Recent progress in the role of endogenous metal ions in doxorubicin-induced cardiotoxicity.

Front Pharmacol

Department of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

Published: December 2023

AI Article Synopsis

  • - Doxorubicin is a popular anticancer drug but can cause harmful heart effects (cardiotoxicity), highlighting the need for safer treatment methods.
  • - Research focuses on how metal ions in the body can help reduce these side effects and improve cancer treatment outcomes, showing promising results in preventing cardiotoxicity related to doxorubicin.
  • - Understanding how different metal ions and mechanisms like ferroptosis influence heart damage can guide new therapeutic strategies, aiming to enhance both efficacy and safety for patients undergoing cancer therapy.

Article Abstract

Doxorubicin is a widely used anticancer drug in clinical practice for the treatment of various human tumors. However, its administration is associated with cardiotoxicity. Administration of doxorubicin with low side effects for cancer treatment and prevention are, accordingly, urgently required. The human body harbors various endogenous metal ions that exert substantial influences. Consequently, extensive research has been conducted over several decades to investigate the potential of targeting endogenous metal ions to mitigate doxorubicin's side effects and impede tumor progression. In recent years, there has been a growing body of research indicating the potential efficacy of metal ion-associated therapeutic strategies in inhibiting doxorubicin-induced cardiotoxicity (DIC). These strategies offer a combination of favorable safety profiles and potential clinical utility. Alterations in intracellular levels of metal ions have been found to either facilitate or mitigate the development of DIC. For instance, ferroptosis, a cellular death mechanism, and metal ions such as copper, zinc, and calcium have been identified as significant contributors to DIC. This understanding can contribute to advancements in cancer treatment and provide valuable insights for mitigating the cardiotoxic effects of other therapeutic drugs. Furthermore, potential therapeutic strategies have been investigated to alleviate DIC in clinical settings. The ultimate goal is to improve the efficacy and safety of Dox and offer valuable insights for future research in this field.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10748411PMC
http://dx.doi.org/10.3389/fphar.2023.1292088DOI Listing

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