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  • Review
  • Open Access
24 Citations
9,249 Views
19 Pages

31 October 2023

The study of mechanisms underlying cardiotoxicity of doxorubicin and the development of strategies to mitigate doxorubicin-induced cardiotoxicity are the most relevant issues of modern cardio-oncology. This is due to the high prevalence of cancer in...

(This article belongs to the Section Pharmaceutical Science)
  • Review
  • Open Access
232 Citations
18,963 Views
28 Pages

Mitochondrial-Targeted Therapy for Doxorubicin-Induced Cardiotoxicity

  • Bin Bin Wu,
  • Kam Tong Leung and
  • Ellen Ngar-Yun Poon

9 February 2022

Anthracyclines, such as doxorubicin, are effective chemotherapeutic agents for the treatment of cancer, but their clinical use is associated with severe and potentially life-threatening cardiotoxicity. Despite decades of research, treatment options r...

(This article belongs to the Special Issue Metabolic Therapies for Heart Failure)
  • Article
  • Open Access
9 Citations
2,917 Views
14 Pages

Hyperhomocysteinaemia Promotes Doxorubicin-Induced Cardiotoxicity in Mice

  • Rui Fan,
  • Yao Wang,
  • Jinjin Zhang,
  • Xiangbo An and ,
  • Shuang Liu,
  • Jie Bai,
  • Jiatian Li,
  • Qiuyue Lin,
  • Yunpeng Xie and
  • Yunlong Xia
  • + 6 authors+ 1 author

28 August 2023

Doxorubicin, a widely used chemotherapeutic drug in clinical oncology, causes a series of cardiac side effects referred to as doxorubicin-induced cardiotoxicity. Hyperhomocysteinaemia is an independent risk factor for multiple cardiovascular diseases...

(This article belongs to the Section Pharmacology)
  • Article
  • Open Access
7 Citations
3,193 Views
18 Pages

Limitations of Ferroptosis Inhibitors on the Doxorubicin-Induced Cardiotoxicity

  • Yun-Ji Cha,
  • Sae-Bom Jeon,
  • Chan Joo Lee,
  • Hyeong-Jin Kim and ,
  • Sun-Ho Lee,
  • Hyoeun Kim,
  • So Hee Park,
  • Elaine Zhelan Chen,
  • Jong Woo Kim and
  • Seunghyun Lee
  • + 9 authors+ 4 authors

24 December 2025

Doxorubicin is an anthracycline anticancer drug commonly used to treat lymphoma and breast cancer. Its major side effect is cardiotoxicity, which occurs by damaging cardiomyocytes. The mechanisms of doxorubicin-induced cardiotoxicity remain unclear;...

(This article belongs to the Special Issue Role of Oxidative Stress in Cardiac Remodeling and Heart Failure—3rd Edition)
  • Article
  • Open Access
33 Citations
7,342 Views
22 Pages

Protection against Doxorubicin-Induced Cardiotoxicity by Ergothioneine

  • Irwin K. Cheah,
  • Richard M. Y. Tang,
  • Xiaoyuan Wang,
  • Karishma Sachaphibulkij and ,
  • Suet Yen Chong,
  • Lina H. K. Lim,
  • Jiong-Wei Wang and
  • Barry Halliwell
  • + 3 authors+ 0 author

30 January 2023

Background: Anthracyclines such as doxorubicin remain a primary treatment for hematological malignancies and breast cancers. However, cardiotoxicity induced by anthracyclines, possibly leading to heart failure, severely limits their application. The...

(This article belongs to the Section Health Outcomes of Antioxidants and Oxidative Stress)
  • Article
  • Open Access
13 Citations
3,091 Views
20 Pages

Liraglutide Pretreatment Does Not Improve Acute Doxorubicin-Induced Cardiotoxicity in Rats

  • Carolina R. Tonon,
  • Marina G. Monte,
  • Paola S. Balin,
  • Anderson S. S. Fujimori and ,
  • Ana Paula D. Ribeiro,
  • Natália F. Ferreira,
  • Nayane M. Vieira,
  • Ronny P. Cabral,
  • Marina P. Okoshi and
  • Bertha F. Polegato
  • + 10 authors+ 5 authors

Doxorubicin is an effective drug for cancer treatment; however, cardiotoxicity limits its use. Cardiotoxicity pathophysiology is multifactorial. GLP-1 analogues have been shown to reduce oxidative stress and inflammation. In this study, we evaluated...

