Post-transplant cyclophosphamide-induced cardiotoxicity: A comprehensive review

Cyclophosphamide-induced cardiotoxicity, associated with its toxic metabolite acrolein, is a significant concern and unresolved issue, especially when cyclophosphamide is administrated in high doses. However, cardiotoxicity following low-dose cyclophosphamide has been also documented, especially in...

Full description

Saved in:
Bibliographic Details
Main Authors: Azin Alizadehasl, Bita Shahrami, Reza Rahbarghazi, Azam Yalameh Aliabadi, Seyedeh Fatemeh Hosseini Jebelli, Yasamin Afsari Zonooz, Hoda Hakimian, Farzaneh Fathi, Sara Forati, Aysa Rezabakhsh
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2024-12-01
Series:Journal of Cardiovascular and Thoracic Research
Subjects:
Online Access:https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-16-211.pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850075335357366272
author Azin Alizadehasl
Bita Shahrami
Reza Rahbarghazi
Azam Yalameh Aliabadi
Seyedeh Fatemeh Hosseini Jebelli
Yasamin Afsari Zonooz
Hoda Hakimian
Farzaneh Fathi
Sara Forati
Aysa Rezabakhsh
author_facet Azin Alizadehasl
Bita Shahrami
Reza Rahbarghazi
Azam Yalameh Aliabadi
Seyedeh Fatemeh Hosseini Jebelli
Yasamin Afsari Zonooz
Hoda Hakimian
Farzaneh Fathi
Sara Forati
Aysa Rezabakhsh
author_sort Azin Alizadehasl
collection DOAJ
description Cyclophosphamide-induced cardiotoxicity, associated with its toxic metabolite acrolein, is a significant concern and unresolved issue, especially when cyclophosphamide is administrated in high doses. However, cardiotoxicity following low-dose cyclophosphamide has been also documented, especially in post-hematopoietic stem cell transplantation (post-HSCT) settings. Despite the involvement of multiple signaling pathways in cyclophosphamide-induced cardiomyopathy, the exact underlying mechanisms remain to be fully elucidated. This review outlines the current challenges of cyclophosphamide therapy in HSCT recipients. In addition, the promising therapeutic approaches by targeting acrolein’s anti-angiogenic effect were thoroughly discussed to better manage post-HSCT cyclophosphamide-induced cardiotoxicity.
format Article
id doaj-art-e778d2791b4c40709e4336018ee80d7a
institution DOAJ
issn 2008-5117
2008-6830
language English
publishDate 2024-12-01
publisher Tabriz University of Medical Sciences
record_format Article
series Journal of Cardiovascular and Thoracic Research
spelling doaj-art-e778d2791b4c40709e4336018ee80d7a2025-08-20T02:46:20ZengTabriz University of Medical SciencesJournal of Cardiovascular and Thoracic Research2008-51172008-68302024-12-0116421122110.34172/jcvtr.33230jcvtr-33230Post-transplant cyclophosphamide-induced cardiotoxicity: A comprehensive reviewAzin Alizadehasl0Bita Shahrami1Reza Rahbarghazi2Azam Yalameh Aliabadi3Seyedeh Fatemeh Hosseini Jebelli4Yasamin Afsari Zonooz5Hoda Hakimian6Farzaneh Fathi7Sara Forati8Aysa Rezabakhsh9Cardio-Oncology Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Science, Tehran, IranDepartment of Clinical Pharmacy, School of Pharmacy, Tehran University of Medical Sciences, Tehran, IranDepartment of Applied Cell Sciences, Faculty of Advanced Medical Sciences, Tabriz University of Medical Sciences, Tabriz, IranCardio-Oncology Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Science, Tehran, IranCardio-Oncology Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Science, Tehran, IranCardio-Oncology Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Science, Tehran, IranCardio-Oncology Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Science, Tehran, IranPharmaceutical Sciences Research Center, Ardabil University of Medical Sciences, Ardabil, IranCardio-Oncology Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Science, Tehran, IranCardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, IranCyclophosphamide-induced cardiotoxicity, associated with its toxic metabolite acrolein, is a significant concern and unresolved issue, especially when cyclophosphamide is administrated in high doses. However, cardiotoxicity following low-dose cyclophosphamide has been also documented, especially in post-hematopoietic stem cell transplantation (post-HSCT) settings. Despite the involvement of multiple signaling pathways in cyclophosphamide-induced cardiomyopathy, the exact underlying mechanisms remain to be fully elucidated. This review outlines the current challenges of cyclophosphamide therapy in HSCT recipients. In addition, the promising therapeutic approaches by targeting acrolein’s anti-angiogenic effect were thoroughly discussed to better manage post-HSCT cyclophosphamide-induced cardiotoxicity.https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-16-211.pdfangiogenesisacroleincardiotoxicitycyclophosphamidehematopoietic stem cell transplantation
spellingShingle Azin Alizadehasl
Bita Shahrami
Reza Rahbarghazi
Azam Yalameh Aliabadi
Seyedeh Fatemeh Hosseini Jebelli
Yasamin Afsari Zonooz
Hoda Hakimian
Farzaneh Fathi
Sara Forati
Aysa Rezabakhsh
Post-transplant cyclophosphamide-induced cardiotoxicity: A comprehensive review
Journal of Cardiovascular and Thoracic Research
angiogenesis
acrolein
cardiotoxicity
cyclophosphamide
hematopoietic stem cell transplantation
title Post-transplant cyclophosphamide-induced cardiotoxicity: A comprehensive review
title_full Post-transplant cyclophosphamide-induced cardiotoxicity: A comprehensive review
title_fullStr Post-transplant cyclophosphamide-induced cardiotoxicity: A comprehensive review
title_full_unstemmed Post-transplant cyclophosphamide-induced cardiotoxicity: A comprehensive review
title_short Post-transplant cyclophosphamide-induced cardiotoxicity: A comprehensive review
title_sort post transplant cyclophosphamide induced cardiotoxicity a comprehensive review
topic angiogenesis
acrolein
cardiotoxicity
cyclophosphamide
hematopoietic stem cell transplantation
url https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-16-211.pdf
work_keys_str_mv AT azinalizadehasl posttransplantcyclophosphamideinducedcardiotoxicityacomprehensivereview
AT bitashahrami posttransplantcyclophosphamideinducedcardiotoxicityacomprehensivereview
AT rezarahbarghazi posttransplantcyclophosphamideinducedcardiotoxicityacomprehensivereview
AT azamyalamehaliabadi posttransplantcyclophosphamideinducedcardiotoxicityacomprehensivereview
AT seyedehfatemehhosseinijebelli posttransplantcyclophosphamideinducedcardiotoxicityacomprehensivereview
AT yasaminafsarizonooz posttransplantcyclophosphamideinducedcardiotoxicityacomprehensivereview
AT hodahakimian posttransplantcyclophosphamideinducedcardiotoxicityacomprehensivereview
AT farzanehfathi posttransplantcyclophosphamideinducedcardiotoxicityacomprehensivereview
AT saraforati posttransplantcyclophosphamideinducedcardiotoxicityacomprehensivereview
AT aysarezabakhsh posttransplantcyclophosphamideinducedcardiotoxicityacomprehensivereview