Pharmacogenomics as a risk mitigation strategy for chemotherapeutic cardiotoxicity.

Abstract:

:Damage to the heart can result from both traditional chemotherapeutic agents, such as doxorubicin, and newer 'targeted' therapies, such as trastuzumab. This chemotherapeutic cardiotoxicity is potentially life-threatening and necessitates limiting or discontinuing an otherwise-effective cancer treatment. Clinical strategies focus on surveillance rather than prevention, although there are no specific therapies for this highly morbid adverse effect. Current models for prospectively predicting risk of chemotherapeutic cardiotoxicity are limited. Cardiotoxicity can occur idiosyncratically in patients without obvious demographic risk factors, suggesting a genetically determined susceptibility, and candidate-gene studies have identified a limited number of variants that increase risk. In this commentary we indicate a need for more powerful means to identify risk prospectively, and suggest that broad pharmacogenomic approaches may be fruitful.

journal_name

Pharmacogenomics

journal_title

Pharmacogenomics

authors

Jensen BC,McLeod HL

doi

10.2217/pgs.12.205

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

205-13

issue

2

eissn

1462-2416

issn

1744-8042

journal_volume

14

pub_type

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