Evidence map›Paper›PMID 41306265›Full record

SynthesisFrontiers in cardiovascular medicine2025

Soluble suppression of tumorigenicity-2 changes during cardiotoxic cancer treatment: a systematic review and meta-analysis.

Luca Fazzini, Simone Angius, Nicola Campana, Luca Pascalis, Martino Deidda, Giordano Maria Pugliesi, Vincenzo Quagliariello, Nicola Maurea, Carlo Gabriele Tocchetti, Pietro Ameri and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Luca FazziniDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Simone AngiusDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Nicola CampanaDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Luca PascalisDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Martino DeiddaDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Giordano Maria PugliesiDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United States.
Vincenzo QuagliarielloDivision of Cardiology, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italy.
Nicola MaureaDivision of Cardiology, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italy.
Carlo Gabriele TocchettiInternal Medicine Unit for Cancer Patients, Department of Translational Medical Sciences (DISMET), Federico II University, Naples, Italy.
Pietro AmeriCardiovascular Disease Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Christian Cadeddu DessalviDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Soluble suppression of tumorigenicity-2 (sST2) is a promising biomarker of cardiovascular disease and heart failure. Data about the changes in sST2 concentrations during cancer treatment and the relationship with cancer treatment-related cardiotoxicity are sparse. Methods: We conducted a systematic review and meta-analysis to explore longitudinal changes in sST2 levels at three time points (T0 baseline, T1 post-chemotherapy, and T2 follow-up) in cancer patients treated with cardiotoxic therapies and compared these changes to traditional biomarkers of cardiac injury, i.e., troponin and NT-proBNP. Using random-effects models, mean differences (MD), and standardized MD (SMD), we analyzed (i) ST2 longitudinal changes, (ii) the association between ST2 and cardiotoxicity [defined through left ventricular ejection fraction (LVEF)] providing pooled estimates of correlations, and (iii) the SMD variations among biomarkers. Results: Eight studies were included, comprising 433 patients treated with anthracycline and/or HER2-directed antibodies. There was a trend toward increased sST2 levels from T0 to T2 (MD 1.86, 95% CI -0.97 to 4.68, Conclusion: sST2 showed dynamic changes during cardiotoxic therapy correlating with cardiotoxicity. Troponin was demonstrated to have greater longitudinal variations. Further research is needed to evaluate longitudinal sST2 levels in patients who develop cardiotoxicity vs. those who do not.

Indexed as

biomarkercardioncologycardiotoxcitycardiotoxic adverse effectST2

Identifiers

PMID41306265
PMCPMC12645410

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.