Evidence map›Paper›PMID 40069106›Full record

ReviewEuropean journal of heart failure2025

Update on preclinical models of cancer therapy-related cardiac dysfunction: Challenges and perspectives. A scientific statement of the Heart Failure Association (HFA) of the ESC, the ESC Council of Cardio-Oncology, and the ESC Working Group on Cellular Biology of the Heart.

Alessandra Ghigo, Pietro Ameri, Aarti Asnani, Edoardo Bertero, Rudolf A de Boer, Dimitrios Farmakis, Arantxa González, Stephane Heymans, Borja Ibáñez, Teresa López-Fernández and 13 more

Abstract readReview
In one paragraph

Review in European journal of heart failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Caught in the crossfire: cardiac complications of cancer therapy.The Journal of clinical investigation · 2026
    Review
  7. Review
  8. Review
  9. What's new in heart failure? November 2025.European journal of heart failure · 2025
    Article
  10. Article
  11. Review
  12. Doxorubicin-Induced Cardiotoxicity: A Comprehensive Update.Journal of cardiovascular development and disease · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Alessandra GhigoMolecular Biotechnology Center Guido Tarone, Department of Molecular Biotechnology and Health Sciences, University of Torino, Turin, Italy.
Pietro AmeriCardiac, Vascular, and Thoracic Department, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Aarti AsnaniDivision of Cardiovascular Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA.
Edoardo BerteroCardiac, Vascular, and Thoracic Department, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Rudolf A de BoerCardiovascular Institute, Thorax Center, Department of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands.
Dimitrios FarmakisDepartment of Cardiology, Athens University Hospital Attikon, National and Kapodistrian University of Athens Medical School, Athens, Greece.
Arantxa GonzálezProgram of Cardiovascular Diseases, Foundation for Applied Medical Research (CIMA), Department of Cardiology, Clínica Universidad de Navarra, Instituto de Investigación Sanitaria de Navarra (IdiSNA), Universidad de Navarra, Pamplona, Spain.
Stephane HeymansDepartment of Cardiology, CARIM Cardiovascular Research Institute Maastricht, Maastricht University Medical Centre, Maastricht, The Netherlands.
Borja IbáñezCentro de Investigación Biomédica en Red Cardiovascular (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain.
Teresa López-FernándezCardiology Department, La Paz University Hospital, Madrid, Spain.
Alexander R LyonCardio-Oncology Centre of Excellence, Royal Brompton Hospital, London, UK.
Piero PolleselloContent and Communication, Branded Products, Orion Pharma, Espoo, Finland.
Amina RakishevaDepartment of Cardiology, City Cardiology Center, Almaty, Kazakhstan.
Konstantinos StellosDepartment of Cardiovascular Research, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Katrin Streckfuss-BömekeClinic for Cardiology and Pneumology, Georg-August University Göttingen, Göttingen, Germany.
Carlo Gabriele TocchettiDepartment of Translational Medical Sciences (DISMET), Center for Basic and Clinical Immunology Research (CISI), Interdepartmental Center of Clinical and Translational Sciences (CIRCET), Interdepartmental Hypertension Research Center (CIRIAPA), Federico II University, Naples, Italy.
Thomas ThumInstitute of Molecular and Translational Therapeutic Strategies (IMTTS), Hannover Medical School, Hannover, Germany.
Peter van der MeerDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Eva Van RooijHubrecht Institute, Royal Netherlands Academy of Arts and Sciences (KNAW) and University Medical Center Utrecht, Utrecht, The Netherlands.
Piotr PonikowskiCenter for Heart Diseases, University Hospital, Wroclaw Medical University, Wroclaw, Poland.
Marco MetraInstitute of Cardiology, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
Giuseppe RosanoDepartment of Human Sciences and Promotion of Quality of Life, San Raffaele Open University of Rome, Rome, Italy.
Sophie Van LinthoutBerlin Institute of Health at Charité-Universitätsmedizin Berlin, BIH Center for Regenerative Therapies (BCRT), Berlin, Germany.

Funding

Hemopexin as an Early Biomarker of Anthracycline Cardiac ToxicityR01HL163172 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Aarti Asnani · 2022 to 2026
$3.2M
A Multi-Dimensional Linked Registry to Identify Biological, Clinical, Health System, and Socioeconomic Risk Factors for COVID-19-Related Cardiovascular EventsR01HL157530 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI GERSZTEN, ROBERT E, KAZI, DHRUV SATISH · 2021 to 2024
$3.0M
Mitochondrial iron export therapy for doxorubicin-induced cardiotoxicityR01HL166541 · NHLBI · UNIVERSITY OF MASSACHUSETTS LOWELL · PI Jonghan Kim · 2023 to 2026
$2.5M
NHLBI NIH HHS R01 HL157530NHLBI NIH HHS R01 HL163172NHLBI NIH HHS R01 HL166541
6 · The paper itself

Abstract

New anticancer therapies with potential cardiovascular side effects are continuously being introduced into clinical practice, with new and often unexpected toxicities becoming apparent only after clinical introduction. These unknown toxicities should be identified and understood beforehand to better prepare patients and physicians, enabling the implementation of effective treatments. Therefore, there is a crucial need for appropriate preclinical models to understand the biological basis of their cardiotoxicity. This scientific statement summarizes the preclinical models hitherto used, from in vitro two- and three-dimensional human systems to small and large animals, to pinpoint the molecular mechanisms behind the cardiotoxicity of new-generation anticancer therapies, particularly immunotherapies, and to develop potential cardioprotective strategies. Furthermore, it discusses how preclinical models have contributed to the provocative concept of heart failure being potentially tumorigenic and how the discovery of drugs with both anticancer and cardioprotective actions has revealed a common mechanistic basis for heart failure and cancer. Finally, it discusses the existing gaps between preclinical models and clinical observations in patients, how these discrepancies affect regulatory pathways and the drug development process in cardio-oncology and provides recommendations for closing these gaps.

Indexed as

Antineoplastic AgentsCardiotoxicityHeart FailureNeoplasmsAnimalsCardiologyCardio-OncologyDisease Models, AnimalHumansMedical OncologySocieties, MedicalAntineoplastic AgentsAnticancer therapyCancerCardiotoxicityImmunotherapyPreclinical models

Identifiers

PMID40069106
PMCPMC12260315

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.