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Anthracycline cardiotoxicity

CD8+ T cells as the missing link between doxorubicin cancer therapy and heart failure risk

Doxorubicin treatment is a mainstay of cancer therapy but causes potent cardiotoxicity that exposes cancer survivors to the risk of heart failure. A study now identifies CD8+ T cells of the adaptive immune system as major culprits in the development of doxorubicin-induced cardiomyopathy and heart failure.

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Fig. 1: Cardiomyocyte cell death as a common denominator triggering autoimmunity in heart disease.

References

  1. van Dalen, E. C., Raphaël, M. F., Caron, H. N. & Kremer, L. C. M. Cochrane Database Syst. Rev. 9, CD006647 (2014).

    Google Scholar 

  2. Siebel, C. et al. BMC Pharmacol. Toxicol. 21, 37 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Kong, C.-Y. et al. Int. J. Biol. Sci. 18, 760–770 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Bayer, A. L. et al. Nat. Cardiovasc. Res. https://doi.org/10.1038/s44161-024-00507-y (2024).

    Article  Google Scholar 

  5. Lv, H. et al. J. Clin. Invest. 121, 1561–73 (2011).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Sattler, S. ESC Heart Fail. 11, 611–614 (2024).

    Article  PubMed  Google Scholar 

  7. Forte, E. et al. Circulation 143, 821–836 (2021).

    Article  CAS  PubMed  Google Scholar 

  8. Fanti, S. et al. Circulation 146, 1930–1945 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Merten, M. Eur. Heart J. 42, ehab724.0798 (2021).

    Article  Google Scholar 

  10. Bermea, K. C. et al. Front. Immunol. 15, 1327372 (2024).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Martins, S. et al. BMC Cardiovasc. Disord. 23, 89 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Sattler, S. Nat. Cardiovasc. Res. 3, 245–247 (2024).

    Article  Google Scholar 

  13. Locatelli, F. et al. N. Engl. J. Med. 382, 1811–1822 (2020).

    Article  PubMed  Google Scholar 

  14. Mallat, Z. & Binder, C. J. Nat. Cardiovasc. Res. 1, 431–444 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  15. Moslehi, J. & Salem, J.-E. JACC CardioOncol. 4, 704–707 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

Download references

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Correspondence to Susanne Sattler.

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Sattler, S., Ljubojevic-Holzer, S. CD8+ T cells as the missing link between doxorubicin cancer therapy and heart failure risk. Nat Cardiovasc Res 3, 890–892 (2024). https://doi.org/10.1038/s44161-024-00513-0

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