Mechanisms shared between cancer, heart failure, and targeted anti-cancer therapies

Sanne de Wit, Claire Glen, Rudolf A. de Boer, Ninian N. Lang

Research output: Contribution to journalReview articleAcademicpeer-review

10 Citations (Scopus)


Heart failure (HF) and cancer are the leading causes of death worldwide and accumulating evidence demonstrates that HF and cancer affect one another in a bidirectional way. Patients with HF are at increased risk for developing cancer, and HF is associated with accelerated tumour growth. The presence of malignancy may induce systemic metabolic, inflammatory, and microbial alterations resulting in impaired cardiac function. In addition to pathophysiologic mechanisms that are shared between cancer and HF, overlaps also exist between pathways required for normal cardiac physiology and for tumour growth. Therefore, these overlaps may also explain the increased risk for cardiotoxicity and HF as a result of targeted anti-cancer therapies. This review provides an overview of mechanisms involved in the bidirectional connection between HF and cancer, specifically focusing upon current 'hot-topics' in these shared mechanisms. It subsequently describes targeted anti-cancer therapies with cardiotoxic potential as a result of overlap between their anti-cancer targets and pathways required for normal cardiac function.

Original languageEnglish
Pages (from-to)3451-3466
Number of pages16
JournalCardiovascular Research
Issue number18
Publication statusPublished - 1 Dec 2022
Externally publishedYes

Bibliographical note

Funding Information:
Conflicts of interest: The University of Glasgow, which employs N.N.L. and C.G. has received research grant funding from Roche Diagnostics, AstraZeneca and Boehringer Ingelheim (outside the submitted work). N.N.L. has received speaker’s fees/advisory board fees from Roche, Pharmacosmos, AstraZeneca and Novartis. The UMCG, which employs S.d.W. and R.A.d.B., has received research grants and/or fees from AstraZeneca, Abbott, Boehringer Ingelheim, Cardior Pharmaceuticals Gmbh, Ionis Pharmaceuticals, Inc., Novo Nordisk, and Roche (outside the submitted work). R.A.d.B. received speaker fees from Abbott, AstraZeneca, Bayer, Novartis, and Roche (outside the submitted work).

Publisher Copyright:
© 2022 The Author(s). Published by Oxford University Press on behalf of the European Society of Cardiology.


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