Table 2.
Class | Representative drugs | Clinical cardiotoxic effects | iPSC-CM modelling | References |
---|---|---|---|---|
Monoclonal antibodies | Trastuzmab | Decreased LVEF, increased serum cardiac troponin I, congestive heart failure, and hypertension | Decrease in oxidative phosphorylation and glucose utilization, and metabolic impairment | 79,90,91 |
Tyrosine kinase i nhibitors | Nilotinib Vemurafenib | QT prolongation, vascular events, hyperglycaemia, and risk of sudden death | Cytotoxicity, ROS production, lipid accumulation, and inhibition of ABL, AKT, and ERK survival pathways, disruption of actin cytoskeleton | 86,89 |
Ponatinib | Vascular events | 89 | ||
Trametinib | Congestive heart failure | 85,89 | ||
Sunitinib | Hypertension, venous or arterial thromboembolic events, decreased LVEF, and congestive heart failure | 86,89 | ||
Vendetanib | ||||
Sorafenib Pazopinib | ||||
Axitinib | ||||
Dasatinib | Pulmonary hypertension, QT prolongation, peripheral oedema, pericardial effusion, and vascular events | 89 | ||
Proteasome inhibitors | Bortezomib Carfilzomib | Hypertension, thromboembolic events, arrhythmias, and congestive heart failure | Undetermined | NA |
Immuno-modulators | Thalidomide | Thromboembolic events | Undetermined | NA |
Immune checkpoint inhibitors | Pembrolizumab Nivolumab | Myocarditis | Undetermined | NA |
Ipilimumab |
NA, not applicable.