Skip to main content
. Author manuscript; available in PMC: 2023 Oct 1.
Published in final edited form as: J Cardiovasc Pharmacol. 2022 Oct 1;80(4):522–530. doi: 10.1097/FJC.0000000000001342

Table 1.

Antineoplastic treatments that have been associated with hypertension, common examples, and potential mechanisms for the development of hypertension

Therapeutic Class Examples Potential Mechanism Leading to Hypertension
VEGF Inhibitors Bevacizumab
Lenvatinib
Pazopanib
Ramucirumab
Sorafenib
Vandetanib
Glomerular injury, microvascular rarefaction, increased vascular stiffness, decreased NO production, increased endothelin-1 activation, aberrations of the RAAS system
BRAF Inhibitors Encorafenib
Vemurafenib
Dabrafenib
Aberrations of the RAAS system, decreased NO production
MEK Inhibitors Trametinib Aberrations of the RAAS system, decreased NO production
BTK Inhibitors Acalabrutinib
Ibrutinib
Vascular tissue fibrosis, decreased NO production
Androgen Deprivation Therapy Abiraterone Increased synthesis of mineralocorticoid precursors
Anthracyclines / Anthracenedione Doxorubicin
Daunorubicin
Epirubicin
Idarubicin
Mitoxantrone
Reduced capillary density, impaired neovascularization, tunica intima hyperplasia, luminal stenosis, smooth-muscle-cell dysfunction, decreased NO production
Alkylating agent Ifosfamide Increased risk of renal dysfunction
Platinum Based Chemotherapy Carboplatin
Cisplatin
Renal toxicity and chronic endothelial cell activation
Anti-microtubule Agents (Taxanes) Paclitaxel May alter sympathetic control of blood pressure
Anti-microtubule Agents (Vinka Alkaloids) Vinblastine
Vincristine
Mitosis mediated inhibition of endothelial cell proliferation
Antimetabolites Gemcitabine Thrombotic microangiopathy and nephrotoxicity
Radiation therapy Abdominal radiation
Head and neck radiation
Renal artery stenosis (rare) Disturbances of the baroreflex