(This article belongs to the Section Molecular Pathology, Diagnostics, and Therapeutics)
  • Review
  • Open Access
40 Citations
8,312 Views
16 Pages

Pathophysiology of Doxorubicin-Mediated Cardiotoxicity

  • Roberto Arrigoni,
  • Emilio Jirillo and
  • Carlo Caiati

5 April 2025

Doxorubicin (DOX) is used for the treatment of various malignancies, including leukemias, lymphomas, sarcomas, and bladder, breast, and gynecological cancers in adults, adolescents, and children. However, DOX causes severe side effects in patients, s...

(This article belongs to the Special Issue Drug and Pesticides-Induced Oxidative Stress and Apoptosis)
  • Review
  • Open Access
797 Views
28 Pages

Apelin, Cortisol, and Doxorubicin-Induced Cardiotoxicity: A Triangle of Actions

  • Kinga Dziobiak,
  • Maja Owe-Larsson,
  • Mirosława Chwil and
  • Izabela Róża Janiuk

30 June 2026

The mechanisms underlying doxorubicin (DOX) cardiotoxicity include activation of the renin–angiotensin–aldosterone system (RAAS), oxidative stress, mitochondrial dysfunction, calcium overload, and cardiomyocyte apoptosis. Cortisol plays a...

  • Review
  • Open Access
6 Citations
2,565 Views
21 Pages

Doxorubicin, a commonly prescribed chemotherapeutic drug in clinical practice, is associated with severe cardiotoxicity that restricts its long-term use in cancer treatment. Recent studies have highlighted the critical roles of non-coding RNAs (ncRNA...

(This article belongs to the Special Issue Recent Advances in the Role of Translation Machinery and Translational Control in the Cardiovascular System)
  • Review
  • Open Access
110 Citations
11,207 Views
19 Pages

The Role of Flavonoids as a Cardioprotective Strategy against Doxorubicin-Induced Cardiotoxicity: A Review

  • Rony Abdi Syahputra,
  • Urip Harahap,
  • Aminah Dalimunthe,
  • M. Pandapotan Nasution and
  • Denny Satria

15 February 2022

Doxorubicin is a widely used and promising anticancer drug; however, a severe dose-dependent cardiotoxicity hampers its therapeutic value. Doxorubicin may cause acute and chronic issues, depending on the duration of toxicity. In clinical practice, th...

  • Article
  • Open Access
169 Citations
10,509 Views
12 Pages

The Cardioprotective Effect of Metformin in Doxorubicin-Induced Cardiotoxicity: The Role of Autophagy

  • Rita Zilinyi,
  • Attila Czompa,
  • Andras Czegledi,
  • Andrea Gajtko and ,
  • Dora Pituk,
  • Istvan Lekli and
  • Arpad Tosaki
  • + 2 authors+ 0 author

The molecular mechanisms underlying doxorubicin-induced cardiotoxicity are still being investigated, but are known to involve oxidative stress, mitochondrial dysfunction, and the dysregulation of autophagy. The objective of the current study was to e...

  • Review
  • Open Access
20 Citations
4,080 Views
27 Pages

Doxorubicin is a potent chemotherapeutic drug; however, its clinical application has been limited due to its cardiotoxicity. One of the major mechanisms of doxorubicin-induced cardiotoxicity is the induction of oxidative stress. Evidence from in vitr...

(This article belongs to the Section Drug Targeting and Design)
  • Review
  • Open Access
7 Citations
3,042 Views
25 Pages

Drug Repositioning in Doxorubicin-Induced Cardiotoxicity Protection

  • Marija Kosić,
  • Vladislav Pajović,
  • Mirjana Jovanović and
  • Nina Japundžić-Žigon

17 October 2025

Doxorubicin (DOX) is an effective drug for the treatment of solid tumors and hematological malignancies in both children and adults. The most serious side effect is doxorubicin-induced cardiotoxicity (DIC), which can lead to cardiomyopathy and irreve...

(This article belongs to the Section Molecular Pathology, Diagnostics, and Therapeutics)
  • Review
  • Open Access
65 Citations
7,997 Views
22 Pages

24 November 2022

Innate immune cells are the early responders to infection and tissue damage. They play a critical role in the initiation and resolution of inflammation in response to insult as well as tissue repair. Following ischemic or non-ischemic cardiac injury,...

