B1, rs1056892, rs1883112, rs4673, rs13058338, rs1695, miR‐1, miR‐25‐3p, miR‐34a‐5p, and miR‐423‐5p), showing values for area under the curve > 0.73 (range 0.74–0.85), odds ratio 0.26–7.17, and hazard ratio 1.28–1.80. Conclusions Multiple studies presented a significant number of novel molecular biomarkers as promising predictors for risk assessment of cardiac dysfunction related to cancer therapy, but the characteristics of the studies carried out and the determinations applied do not allow suggesting the clinical use of these molecular biomarkers in the assessment of cancer therapy‐induced cardiotoxicity.
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spelling doaj-art-b4be8c664c484a3a8b80bd380794b5b02025-02-05T05:22:10ZengWileyESC Heart Failure2055-58222022-06-01931651166510.1002/ehf2.13735Novel molecular biomarkers of cancer therapy‐induced cardiotoxicity in adult population: a scoping reviewIrene Cartas‐Espinel0Marcelino Telechea‐Fernández1Carlos Manterola Delgado2Andrés Ávila Barrera3Nicolás Saavedra Cuevas4Angela L. Riffo‐Campos5Programa de Doctorado en Ciencias mención Biología Celular y Molecular Aplicada Universidad de La Frontera Temuco ChileDepartamento de Fisiología Universidad de Valencia Valencia SpainDepartamento de Cirugía Universidad de La Frontera Temuco ChileCentro de Excelencia de Modelación y Computación Científica Universidad de La Frontera Temuco ChileDepartamento de Ciencias Básicas Universidad de La Frontera Temuco ChilePrograma de Doctorado en Ciencias Médicas Universidad de La Frontera Temuco ChileAbstract Aim Cancer treatments are associated with cardiotoxic events that predispose to cardiac pathology and compromise the survival of patients, making necessary the identification of new molecular biomarkers to detect cardiotoxicity. This scoping review aims to identify the available evidence on novel molecular biomarkers associated with cardiotoxicity in the adult population undergoing cancer therapy. Methods and results The databases Medline, Web of Science, Scopus, and Embase were screened for the identification of published studies until 23 August 2020, searching for novel molecular biomarkers reported in cancer therapy‐related cardiac dysfunction in adult patients. A total of 42 studies that met the eligibility criteria were included. Fourteen studies reported 44 new protein biomarkers, 18 studies reported 57 new single nucleotide polymorphism biomarkers, and 11 studies reported 171 new gene expression profiles associated with cardiotoxicity. Data were extracted for 272 novel molecular biomarkers reported and evaluated in 7084 cancer patients, of which only 13 were identified in more than one study (MPO, sST2, GDF‐15, TGF‐B1, rs1056892, rs1883112, rs4673, rs13058338, rs1695, miR‐1, miR‐25‐3p, miR‐34a‐5p, and miR‐423‐5p), showing values for area under the curve > 0.73 (range 0.74–0.85), odds ratio 0.26–7.17, and hazard ratio 1.28–1.80. Conclusions Multiple studies presented a significant number of novel molecular biomarkers as promising predictors for risk assessment of cardiac dysfunction related to cancer therapy, but the characteristics of the studies carried out and the determinations applied do not allow suggesting the clinical use of these molecular biomarkers in the assessment of cancer therapy‐induced cardiotoxicity.https://doi.org/10.1002/ehf2.13735CardiotoxicityMolecular biomarkersLVEFCTRCDCancer therapyCardio‐oncology/onco‐cardiology
spellingShingle Irene Cartas‐Espinel
Marcelino Telechea‐Fernández
Carlos Manterola Delgado
Andrés Ávila Barrera
Nicolás Saavedra Cuevas
Angela L. Riffo‐Campos
Novel molecular biomarkers of cancer therapy‐induced cardiotoxicity in adult population: a scoping review
ESC Heart Failure
Cardiotoxicity
Molecular biomarkers
LVEF
CTRCD
Cancer therapy
Cardio‐oncology/onco‐cardiology
title Novel molecular biomarkers of cancer therapy‐induced cardiotoxicity in adult population: a scoping review
title_full Novel molecular biomarkers of cancer therapy‐induced cardiotoxicity in adult population: a scoping review
title_fullStr Novel molecular biomarkers of cancer therapy‐induced cardiotoxicity in adult population: a scoping review
title_full_unstemmed Novel molecular biomarkers of cancer therapy‐induced cardiotoxicity in adult population: a scoping review
title_short Novel molecular biomarkers of cancer therapy‐induced cardiotoxicity in adult population: a scoping review
title_sort novel molecular biomarkers of cancer therapy induced cardiotoxicity in adult population a scoping review
topic Cardiotoxicity
Molecular biomarkers
LVEF
CTRCD
Cancer therapy
Cardio‐oncology/onco‐cardiology
url https://doi.org/10.1002/ehf2.13735
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