TABLE 1.
Currently available ABL-inhibiting TKIs, their known cardiovascular-associated toxicity, and the possible underlying mechanisms.
TKI gen | Drug | Cardiovascular toxicity | Involved mechanisms |
1st | Imatinib | Potential benefit on metabolic and cardiovascular function | NA |
2nd | Nilotinib | Arterial hypertension, ischemic events | Increased P-selectin, sICAM-1, sVCAM-1, TNF-alpha, IL-6, PAR-1-mediated alpha granule release, endogenous thrombin levels (in vitro and in vivo), inhibition of endothelial cell proliferation, increased glucose levels, glomerular impairment, mast cell disruption (impaired tissue repair) |
2nd | Dasatinib | Pulmonary arterial hypertension | Hypoxic pulmonary vasoconstriction responses reduction (possible) |
2nd | Bosutinib | Potentially none | NA |
3rd | Ponatinib | Peripheral arterial obstructive disease, other ischemic events | Not known. Hypothetically similar to nilotinib. Dose dependent. |