(This article belongs to the Special Issue Advances in Molecular Mechanisms of Cardiotoxicity)
  • Review
  • Open Access
27 Citations
9,042 Views
19 Pages

Mitochondria-Targeting Small Molecules Effectively Prevent Cardiotoxicity Induced by Doxorubicin

  • Wei Shi,
  • Hongkuan Deng,
  • Jianyong Zhang,
  • Ying Zhang and ,
  • Xiufang Zhang and
  • Guozhen Cui
  • + 1 author+ 0 author

Doxorubicin (Dox) is a chemotherapeutic agent widely used for the treatment of numerous cancers. However, the clinical use of Dox is limited by its unwanted cardiotoxicity. Mitochondrial dysfunction has been associated with Dox-induced cardiotoxicity...

(This article belongs to the Special Issue Recent Advances in Anticancer Drugs)
  • Article
  • Open Access
27 Citations
3,633 Views
15 Pages

20 November 2021

Doxorubicin belongs to the class of anthracycline antibiotics that is widely used in the treatment protocols of a wide range of malignancies. The major deleterious effect of doxorubicin use is the possible occurrence of cardiotoxicity. This study aim...

(This article belongs to the Section Pharmacology)
  • Review
  • Open Access
127 Citations
9,098 Views
20 Pages

Cardiotoxicity is the main side effect of several chemotherapeutic drugs. Doxorubicin (Doxo) is one of the most used anthracyclines in the treatment of many tumors, but the development of acute and chronic cardiotoxicity limits its clinical usefulnes...

(This article belongs to the Special Issue Molecular Pharmacology of Cardiovascular Disease, 2nd Edition)
  • Review
  • Open Access
40 Citations
6,102 Views
12 Pages

Doxorubicin (Dox) is one of the most frequently used chemotherapeutic drugs in a variety of cancers, but Dox-induced cardiotoxicity diminishes its therapeutic efficacy. The underlying mechanisms of Dox-induced cardiotoxicity are still not fully under...

(This article belongs to the Special Issue Molecular Toxicology and Cancer Prevention)
  • Article
  • Open Access
7 Citations
3,641 Views
16 Pages

Kartogenin Improves Doxorubicin-Induced Cardiotoxicity by Alleviating Oxidative Stress and Protecting Mitochondria

  • Hua Zhang,
  • Yunpeng Wang,
  • Rui Wang,
  • Qin Yi and ,
  • Hao Xu,
  • Bin Tan and
  • Jing Zhu
  • + 2 authors+ 0 author

Doxorubicin (DOX) is a common antitumor drug in clinical practice, but its clinical use is limited due to its cardiotoxic side effects. Oxidative stress and mitochondrial damage are involved in DOX-induced cardiotoxicity (DIC). Kartogenin (KGN) has b...

(This article belongs to the Section Molecular Pathology, Diagnostics, and Therapeutics)
  • Article
  • Open Access
8 Citations
3,102 Views
18 Pages

Doxorubicin and Quercetin Double Loading in Modified MCM-41 Lowered Cardiotoxicity in H9c2 Cardioblast Cells In Vitro

  • Christina Voycheva,
  • Teodora Popova,
  • Marta Slavkova,
  • Virginia Tzankova and ,
  • Denitsa Stefanova,
  • Diana Tzankova,
  • Ivanka Spassova,
  • Daniela Kovacheva and
  • Borislav Tzankov
  • + 4 authors+ 0 author

Background: One of the therapeutic limitations of the use of doxorubicin (DOX) as an anticancer drug is its cardiotoxicity. Its hydrophilicity also causes difficulties in achieving sustained release. The simultaneous delivery with the well-known natu...

  • Review
  • Open Access
33 Citations
6,760 Views
27 Pages

MicroRNA in the Diagnosis and Treatment of Doxorubicin-Induced Cardiotoxicity

  • Ziyu Kuang,
  • Jingyuan Wu,
  • Ying Tan,
  • Guanghui Zhu and ,
  • Jie Li and
  • Min Wu
  • + 1 author+ 0 author

20 March 2023

Doxorubicin (DOX), a broad-spectrum chemotherapy drug, is widely applied to the treatment of cancer; however, DOX-induced cardiotoxicity (DIC) limits its clinical therapeutic utility. However, it is difficult to monitor and detect DIC at an early sta...

  • Review
  • Open Access
25 Citations
9,042 Views
36 Pages

Recent Advances in Mitochondrial Fission/Fusion-Targeted Therapy in Doxorubicin-Induced Cardiotoxicity

  • Chayodom Maneechote,
  • Siriporn C. Chattipakorn and
  • Nipon Chattipakorn

Doxorubicin (DOX) has been recognized as one of the most effective chemotherapies and extensively used in the clinical settings of human cancer. However, DOX-mediated cardiotoxicity is known to compromise the clinical effectiveness of chemotherapy, r...

