» Articles » PMID: 38397436

Cardiovascular Biomarkers in Cardio-Oncology: Antineoplastic Drug Cardiotoxicity and Beyond

Abstract

Serum biomarkers represent a reproducible, sensitive, minimally invasive and inexpensive method to explore possible adverse cardiovascular effects of antineoplastic treatments. They are useful tools in risk stratification, the early detection of cardiotoxicity and the follow-up and prognostic assessment of cancer patients. In this literature review, we aim at describing the current state of knowledge on the meaning and the usefulness of cardiovascular biomarkers in patients with cancer; analyzing the intricate relationship between cancer and cardiovascular disease (especially HF) and how this affects cardiovascular and tumor biomarkers; exploring the role of cardiovascular biomarkers in the risk stratification and in the identification of chemotherapy-induced cardiotoxicity; and providing a summary of the novel potential biomarkers in this clinical setting.

Citing Articles

Cancer and myocardial injury in patients with suspected acute coronary syndrome.

Sabate-Tormos M, Bardaji A, Peiro O, Carrasquer A, Cediel G, Ferreiro J Cardiooncology. 2025; 11(1):21.

PMID: 39987454 PMC: 11846249. DOI: 10.1186/s40959-025-00320-x.


Facilities in Molecular Biomarkers in Cardiology.

Scicchitano P, Cameli M Biomolecules. 2024; 14(8).

PMID: 39199412 PMC: 11352323. DOI: 10.3390/biom14081025.

References
1.
Meijers W, Maglione M, Bakker S, Oberhuber R, Kieneker L, de Jong S . Heart Failure Stimulates Tumor Growth by Circulating Factors. Circulation. 2018; 138(7):678-691. DOI: 10.1161/CIRCULATIONAHA.117.030816. View

2.
Tini G, Cuomo A, Battistoni A, Sarocchi M, Mercurio V, Ameri P . Baseline cardio-oncologic risk assessment in breast cancer women and occurrence of cardiovascular events: The HFA/ICOS risk tool in real-world practice. Int J Cardiol. 2021; 349:134-137. DOI: 10.1016/j.ijcard.2021.11.059. View

3.
Mahmood S, Fradley M, Cohen J, Nohria A, Reynolds K, Heinzerling L . Myocarditis in Patients Treated With Immune Checkpoint Inhibitors. J Am Coll Cardiol. 2018; 71(16):1755-1764. PMC: 6196725. DOI: 10.1016/j.jacc.2018.02.037. View

4.
Armenian S, Hudson M, Mulder R, Chen M, Constine L, Dwyer M . Recommendations for cardiomyopathy surveillance for survivors of childhood cancer: a report from the International Late Effects of Childhood Cancer Guideline Harmonization Group. Lancet Oncol. 2015; 16(3):e123-36. PMC: 4485458. DOI: 10.1016/S1470-2045(14)70409-7. View

5.
Danese E, Montagnana M, Giudici S, Aloe R, Franchi M, Guidi G . Highly-sensitive troponin I is increased in patients with gynecological cancers. Clin Biochem. 2013; 46(12):1135-1138. DOI: 10.1016/j.clinbiochem.2013.04.029. View