New biomarkers for early detection of cardiotoxicity after treatment with docetaxel, doxorubicin and cyclophosphamide

W. van Boxtel, B. F. Bulten, A. M. C. Mavinkurve-Groothuis, L. Bellersen, C. M. P. W. Mandigers, L. A. B. Joosten, L. Kapusta, L. F. de Geus-Oei, H. W. M. van Laarhoven

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Abstract

Assessing a diverse biomarker panel (NT-proBNP, TNF-α, galectin-3, IL-6, Troponin I, ST2 and sFlt-1) to detect subclinical cardiotoxicity after treatment with anthracyclines. Of 55 breast cancer patients biomarkers were assessed and echocardiography was performed one year after treatment with anthracyclines. 29.1% of patients showed abnormal biomarker levels: NT-proBNP in 18.2%, TNF-α and Galectin-3 in 7.3%. IL-6, troponin I, ST2 and sFlt-1 were normal in all patients. A correlation between left ventricular ejection fraction (LVEF) and NT-proBNP was observed (r = -0.564, p ≤ 0.01). The evaluated biomarkers do not contribute to early detection. Future research should focus on NT-proBNP
Original languageEnglish
Pages (from-to)143-148
JournalBiomarkers
Volume20
Issue number2
DOIs
Publication statusPublished - 2015

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