(This article belongs to the Special Issue Advances in Mitochondria-Targeted Drug Delivery)
  • Review
  • Open Access
21 Citations
4,637 Views
24 Pages

17 December 2024

Doxorubicin is a chemotherapeutic drug utilized for solid tumors and hematologic malignancies, but its clinical application is hampered by life-threatening cardiotoxicity, including cardiac dilation and heart failure. Mitophagy, a cargo-specific form...

(This article belongs to the Section Molecular Medicine)
  • Article
  • Open Access
2 Citations
1,409 Views
24 Pages

Potential of Pumpkin Pulp Carotenoid Extract in the Prevention of Doxorubicin-Induced Cardiotoxicity

  • Milana Bosanac,
  • Alena Stupar,
  • Biljana Cvetković,
  • Dejan Miljković and ,
  • Milenko Čanković and
  • Bojana Andrejić Višnjić
  • + 1 author+ 0 author

Background/Objectives: Doxorubicin is a chemotherapeutic agent whose clinical use is limited by side effects (SEs). The most common SE is doxorubicin-induced cardiotoxicity (DIC), for which there is still no prevention. The hypothesis arises that act...

(This article belongs to the Special Issue Plant Extracts and Their Biomedical Applications)
  • Article
  • Open Access
26 Citations
5,291 Views
16 Pages

Lipid Emulsion Inhibits the Late Apoptosis/Cardiotoxicity Induced by Doxorubicin in Rat Cardiomyoblasts

  • Raghavendra Baregundi Subbarao,
  • Seong-Ho Ok,
  • Soo Hee Lee,
  • Dawon Kang and ,
  • Eun-Jin Kim,
  • Ji-Yoon Kim and
  • Ju-Tae Sohn
  • + 2 authors+ 0 author

20 September 2018

This study aimed to examine the effect of lipid emulsion on the cardiotoxicity induced by doxorubicin in H9c2 rat cardiomyoblasts and elucidates the associated cellular mechanism. The effects of lipid emulsion on cell viability, Bax, cleaved caspase-...

  • Article
  • Open Access
10 Citations
5,053 Views
18 Pages

Targeting Energy Protection as a Novel Strategy to Disclose Di’ao Xinxuekang against the Cardiotoxicity Caused by Doxorubicin

  • Tao Wang,
  • Chuqiao Yuan,
  • Jia Liu,
  • Liangyan Deng and ,
  • Wei Li,
  • Junling He,
  • Honglin Liu,
  • Liping Qu,
  • Jianming Wu and
  • Wenjun Zou
  • + 5 authors+ 0 author

Doxorubicin (DOX) can induce myocardial energy metabolism disorder and further worsen heart failure. “Energy protection” is proposed as a new cardiac protection strategy. Previous studies have found that Di’ao Xinxuekang (DXXK) can...

(This article belongs to the Special Issue New Insights in Natural Bioactive Compounds)
  • Article
  • Open Access
33 Citations
5,717 Views
15 Pages

RRM2 Alleviates Doxorubicin-Induced Cardiotoxicity through the AKT/mTOR Signaling Pathway

  • Yuheng Jiao,
  • Yanyan Li,
  • Jiayan Zhang,
  • Song Zhang and ,
  • Yafang Zha and
  • Jian Wang
  • + 1 author+ 0 author

12 February 2022

Doxorubicin (DOX) is an effective chemotherapeutic agent that plays an unparalleled role in cancer treatment. However, its serious dose-dependent cardiotoxicity, which eventually contributes to irreversible heart failure, has greatly limited the wide...

(This article belongs to the Topic Intelligent Computing Unlocks the Molecular Code of Complex Diseases)
  • Review
  • Open Access
25 Citations
8,401 Views
21 Pages

Evolution of Theories on Doxorubicin-Induced Late Cardiotoxicity-Role of Topoisomerase

  • Jaroslaw Szponar,
  • Erwin Ciechanski,
  • Magda Ciechanska,
  • Jaroslaw Dudka and
  • Sławomir Mandziuk

18 December 2024

Doxorubicin (DOX) has been widely used as a cytotoxic chemotherapeutic. However, DOX has a number of side effects, such as myelotoxicity or gonadotoxicity, the most dangerous of which is cardiotoxicity. Cardiotoxicity can manifest as cardiac arrhythm...

(This article belongs to the Section Molecular Toxicology)
  • Article
  • Open Access
128 Citations
7,511 Views
12 Pages

20 November 2018

Ginsenoside Rg1, a saponin that is a primary component of ginseng, has been demonstrated to protect hearts from diverse cardiovascular diseases with regulating multiple cellular signal pathways. In the present study, we investigated the protective ro...

