[1]李廷翠 崔鸣 朱丹.放射性心脏损伤的研究进展[J].心血管病学进展,2021,(9):769-772.[doi:10.16806/j.cnki.issn.1004-3934.2021.09.000]
 LI Tingcui,CUI Ming,ZHU Dan.Radiation-Induced Heart Disease[J].Advances in Cardiovascular Diseases,2021,(9):769-772.[doi:10.16806/j.cnki.issn.1004-3934.2021.09.000]
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放射性心脏损伤的研究进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2021年9期
页码:
769-772
栏目:
综述
出版日期:
2021-09-25

文章信息/Info

Title:
Radiation-Induced Heart Disease
文章编号:
202011070
作者:
李廷翠 崔鸣 朱丹
(北京大学第三医院心内科 卫生部心血管分子生物学与调节肽重点实验室,北京 100191)
Author(s):
LI Tingcui CUI Ming ZHU Dan
(Key Laboratory of Cardiovascular Molecular Biology and Regulatory Peptides,Ministry of Health; Department of Cardiology,Peking University Third Hospital,Beijing 100191,China)
关键词:
放射疗法放射性心脏损伤危险因素干预措施
Keywords:
RadiotherapyRadiation-induced heart diseaseRisk factorsIntervention measures
DOI:
10.16806/j.cnki.issn.1004-3934.2021.09.000
摘要:
全球癌症患病率不断增长,随着放射疗法、化学疗法以及免疫治疗等肿瘤治疗手段的提高,肿瘤患者生存期不断延长,治疗所带来的副作用越来越引起人们的关注,其中心脏损伤成为近些年研究的热点。放射性心脏损伤严重影响肿瘤放疗患者生活质量,成为影响其远期预后的重要因素之一。因此,现就放射性心脏损伤的分类、机制、危险因素和干预措施进行综述。
Abstract:
The global cancer prevalence rate is increasing. With the improvement of radiotherapy,chemotherapy,immunotherapy,and so on, cancer patients’survival time has been prolonged. So,the side effects caused by treatment are attracting more and more attention. Among them,heart injury has become a hot topic in recent years. Radiation-induced heart disease has a serious impact on the quality of life of patients with tumor radiotherapy,and has become one of the important factors affecting the long-term prognosis. This paper reviews the classification,mechanism,risk factors and intervention measures of radiation-induced heart disease

参考文献/References:

[1] Bray F,Ferlay J,Soerjomataram I,et al. Global cancer statistics 2018:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin,2018,68(6):394-424.

[2]王军,武亚晶. 放射性心脏损伤研究进展——基础篇[J]. 中华放射肿瘤学杂志,2019,28(10):721-727.

[3] Raghunathan D,Khilji MI,Hassan SA,et al. Radiation-induced cardiovascular disease[J]. Curr Atheroscler Rep,2017,19(5):22.

[4] Mulrooney DA,Hyun G,Ness KK,et al. Major cardiac events for adult survivors of childhood cancer diagnosed between 1970 and 1999:report from the childhood cancer survivor study cohort[J]. BMJ,2020,368:l6794.

[5] Darby SC,Ewertz M,McGale P,et al. Risk of ischemic heart disease in women after radiotherapy for breast cancer[J]. N Engl J Med,2013,368(11):987-998.

[6] Donnelln E,Phelan D,Mccarthy CP,et al. Radiation-induced heart disease:a practical guide to diagnosis and management[J]. Cleve Clin J Med,2016,83(12):914-922.

[7] Aleman BM,van den Belt-Dusebout AW,de Bruin ML,et al. Late cardiotoxicity after treatment for Hodgkin lymphoma[J]. Blood,2007,109:1878-1886.

[8] Guldner L,Haddy N,Pein F,et al. Radiation dose and long term risk of cardiac pathology following radiotherapy and anthracyclin for a childhood cancer[J]. Radiother Oncol,2006,81(1):47-56.

[9] van Nimwegen FA,Ntentas G,Darby SC,et al. Risk of heart failure in survivors of Hodgkin lymphoma:effects of cardiac exposure to radiation and anthracyclines [J]. Blood,2017,129(16):2257-2265.

[10] Veinot JP,Edwards WD. Pathology of radiation-induced heart disease:a surgical and autopsy study of 27 cases[J]. Hum Pathol,1996,27(8):766-773.

[11] Morton DL,Glancy DL,Joseph WL,et al. Management of patients with radiation-induced pericarditis with effusion:a note on the development of aortic regurgitation in two of them[J]. Chest,1973,64(3):291-297.

