Research on Doxorubicin-Induced Cardiotoxicity Mechanism and Its Forensic Application

Doxorubicin is a commonly used antitumor drug for the treatment of various cancers. However, its clinical application is greatly restricted by its severe cardiotoxicity. At present, doxorubicin-induced cardiotoxicity is categorized into acute and chronic forms, depending on the dosage and duration o...

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Main Authors: ZHANG Shuai, XU Hong-fei, ZHANG Zhi-xiang, WANG Ying, ZHU Shao-hua
Format: Article
Language:zho
Published: Editorial Office of Journal of Forensic Medicine 2025-04-01
Series:Fayixue Zazhi
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Online Access:http://www.fyxzz.cn/CN/10.12116/j.issn.1004-5619.2024.440404
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author ZHANG Shuai
XU Hong-fei
ZHANG Zhi-xiang
WANG Ying
ZHU Shao-hua
author_facet ZHANG Shuai
XU Hong-fei
ZHANG Zhi-xiang
WANG Ying
ZHU Shao-hua
author_sort ZHANG Shuai
collection DOAJ
description Doxorubicin is a commonly used antitumor drug for the treatment of various cancers. However, its clinical application is greatly restricted by its severe cardiotoxicity. At present, doxorubicin-induced cardiotoxicity is categorized into acute and chronic forms, depending on the dosage and duration of exposure, which may eventually lead to the occurrence of heart failure. The pathogenesis of doxorubicin cardiotoxicity is associated with oxidative stress, mitochondrial damage, calcium overload, dysregulation of autophagy, and apoptosis. In forensic medical practice, cases of poisoning or even cardiac death caused by doxorubicin showed no obvious changes in cardiac morphology through routine forensic pathological examinations. The paper aims to summarize the research on the mechanisms of action of doxorubicin-induced cardiotoxicity in recent years, analyze and discuss the possible pathways of cardiomyocyte injury caused by doxorubicin, and provide references for research on the mechanisms of doxorubicin-induced cardiotoxicity and forensic application.
format Article
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language zho
publishDate 2025-04-01
publisher Editorial Office of Journal of Forensic Medicine
record_format Article
series Fayixue Zazhi
spelling doaj-art-e15a36b6a8bb4929a60a73171774a4ce2025-08-20T03:41:40ZzhoEditorial Office of Journal of Forensic MedicineFayixue Zazhi1004-56192025-04-0141212012610.12116/j.issn.1004-5619.2024.4404041004-5619(2025)02-0120-07Research on Doxorubicin-Induced Cardiotoxicity Mechanism and Its Forensic ApplicationZHANG Shuai0XU Hong-fei1ZHANG Zhi-xiang2WANG Ying3ZHU Shao-hua4Department of Forensic Medicine, School of Basic Medical Sciences, Soochow University, Suzhou 215123, Jiang-su Province, ChinaDepartment of Forensic Medicine, School of Basic Medical Sciences, Soochow University, Suzhou 215123, Jiang-su Province, ChinaDepartment of Forensic Medicine, School of Basic Medical Sciences, Soochow University, Suzhou 215123, Jiang-su Province, ChinaDepartment of Forensic Medicine, School of Basic Medical Sciences, Soochow University, Suzhou 215123, Jiang-su Province, ChinaDepartment of Forensic Medicine, School of Basic Medical Sciences, Soochow University, Suzhou 215123, Jiang-su Province, ChinaDoxorubicin is a commonly used antitumor drug for the treatment of various cancers. However, its clinical application is greatly restricted by its severe cardiotoxicity. At present, doxorubicin-induced cardiotoxicity is categorized into acute and chronic forms, depending on the dosage and duration of exposure, which may eventually lead to the occurrence of heart failure. The pathogenesis of doxorubicin cardiotoxicity is associated with oxidative stress, mitochondrial damage, calcium overload, dysregulation of autophagy, and apoptosis. In forensic medical practice, cases of poisoning or even cardiac death caused by doxorubicin showed no obvious changes in cardiac morphology through routine forensic pathological examinations. The paper aims to summarize the research on the mechanisms of action of doxorubicin-induced cardiotoxicity in recent years, analyze and discuss the possible pathways of cardiomyocyte injury caused by doxorubicin, and provide references for research on the mechanisms of doxorubicin-induced cardiotoxicity and forensic application.http://www.fyxzz.cn/CN/10.12116/j.issn.1004-5619.2024.440404forensic pathologyforensic toxicologydoxorubicincardiotoxicitymechanism of drug actionreview
spellingShingle ZHANG Shuai
XU Hong-fei
ZHANG Zhi-xiang
WANG Ying
ZHU Shao-hua
Research on Doxorubicin-Induced Cardiotoxicity Mechanism and Its Forensic Application
Fayixue Zazhi
forensic pathology
forensic toxicology
doxorubicin
cardiotoxicity
mechanism of drug action
review
title Research on Doxorubicin-Induced Cardiotoxicity Mechanism and Its Forensic Application
title_full Research on Doxorubicin-Induced Cardiotoxicity Mechanism and Its Forensic Application
title_fullStr Research on Doxorubicin-Induced Cardiotoxicity Mechanism and Its Forensic Application
title_full_unstemmed Research on Doxorubicin-Induced Cardiotoxicity Mechanism and Its Forensic Application
title_short Research on Doxorubicin-Induced Cardiotoxicity Mechanism and Its Forensic Application
title_sort research on doxorubicin induced cardiotoxicity mechanism and its forensic application
topic forensic pathology
forensic toxicology
doxorubicin
cardiotoxicity
mechanism of drug action
review
url http://www.fyxzz.cn/CN/10.12116/j.issn.1004-5619.2024.440404
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AT xuhongfei researchondoxorubicininducedcardiotoxicitymechanismanditsforensicapplication
AT zhangzhixiang researchondoxorubicininducedcardiotoxicitymechanismanditsforensicapplication
AT wangying researchondoxorubicininducedcardiotoxicitymechanismanditsforensicapplication
AT zhushaohua researchondoxorubicininducedcardiotoxicitymechanismanditsforensicapplication