(This article belongs to the Section Molecular Toxicology)
  • Article
  • Open Access
23 Citations
4,687 Views
14 Pages

Mollification of Doxorubicin (DOX)-Mediated Cardiotoxicity Using Conjugated Chitosan Nanoparticles with Supplementation of Propionic Acid

  • Durairaj Siva,
  • Subramanian Abinaya,
  • Durairaj Rajesh,
  • Govindaraju Archunan and ,
  • Parasuraman Padmanabhan,
  • Balázs Gulyás and
  • Shanmugam Achiraman
  • + 2 authors+ 0 author

31 January 2022

Doxorubicin is an extensively prescribed antineoplastic agent. It is also known for adverse effects, among which cardiotoxicity tops the list. The possible mechanism underlying doxorubicin (DOX)-mediated cardiotoxicity has been investigated in this s...

(This article belongs to the Special Issue Nanotechnology-Based Diagnostics)
  • Article
  • Open Access
16 Citations
2,421 Views
17 Pages

Lady’s Bedstraw as a Powerful Antioxidant for Attenuation of Doxorubicin-Induced Cardiotoxicity

  • Jovana Bradic,
  • Marijana Andjic,
  • Jovana Novakovic,
  • Aleksandar Kocovic and ,
  • Marina Tomovic,
  • Anica Petrovic,
  • Marina Nikolic,
  • Slobodanka Mitrovic,
  • Vladimir Jakovljevic and
  • Danijela Pecarski
  • + 5 authors+ 0 author

This study aimed to examine the effects of a 14-day treatment with lady’s bedstraw methanol extract on doxorubicin-induced cardiotoxicity through functional, biochemical and histological examinations. We used 24 male Wistar albino rats divided...

(This article belongs to the Section Health Outcomes of Antioxidants and Oxidative Stress)
  • Article
  • Open Access
53 Citations
6,255 Views
23 Pages

Reduction of Doxorubicin-Induced Cardiotoxicity by Co-Administration of Smart Liposomal Doxorubicin and Free Quercetin: In Vitro and In Vivo Studies

  • Hamidreza Dorostkar,
  • Bibi Fatemeh Haghiralsadat,
  • Mahdie Hemati,
  • Fatemeh Safari and ,
  • Azam Hassanpour,
  • Seyed Morteza Naghib,
  • Mohammad Hossein Roozbahani,
  • M. R. Mozafari and
  • Ali Moradi
  • + 4 authors+ 0 author

Doxorubicin is one of the most effective chemotherapeutic agents; however, it has various side effects, such as cardiotoxicity. Therefore, novel methods are needed to reduce its adverse effects. Quercetin is a natural flavonoid with many biological a...

(This article belongs to the Special Issue Advanced Liposomes for Drug Delivery)
  • Article
  • Open Access
11 Citations
4,393 Views
27 Pages

Doxorubicin-Induced Cardiotoxicity Through SIRT1 Loss Potentiates Overproduction of Exosomes in Cardiomyocytes

  • Shuai Zhang,
  • Yu Yang,
  • Xinchen Lv,
  • Xue Zhou and ,
  • Wangqian Zhao,
  • Linfeng Meng,
  • Hongfei Xu,
  • Shaohua Zhu and
  • Ying Wang
  • + 4 authors+ 0 author

18 November 2024

Mutual interaction between doxorubicin (DOX) and cardiomyocytes is crucial for cardiotoxicity progression. Cardiomyocyte injury is an important pathological feature of DOX-induced cardiomyopathy, and its molecular pathogenesis is multifaceted. In add...

(This article belongs to the Section Molecular Toxicology)
  • Article
  • Open Access
11 Citations
2,877 Views
15 Pages

The Protective Role of Glutathione against Doxorubicin-Induced Cardiotoxicity in Human Cardiac Progenitor Cells

  • Eun Ji Lee,
  • Woong Bi Jang,
  • Jaewoo Choi,
  • Hye Ji Lim and ,
  • Sangmi Park,
  • Vinoth Kumar Rethineswaran,
  • Jong Seong Ha,
  • Jisoo Yun,
  • Young Joon Hong and
  • Sang-Mo Kwon
  • + 6 authors+ 1 author

This study investigated the protective effect of glutathione (GSH), an antioxidant drug, against doxorubicin (DOX)-induced cardiotoxicity. Human cardiac progenitor cells (hCPCs) treated with DOX (250 to 500 nM) showed increased viability and reduced...

