钠-葡萄糖协同转运蛋白2抑制剂在化疗诱导的心脏毒性中的研究进展

    Research progress of sodium-glucose cotransporter 2 inhibitor in chemotherapy-induced cardiotoxicity

    • 摘要: 化疗药物的引入极大地改变了癌症治疗,蒽环类药物是最常用的药物之一。虽然这些药物已被证明对各种类型的癌症非常有效,但它们伴随着并发症,包括神经毒性、肾毒性和心脏毒性。在这些副作用中,癌症治疗相关心血管毒性(cancer therapy-related cardiovascular toxicity,CTR-CVT)是发病和死亡的主要原因,需要新的和有效的治疗方案。钠-葡萄糖协同转运蛋白2抑制剂(sodium-glucose cotransporter 2 inhibitors,SGLT2i)是一类新型降糖药物,已证明可有效减少糖尿病患者和非糖尿病患者的心血管事件,尤其是心力衰竭。一个有趣的研究领域涉及探索 SGLT2i在心脏肿瘤学中的潜在应用。基础和观察性研究不断涌现的证据表明,SGLT2i 可能在预防CTR-CVT方面发挥作用。本文就SGLT2i作为一种不断发展的CTR-CVT治疗手段的潜在机制以及基础和临床数据进行综述。

       

      Abstract: The introduction of chemotherapy drugs has greatly changed the treatment of cancers, among which anthracyclines are the most commonly used. Although these drugs have been proved to be very effective for various types of cancers, they might cause severe clinical side effects, including neurotoxicity, nephrotoxicity and cardiotoxicity. Among these side effects, chemotherapy-related cardiovascular toxicity (CTR-CVT) is the main cause of death, therefore novel and effective treatment schemes are needed. Sodium-glucose cotransporter 2 inhibitor (SGLT2i) is a new type of hypoglycemic drug, which has been proved to be effective in reducing cardiovascular events, especially heart failure in diabetic patients and non-diabetic patients. An interesting research field involving exploring the potential application of SGLT2i in cardiac oncology is on the rise. Evidences from basic and observational studies show that SGLT2i may play a role in preventing CTR-CVT. In this paper, the potential mechanism and basic and clinical data of SGLT2i as a developing CTR-CVT treatment are reviewed.

       

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