Table 1.
Class | Representative drugs | Clinical cardiotoxic effects | iPSC-CM modelling | References |
---|---|---|---|---|
Anthracyclines | Doxorubicin | Arrhythmias, myocardial oedema, decreased LVEF, congestive heart failure, myopericarditis, and myocardial infarction | Sarcomeric disarray, increased caspase 3/7 activity, ROS production, mitochondrial and metabolic dysfunction, and changes in calcium handling | 74–76,78 |
Anti-metabolites | 5-Fluorouracil | Angina, QT prolongation, arrhythmias, myocardial infarction, coronary vasospasm, and pericarditis | Cytotoxicity and induction of arrhythmic beats | 84 |
Alkylating agents | Cyclophosphamide | Congestive heart failure, myopericarditis, arrhythmias, and haemorrhagic myocarditis | Cytotoxicity and induction of arrhythmic beats | 84 |
Anti-microtubule | Paclitaxel | Bradycardia, VPCs, and ventricular tachycardia | Undetermined | NA |
NA, not applicable.