(This article belongs to the Special Issue Cardiovascular Pharmacology and Interventions: Future Directions for Cardioprotection 2.0)
  • Article
  • Open Access
2 Citations
1,222 Views
20 Pages

Empagliflozin Mitigates Doxorubicin-Induced Cardiotoxicity in Rats: Electrocardiographic, Biochemical, and Histopathological Evidence

  • Iacob-Daniel Goje,
  • Valentin Laurențiu Ordodi,
  • Greta-Ionela Goje,
  • Florina Maria Bojin and ,
  • Andrei-Dragoș Crăciun,
  • Daniela Crîsnic,
  • Mihnea Derban,
  • Andreea Severina Barbulescu,
  • Valentina Gabriela Ciobotaru and
  • Daniel-Florin Lighezan
  • + 6 authors+ 1 author

Doxorubicin (DOX) is a widely used anthracycline, but its clinical use is limited by dose-dependent cardiotoxicity. This experimental study evaluated the cardioprotective potential of empagliflozin (EMPA) against DOX-induced cardiotoxicity. Thirty he...

(This article belongs to the Special Issue New Advances in Cardio-Oncology: Mechanisms, Biomarkers, and Therapeutic Strategies)
  • Article
  • Open Access
7 Citations
2,510 Views
20 Pages

NEDD4L-Mediated Ubiquitination of GPX4 Exacerbates Doxorubicin-Induced Cardiotoxicity

  • Jiaxing Ke,
  • Lingjia Li,
  • Shuling Chen,
  • Chenxin Liao and ,
  • Feng Peng,
  • Dajun Chai and
  • Jinxiu Lin
  • + 2 authors+ 0 author

23 August 2025

Doxorubicin (DOX) is an anthracycline chemotherapeutic agent that is clinically limited by doxorubicin-induced cardiotoxicity (DIC), with ferroptosis and apoptosis identified as key mechanisms. As an antioxidant enzyme, GPX4 undergoes ubiquitin-media...

(This article belongs to the Section Molecular Toxicology)
  • Article
  • Open Access
2,606 Views
23 Pages

Integrated Omics Approach to Delineate the Mechanisms of Doxorubicin-Induced Cardiotoxicity

  • Mohamed S. Dabour,
  • Ibrahim Y. Abdelgawad,
  • Bushra Sadaf,
  • Mary R. Daniel and ,
  • Marianne K. O. Grant,
  • Anne H. Blaes,
  • Pamala A. Jacobson and
  • Beshay N. Zordoky
  • + 3 authors+ 0 author

29 January 2026

Background/Objectives: Doxorubicin (DOX) is an effective chemotherapeutic agent whose clinical utility is limited by cardiotoxicity. To investigate underlying mechanisms, we employed a multi-omics approach integrating transcriptomics and proteomics,...

(This article belongs to the Special Issue Advances in Cancer Treatment and Toxicity)
  • Review
  • Open Access
2 Citations
1,909 Views
20 Pages

Ubiquitin E3 Ligases and p53 in Doxorubicin-Induced Cardiotoxicity

  • Shingo Tachibana,
  • Yoichiro Otaki,
  • Jun Goto,
  • Tetsu Watanabe and
  • Masafumi Watanabe

22 October 2025

Doxorubicin (Dox) is a widely used anti-cancer drug. It has proven efficacy against various cancers, although the clinical application of Dox has been limited due to dose-dependent, irreversible, and fatal Dox-induced cardiotoxicity (DIC). The mechan...

(This article belongs to the Section Molecular Pathology, Diagnostics, and Therapeutics)
  • Article
  • Open Access
589 Views
25 Pages

Vardenafil Alleviates Doxorubicin-Induced Cardiotoxicity Associated with Restoration of the AMPK/SIRT1 Signaling Pathway

  • Eman H. Yousef,
  • Mohamad A. El-Gammal,
  • Muhammed M. Salahuddin,
  • Mahmoud Abdelbadie Salem and ,
  • Amal Abdullah Alrashidi and
  • Ahmed G. Abd Elhameed
  • + 1 author+ 0 author

Background: Doxorubicin-induced cardiotoxicity (DIC) is a major limitation of anthracycline chemotherapy and is characterized by oxidative stress, apoptosis, and myocardial remodeling. Dysregulation of AMP-activated protein kinase (AMPK) and its down...