[12]Gujral DM,Lloyd G,Bhattacharyya S. Radiation-induced valvular heart disease[J]. Heart,2016,102(4):269-276.

[13]Cutter DJ,Schaapveld M,Darby SC,et al. Risk of valvular heart disease after treatment for Hodgkin lymphoma[J]. J Natl Cancer Inst,2015,107(4):djv008.

[14] McGale P,Darby SC,Hall P,et al. Incidence of heart disease in 35,000 women treated with radiotherapy for breast cancer in Denmark and Sweden[J]. Radiother Oncol,2011,100(2):167-175.

[15] Galper SL,Yu JB,Mauch PM,et al. Clinically significant cardiac disease in patients with Hodgkin lymphoma treated with mediastinal irradiation[J]. Blood,2011,117(2):412-418.

[16] 王婷,寇锋军. 肺癌放疗对心电图与心肌酶谱影响的研究[J]. 实用癌症杂志,2016,31(11):1890-1892.

[17] 张凯. 肺癌放疗致心电图与心肌酶谱异常的临床观察[J]. 临床医药文献电子杂志,2017,4(82):16098-16100.

[18] 蒋桂芳,魏月,张巍,等. 放疗对肺癌患者心电图和心肌酶谱的影响[J]. 中国肿瘤临床与康复,2018,25(6):695-697.

[19] Gomez DR,Yusuf SW,Munsell MF,et al. Prospective exploratory analysis of cardiac biomarkers and electrocardiogram abnormalities in patients receiving thoracic radiation therapy with high-dose heart exposure[J]. J Thorac Oncol,2014,9(10):1554-1560.

[20] Strender LE,Lindahl J,Larsson LE. Incidence of heart disease and functional significance of changes in the electrocardiogram 10 years after radiotherapy for breast cancer[J]. Cancer,2015,57(5):929-934.

[21] Farhood B,Ashrafizadeh M,Khodamoradi E,et al. Targeting of cellular redox metabolism for mitigation of radiation injury[J]. Life Sci,2020,250:117570.

[22] Wei J,Wang B,Wang H,et al. Radiation-induced normal tissue damage:oxidative stress and epigenetic mechanisms[J]. Oxid Med Cell Longev,2019,2019:3010342.

[23] Livingston K,Schlaak RA,Puckett LL,et al. The role of mitochondrial dysfunction in radiation-induced heart disease:from bench to bedside[J]. Front Cardiovasc Med,2020,7:20.

[24] Fountain MD,Mclellan LA,Smith NL,et al. Isoflavone-mediated radioprotection involves regulation of early endothelial cell death and inflammatory signaling in Radiation-Induced lung injury[J]. Int J Radiat Biol,2020,96(2):245-256.

[25] Haubner F,Ohmann E,Pohl F,et al. Effects of radiation on the expression of adhesion molecules and cytokines in a static model of human dermal microvascular endothelial cells[J]. Clin Hemorheol Microcirc,2013,54(4):371-379.

[26] Zhang J,He X,Bai X,et al. Protective effect of trimetazidine in radiation-induced cardiac fibrosis in mice[J]. J Radiat Res,2020,61(5):657-665.

[27] Yarnold J,Brotons MC. Pathogenetic mechanisms in radiation fibrosis[J]. Radiother Oncol,2010,97(1):149-161.

[28] Seemann I,Gabriels K,Visser NL,et al. Irradiation induced modest changes in murine cardiac function despite progressive structural damage to the myocardium and microvasculature[J]. Radiother Oncol,2012,103(2):143-150.

[29] Zhang K,He X,Zhou Y,et al. Atorvastatin ameliorates radiation-induced cardiac fibrosis in rats[J]. Radiat Res,2015,184(6):611-620.

[30] Wennstig AK,Garmo H,Isacsson U,et al. The relationship between radiation doses to coronary arteries and location of coronary stenosis requiring intervention in breast cancer survivors[J]. Radiat Oncol,2019,14(1):40.

[31] Giordano SH,Kuo YF,Freeman JL,et al. Risk of cardiac death after adjuvant radiotherapy for breast cancer[J]. J Natl Cancer Inst,2005,97(6):419-424.

[32] Darby SC,Mcgale P,Taylor CW,et al. Long-term mortality from heart disease and lung cancer after radiotherapy for early breast cancer:prospective cohort study of about 300,000 women in US SEER cancer registries[J]. Lancet Oncol,2005,6(8):557-565.

