The Role of Antioxidants in Ameliorating Cyclophosphamide-Induced Cardiotoxicity

Oxid Med Cell Longev. 2020 May 10:2020:4965171. doi: 10.1155/2020/4965171. eCollection 2020.

Abstract

The chemotherapeutic and immunosuppressive agent cyclophosphamide has previously been shown to induce complications within the setting of bone marrow transplantation. More recently, cardiotoxicity has been shown to be a dose-limiting factor during cyclophosphamide therapy, and cardiooncology is getting wider attention. Though mechanism of cyclophosphamide-induced cardiotoxicity is not completely understood, it is thought to encompass oxidative and nitrative stress. As such, this review focuses on antioxidants and their role in preventing or ameliorating cyclophosphamide-induced cardiotoxicity. It will give special emphasis to the cardioprotective effects of natural, plant-derived antioxidants that have garnered significant interest in recent times.

Publication types

  • Review

MeSH terms

  • Animals
  • Antioxidants / pharmacology*
  • Cardiotonic Agents / pharmacology
  • Cardiotonic Agents / therapeutic use
  • Cardiotoxicity / drug therapy
  • Cardiotoxicity / pathology*
  • Cardiotoxicity / physiopathology
  • Cyclophosphamide / adverse effects*
  • Humans

Substances

  • Antioxidants
  • Cardiotonic Agents
  • Cyclophosphamide