(This article belongs to the Special Issue Cardiovascular Diseases: From Pathophysiology to Novel Therapeutic Approaches, 2nd Edition)
  • Article
  • Open Access
17 Citations
4,891 Views
12 Pages

Natural Polysaccharide β-Glucan Protects against Doxorubicin-Induced Cardiotoxicity by Suppressing Oxidative Stress

  • Xuan Wang,
  • Yuting Ji,
  • Dekui Jin,
  • Jingyi Qi and ,
  • Xuening Hou,
  • Wenting Zhao,
  • Shuaishuai Zhou,
  • Chengying Zhang,
  • Yongting Luo and
  • Junjie Luo
  • + 6 authors+ 1 author

21 February 2022

Doxorubicin (DOXO) can be used to treat a variety of human tumors, but its clinical application is limited due to severe cardiotoxic side effect. Here, we explore the role of β-glucan in DOXO-induced cardiotoxicity in mice and study its underlyi...

(This article belongs to the Special Issue Effects of Dietary Protein and Polysaccharide Fortification on Disease)
  • Article
  • Open Access
24 Citations
6,246 Views
13 Pages

Cardiac Troponins are Among Targets of Doxorubicin-Induced Cardiotoxicity in hiPCS-CMs

  • Michaela Adamcova,
  • Veronika Skarkova,
  • Jitka Seifertova and
  • Emil Rudolf

Modern diagnostic strategies for early recognition of cancer therapeutics-related cardiac dysfunction involve cardiac troponins measurement. Still, the role of other markers of cardiotoxicity is still unclear. The present study was designed to invest...

(This article belongs to the Section Molecular Toxicology)
  • Article
  • Open Access
29 Citations
4,201 Views
14 Pages

Fucoidan Protects against Doxorubicin-Induced Cardiotoxicity by Reducing Oxidative Stress and Preventing Mitochondrial Function Injury

  • Yuting Ji,
  • Dekui Jin,
  • Jingyi Qi,
  • Xuan Wang and ,
  • Chengying Zhang,
  • Peng An,
  • Yongting Luo and
  • Junjie Luo
  • + 3 authors+ 0 author

14 September 2022

Doxorubicin (DOXO) is a potent chemotherapeutic drug widely used to treat various cancers. However, its clinical application is limited due to serious adverse effects on dose-dependent cardiotoxicity. Although the underlying mechanism has not been fu...

(This article belongs to the Section Molecular Endocrinology and Metabolism)
  • Article
  • Open Access
581 Views
20 Pages

Oxidative DNA Damage as an Integrative Marker of Redox Dysfunction Associated with Doxorubicin-Induced Cardiotoxicity in Pediatric Leukemia

  • Jesús Alonso Gándara-Mireles,
  • Elio Aarón Reyes Espinoza,
  • Verónica Loera-Castañeda,
  • Lourdes Patricia Córdova Hurtado and ,
  • Antonio Emilio González Font,
  • Julio Cesar Grijalva Ávila,
  • Ignacio Villanueva Fierro,
  • Ismael Lares-Asseff,
  • Cynthia Mora Muñoz and
  • Horacio Almanza-Reyes
  • + 8 authors+ 3 authors

Doxorubicin (Dox) is a cornerstone in the treatment of pediatric acute lymphoblastic leukemia (ALL), but its use is limited by dose-dependent cardiotoxicity. Oxidative stress, arising from mitochondrial dysfunction, enzymatic generation of reactive o...

(This article belongs to the Special Issue Cancer-Associated Remodeling of Functional Molecular Pathways)
  • Article
  • Open Access
43 Citations
5,202 Views
16 Pages

Resveratrol and FGF1 Synergistically Ameliorates Doxorubicin-Induced Cardiotoxicity via Activation of SIRT1-NRF2 Pathway

  • Guangping Lu,
  • Qingbo Liu,
  • Ting Gao,
  • Jiahao Li and ,
  • Jingjing Zhang,
  • Ou Chen,
  • Cong Cao,
  • Min Mao,
  • Mengjie Xiao and
  • Junlian Gu
  • + 9 authors+ 4 authors

27 September 2022

Doxorubicin (DOX) has received attention due to dose-dependent cardiotoxicity through abnormal redox cycling. Native fibroblast growth factor 1 (FGF1) is known for its anti-oxidative benefits in cardiovascular diseases, but possesses a potential tumo...

