Table 1.
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 |