Circulating Biomarkers for Cardiotoxicity Risk Prediction

Curr Treat Options Oncol. 2021 Apr 17;22(6):46. doi: 10.1007/s11864-021-00845-0.

Abstract

Improvements in cancer survival have led to the emergence of cardiovascular disease as an important determinant of adverse outcome in survivors. Cancer therapeutics-related cardiac dysfunction is the most well-known form of cardiotoxicity. However, newer cancer therapies bring a broader range of cardiotoxicities. The optimal method to identify patients at risk of these complications is unclear, but circulating biomarkers comprise one possible approach. Troponins and natriuretic peptides have garnered the broadest evidence base for cardiotoxicity risk prediction, but other markers are being investigated. In this review, we explore evidence for circulating biomarkers in cardiotoxicity prediction associated with cancer therapies.

Keywords: Biomarkers; Cancer therapy; Cardiotoxicity; Risk prediction.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / adverse effects*
  • Biomarkers / blood*
  • Cardiotoxicity / blood
  • Cardiotoxicity / etiology*
  • Humans
  • Immune Checkpoint Inhibitors / adverse effects
  • Immunotherapy, Adoptive / adverse effects
  • Natriuretic Peptide, Brain / blood
  • Peptide Fragments / blood
  • Receptors, Chimeric Antigen / immunology
  • Troponin / blood
  • Vascular Endothelial Growth Factor A / antagonists & inhibitors

Substances

  • Antineoplastic Agents
  • Biomarkers
  • Immune Checkpoint Inhibitors
  • Peptide Fragments
  • Receptors, Chimeric Antigen
  • Troponin
  • Vascular Endothelial Growth Factor A
  • pro-brain natriuretic peptide (1-76)
  • Natriuretic Peptide, Brain