(This article belongs to the Section Clinical Nutrition)
  • Article
  • Open Access
5 Citations
3,115 Views
23 Pages

Cell-Permeable Microprotein from Panax Ginseng Protects Against Doxorubicin-Induced Oxidative Stress and Cardiotoxicity

  • Bamaprasad Dutta,
  • Shining Loo,
  • Antony Kam,
  • Xiaoliang Wang and ,
  • Na Wei,
  • Kathy Qian Luo,
  • Chuan-Fa Liu and
  • James P. Tam
  • + 3 authors+ 0 author

(1) Background: Doxorubicin (DOX) is a frontline chemotherapeutic, but its side-effects from oxidative stress, leading to cardiotoxicity, pose significant challenges to its clinical use. We recently discovered a novel family of proteolysis-resistant,...

(This article belongs to the Section Health Outcomes of Antioxidants and Oxidative Stress)
  • Article
  • Open Access
16 Citations
6,228 Views
28 Pages

Investigation of the Antiremodeling Effects of Losartan, Mirabegron and Their Combination on the Development of Doxorubicin-Induced Chronic Cardiotoxicity in a Rat Model

  • Marah Freiwan,
  • Mónika G. Kovács,
  • Zsuzsanna Z. A. Kovács,
  • Gergő Szűcs and ,
  • Hoa Dinh,
  • Réka Losonczi,
  • Andrea Siska,
  • András Kriston,
  • Ferenc Kovács and
  • Márta Sárközy
  • + 10 authors+ 5 authors

16 February 2022

Despite the effectiveness of doxorubicin (DOXO) as a chemotherapeutic agent, dose-dependent development of chronic cardiotoxicity limits its application. The angiotensin-II receptor blocker losartan is commonly used to treat cardiac remodeling of var...

(This article belongs to the Special Issue Review of Cardiac Fibrosis: Recent Advances and Future Directions)
  • Article
  • Open Access
9 Citations
4,014 Views
24 Pages

miRNA Expression Profiles in Isolated Ventricular Cardiomyocytes: Insights into Doxorubicin-Induced Cardiotoxicity

  • Yohana Domínguez Romero,
  • Gladis Montoya Ortiz,
  • Susana Novoa Herrán,
  • Jhon Osorio Mendez and
  • Luis A. Gomez Grosso

Doxorubicin (DOX), widely used as a chemotherapeutic agent for various cancers, is limited in its clinical utility by its cardiotoxic effects. Despite its widespread use, the precise mechanisms underlying DOX-induced cardiotoxicity at the cellular an...

(This article belongs to the Special Issue Role of MicroRNAs in Human Diseases)
  • Article
  • Open Access
15 Citations
4,452 Views
20 Pages

Genome-Wide DNA Methylation Signatures Predict the Early Asymptomatic Doxorubicin-Induced Cardiotoxicity in Breast Cancer

  • Michael A. Bauer,
  • Valentina K. Todorova,
  • Annjanette Stone,
  • Weleetka Carter and ,
  • Matthew D. Plotkin,
  • Ping-Ching Hsu,
  • Jeanne Y. Wei,
  • Joseph L. Su and
  • Issam Makhoul
  • + 4 authors+ 0 author

15 December 2021

Chemotherapy with doxorubicin (DOX) may cause unpredictable cardiotoxicity. This study aimed to determine whether the methylation signature of peripheral blood mononuclear cells (PBMCs) prior to and after the first cycle of DOX-based chemotherapy cou...

  • Article
  • Open Access
115 Citations
8,936 Views
13 Pages

Alginate Oligosaccharide Prevents Acute Doxorubicin Cardiotoxicity by Suppressing Oxidative Stress and Endoplasmic Reticulum-Mediated Apoptosis

  • Jun-Jie Guo,
  • Lei-Lei Ma,
  • Hong-Tao Shi,
  • Jian-Bing Zhu and ,
  • Jian Wu,
  • Zhi-Wen Ding,
  • Yi An,
  • Yun-Zeng Zou and
  • Jun-Bo Ge
  • + 4 authors+ 0 author

20 December 2016

Doxorubicin (DOX) is a highly potent chemotherapeutic agent, but its usage is limited by dose-dependent cardiotoxicity. DOX-induced cardiotoxicity involves increased oxidative stress and activated endoplasmic reticulum-mediated apoptosis. Alginate ol...

  • Article
  • Open Access
2 Citations
2,590 Views
9 Pages

8 December 2022

Doxorubicin (DOX) is a chemotherapeutic agent that can cause cardiotoxicity leading to progressive, chronic, life-threatening cardiomyopathy, called DOX-induced cardiomyopathy (DIC). DIC is a fatal cardiomyopathy with a worse prognosis compared to ot...

(This article belongs to the Section Pharmaceutical Technology)

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