国际医药卫生导报2024,Vol.30Issue(20) :3369-3372.DOI:10.3760/cma.j.issn.1007-1245.2024.20.005

氧化应激相关通路在阿霉素诱导心脏毒性中的作用

Role of oxidative stress-related pathways in doxorubicin-induced cardiomyopathy

李洋 程金凤 魏景迅 崔明丽 程艳丽
国际医药卫生导报2024,Vol.30Issue(20) :3369-3372.DOI:10.3760/cma.j.issn.1007-1245.2024.20.005

氧化应激相关通路在阿霉素诱导心脏毒性中的作用

Role of oxidative stress-related pathways in doxorubicin-induced cardiomyopathy

李洋 1程金凤 1魏景迅 1崔明丽 1程艳丽1
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作者信息

  • 1. 滨州医学院附属医院心内科,滨州 256600
  • 折叠

摘要

阿霉素(DOX)是一种强效化疗药物,常用于单独或联合治疗多种癌症,临床应用可能会导致严重的心脏毒性.氧化应激在阿霉素诱导心脏毒性(DIC)中发挥了重要作用.该综述总结了DIC中与氧化应激有关的信号通路,包括Nrf2/Keap1/ARE、Sirt1/p66Shc信号通路,以及一氧化氮合酶(NOS)、氮氧化物(NOX)、亚铁离子(Fe2+)在氧化应激中的作用,尝试从氧化应激的角度解释DIC的发生机制,并为DIC防治的药物研究提供理论依据或新思路.

Abstract

Doxorubicin(DOX)is a potent chemotherapy drug commonly used alone or in combination to treat a variety of cancers.However,its clinical application may lead to severe cardiotoxicity.Oxidative stress has been found to play an important role in doxorubicin-induced cardiomyopathy(DIC).This review summarizes the signaling pathways related to oxidative stress in DIC,including Nrf2/Keap1/ARE and Sirt1/p66Shc signaling pathways,and the roles of nitric oxide synthase(NOS),nitric oxide(NOX),and Fe2+in oxidative stress,in an attempt to explain the mechanism of DIC from the perspective of oxidative stress and to provide a theoretical basis or a new way of thinking for the pharmacological research of DIC prevention and treatment.

关键词

阿霉素/心肌病/氧化应激/信号通路/综述

Key words

Doxorubicin/Cardiomyopathy/Oxidative stress/Signaling pathway/Review

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出版年

2024
国际医药卫生导报
中华医学会,国际医药卫生导报社

国际医药卫生导报

影响因子:0.781
ISSN:1007-1245
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