Anthracycline-induced cardiorenal toxicity: from molecular mechanisms to clinical management - Report - MDSpire

Anthracycline-induced cardiorenal toxicity: from molecular mechanisms to clinical management

  • By

  • Linke Jiao

  • Chao Yuan

  • Li Wang

  • Yating Zhao

  • Guoxia Zhang

  • Xinyu Yang

  • Yonghong Gao

  • Fan Yang

  • Xinye Li

  • Na An

  • Hongcai Shang

  • Yanwei Xing

  • May 12, 2026

  • 0 min

Share

Clinical Report: Cardiorenal Toxicity Induced by Anthracyclines

Overview

Anthracyclines, while effective in cancer treatment, pose significant risks of cardiorenal toxicity. This review highlights the interplay between cardiac and renal damage, emphasizing the need for improved monitoring and management strategies.

Background

Anthracyclines are a mainstay in oncology due to their potent antitumor effects; however, their use is limited by severe toxicities affecting the heart and kidneys. The increasing survival rates of cancer patients necessitate a focus on long-term complications, particularly the cardiorenal vicious cycle that complicates treatment. Understanding the mechanisms and risk factors associated with anthracycline-induced toxicity is essential for optimizing patient care.

Data Highlights

No specific numerical data provided in the source material.

Key Findings

['Cardiotoxicity incidence ranges from 5% to 48%, with a dose-dependent pattern.', 'Approximately 2%-4% of patients may progress to congestive heart failure due to anthracycline therapy.', 'Renal injury occurs in 12%-18% of patients receiving doxorubicin-containing regimens.', 'Anthracyclines can directly damage renal tubular cells through oxidative stress and inflammation.', 'There are currently no standardized guidelines for managing anthracycline-induced cardiorenal toxicity.']

Clinical Implications

Clinicians should be vigilant in monitoring both cardiac and renal function in patients receiving anthracyclines. Implementing risk stratification and tailored monitoring strategies can help mitigate the adverse effects associated with these therapies.

Conclusion

A comprehensive understanding of anthracycline-induced cardiorenal toxicity is crucial for improving patient outcomes. Enhanced monitoring and intervention strategies are needed to optimize the safety of anthracycline therapy.

Related Resources & Content

  1. Basic Research in Cardiology, 2024 -- Strategies for Protecting the Heart Against Anthracycline-Induced Cardiotoxicity
  2. Pediatric Cardiology, 2015 -- Perspectives on Cardiotoxic Effects of Anthracyclines in Survivors of Childhood Cancer
  3. The ASCO Post, 2025 -- Cardiotoxicity From the Use of Anthracyclines in Cancer Survivors: Preventive Strategies
  4. Nature Reviews Nephrology, 2025 -- The nephrotoxic effects of anti-cancer therapies: consensus report of the 34th Acute Disease Quality Initiative workgroup
  5. Basic Research in Cardiology — Remote ischemic conditioning for safe cardioprotection in cardio-oncology?
  6. The nephrotoxic effects of anti-cancer therapies: consensus report of the 34th Acute Disease Quality Initiative workgroup | Nature Reviews Nephrology
  7. frontiers | Frontiers in Cardiovascular MedicineTYPE Review

Original Source(s)

Related Content