Cardiotoxicity of the BCR-ABL1 tyrosine kinase inhibitors: Emphasis on ponatinib.


Journal

International journal of cardiology
ISSN: 1874-1754
Titre abrégé: Int J Cardiol
Pays: Netherlands
ID NLM: 8200291

Informations de publication

Date de publication:
01 10 2020
Historique:
received: 21 02 2020
revised: 20 05 2020
accepted: 24 05 2020
pubmed: 30 5 2020
medline: 15 5 2021
entrez: 30 5 2020
Statut: ppublish

Résumé

The advent of tyrosine kinase inhibitors (TKIs) targeted therapy revolutionized the treatment of chronic myeloid leukemia (CML) patients. However, cardiotoxicity associated with these targeted therapies puts the cancer survivors at higher risk. Ponatinib is a third-generation TKI for the treatment of CML patients having gatekeeper mutation T315I, which is resistant to the first and second generation of TKIs, namely, imatinib, nilotinib, dasatinib, and bosutinib. Multiple unbiased screening from our lab and others have identified ponatinib as most cardiotoxic FDA approved TKI among the entire FDA approved TKI family (total 50+). Indeed, ponatinib is the only treatment option for CML patients with T315I mutation. This review focusses on the cardiovascular risks and mechanism/s associated with CML TKIs with a particular focus on ponatinib cardiotoxicity. We have summarized our recent findings with transgenic zebrafish line harboring BNP luciferase activity to demonstrate the cardiotoxic potential of ponatinib. Additionally, we will review the recent discoveries reported by our and other laboratories that ponatinib primarily exerts its cardiotoxicity via an off-target effect on cardiomyocyte prosurvival signaling pathways, AKT and ERK. Finally, we will shed light on future directions for minimizing the adverse sequelae associated with CML-TKIs.

Identifiants

pubmed: 32470534
pii: S0167-5273(20)30723-3
doi: 10.1016/j.ijcard.2020.05.077
pmc: PMC8095092
mid: NIHMS1691486
pii:
doi:

Substances chimiques

Antineoplastic Agents 0
Imidazoles 0
Protein Kinase Inhibitors 0
Pyridazines 0
ponatinib 4340891KFS

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

214-221

Subventions

Organisme : NHLBI NIH HHS
ID : R01 HL119234
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL133290
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL143074
Pays : United States

Informations de copyright

Copyright © 2020 Elsevier B.V. All rights reserved.

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Auteurs

Anand Prakash Singh (AP)

Division of Cardiovascular Disease, UAB | The University of Alabama at Birmingham, Birmingham, AL 35294-1913, USA. Electronic address: apsingh@uabmc.edu.

Prachi Umbarkar (P)

Division of Cardiovascular Disease, UAB | The University of Alabama at Birmingham, Birmingham, AL 35294-1913, USA.

Sultan Tousif (S)

Division of Cardiovascular Disease, UAB | The University of Alabama at Birmingham, Birmingham, AL 35294-1913, USA.

Hind Lal (H)

Division of Cardiovascular Disease, UAB | The University of Alabama at Birmingham, Birmingham, AL 35294-1913, USA. Electronic address: hindlal@uabmc.edu.

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