Molecular mechanisms involved in therapeutic effects of natural compounds against cisplatin-induced cardiotoxicity: a review

Cisplatin is a widely used chemotherapeutic agent for the treatment of various cancers. However, the clinical use of cisplatin is limited by its cardiotoxic side effects. The primary mechanisms implicated in this cardiotoxicity include mitochondrial dysfunction, oxidative stress, inflammation, and a...

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Veröffentlicht in:Naunyn-Schmiedeberg's archives of pharmacology 2024-11, Vol.397 (11), p.8367-8381
Hauptverfasser: Hesari, Mahvash, Mohammadi, Pantea, Moradi, Mojtaba, Shackebaei, Dareuosh, Yarmohammadi, Fatemeh
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container_title Naunyn-Schmiedeberg's archives of pharmacology
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creator Hesari, Mahvash
Mohammadi, Pantea
Moradi, Mojtaba
Shackebaei, Dareuosh
Yarmohammadi, Fatemeh
description Cisplatin is a widely used chemotherapeutic agent for the treatment of various cancers. However, the clinical use of cisplatin is limited by its cardiotoxic side effects. The primary mechanisms implicated in this cardiotoxicity include mitochondrial dysfunction, oxidative stress, inflammation, and apoptotic. Numerous natural compounds (NCs) have been introduced as promising protective factors against cisplatin-mediated cardiac damage. The current review summarized the potential of various NCs as cardioprotective agents at the molecular levels. These compounds exhibited potent antioxidant and anti-inflammatory effects by interaction with the PI3K/AKT, AMPK, Nrf2, NF-κB, and NLRP3/caspase-1/GSDMD pathways. Generally, the modulation of these signaling pathways by NCs represents a promising strategy for improving the therapeutic index of cisplatin by reducing its cardiac side effects.
doi_str_mv 10.1007/s00210-024-03207-3
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subjects 1-Phosphatidylinositol 3-kinase
Acids
AKT protein
Animals
Anti-Inflammatory Agents - pharmacology
Anti-Inflammatory Agents - therapeutic use
Antineoplastic Agents - adverse effects
Antioxidants
Antioxidants - pharmacology
Antioxidants - therapeutic use
Apoptosis
Archives & records
Biological Products - pharmacology
Biological Products - therapeutic use
Biomedical and Life Sciences
Biomedicine
Cardiotonic Agents - pharmacology
Cardiotonic Agents - therapeutic use
Cardiotoxicity
Cardiotoxicity - prevention & control
Caspase-1
Cisplatin
Cisplatin - adverse effects
Cisplatin - toxicity
Enzymes
Heart
Humans
Inflammation
Kinases
Molecular modelling
Morphine
Neurosciences
NF-κB protein
Oxidative stress
Oxidative Stress - drug effects
Pharmacology
Pharmacology/Toxicology
Proteins
Review
Side effects
Signal Transduction - drug effects
Tumor necrosis factor-TNF
title Molecular mechanisms involved in therapeutic effects of natural compounds against cisplatin-induced cardiotoxicity: a review
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