[33] Darby SC,Ewertz M,McGale P,et al. Risk of ischemic heart disease in women after radiotherapy for breast cancer[J]. N Engl J Med,2013,368(11):987-998.

[34] Corradini S,Ballhausen H,Weingandt H,et al. Left-sided breast cancer and risks of secondary lung cancer and ischemic heart disease[J]. Strahlenther Onkol,2018,194(3):196-205.

[35] Gaasch A,Sch?necker S,Simonetto C,et al. Heart sparing radiotherapy in breast cancer:the importance of baseline cardiac risks[J]. Radiat Oncol,2020,15(1):117.

[36] Carolyn T,Candace C,Duane FK,et al. Estimating the risks of breast cancer radiotherapy:evidence from modern radiation doses to the lungs and heart and from previous randomized trials[J]. J Clinl Oncol,2017,35(15):1641-1649.

[37] Galper SL,Yu JB,Mauch PM,et al. Clinically significant cardiac disease in patients with Hodgkin lymphoma treated with mediastinal irradiation[J]. Blood,2011,117(2):412-418.

[38] Hooning MJ,Aleman BM,Rosmalen AJ,et al. Cause-specific mortality in long-term survivors of breast cancer:a 25-year follow-up study[J]. Int J Radiat Oncol Biol Phys,2006,64(4):1081-1091.

[39] Paszat LF,Mackillop WJ,Groome PA,et al. Mortality from myocardial infarction after adjuvant radiotherapy for breast cancer in the surveillance,epidemiology,and end-results cancer registries[J]. J Clin Oncol,1998,16(8):2625-2631.

[40] Chang JS,Shin J,Park EC,et al. Risk of cardiac disease after adjuvant radiation therapy among breast cancer survivors[J]. Breast,2019,43:48-54.

[41] Verma V,Cushman TR,Tang C,et al. Toxicity of radiation and immunotherapy combinations[J]. Adv Radiat Oncol,2018,3(4):506-511.

[42]艾星浩,蔡勇,褚倩,等. 放疗联合免疫治疗非小细胞肺癌:前沿学术问题专家交流共识[J]. 中国肺癌杂志,2020,23(6):532-540.

[43] Mahdavi H. Radiation oncologists’ perspectives on reducing radiation-induced heart disease in early breast cancer[J]. Curr Probl Cancer,2020,44(2):100509.

[44] Korreman SS,Pedersen AN,Josipovi? M,et al. Cardiac and pulmonary complication probabilities for breast cancer patients after routine end-inspiration gated radiotherapy[J]. Radiother Oncol,2006,80(2):257-262.

[45] Liu LK,Ouyang W,Zhao X,et al. Pathogenesis and prevention of radiation-induced myocardial fibrosis[J]. Asian Pac J Cancer Prev,2017,18(3):583-587.

[46] Zhang K,He X,Zhou Y,et al. Atorvastatin ameliorates radiation-induced cardiac fibrosis in rats[J]. Radiat Res,2015,184(6):611-620.

[47]van der Veen SJ ,Ghobadi G ,de Boer RA ,et al. ACE inhibition attenuates radiation-induced cardiopulmonary damage[J]. Radiother Oncol ,2015,114(1):96-103.

[48] O’Herron T,Lafferty J. Prophylactic use of colchicine in preventing radiation induced coronary artery disease[J]. Med Hypotheses,2018,111:58-60.

[49] Alite F,Balasubramanian N,Adams W,et al. Decreased risk of radiation pneumonitis with coincident concurrent use of angiotensin-converting enzyme inhibitors in patients receiving lung stereotactic body radiation therapy[J]. Am J Clin Oncol,2018,41(6):576-580.

[50] Yang WS,Yang E,Kim MJ,et al. Momordica charantia inhibits inflammatory responses in murine macrophages via suppression of TAK1[J]. Am J Chin Med,2018,46(2):435-452.

[51] Gu J,Liu K,Li H,et al. Astragalus saponin attenuates the expression of fibrosis-related molecules in irradiated cardiac fibroblasts[J]. Acta Biochim Biophys Sinica(Shanghai),2014,46(6):492-501.

[52] 周游,陈绘颖,王江友,等. 曲美他嗪对大鼠放射性心肌损伤后TNF-α表达的影响[J]. 现代生物医学进展,2014,14(10):1821-1824.

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更新日期/Last Update: 2021-10-21