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Table 1 Effect of chemotherapeutic agents on various metabolic pathways and functions of human ECs

From: Targeting endothelial cell metabolism for cardio-protection from the toxicity of antitumor agents

Drug

Research type

Vascular action

Doxorubicin, daunorubicin

In vitro

Impairment of NO-dependent function DNA damage, ROS generation, caspases 3 & 7 activation, apoptosis

Cisplatin

In vitro

Increased expression of ICAM-1, tPA, PAI-1, CRP, ROS

Paclitaxel, docetaxel

In vitro

Cytoskeleton disruption, impairment of proliferation, migration, prothrombotic effect

5-fluorouracil

In vitro

Blockade of DNA synthesis; disruption of endothelial layer

Trastuzumab

Clinical

Impairment of endothelial NO production, ROS generation

VEGF inhibitors

Clinical

Blockade of VEGF – dependent pro-survival mechanisms in endothelium

  

Impairment of endothelial NO production, vasoconstriction, haemorrhages