Possibility for Application of 99mTc-Methoxyisobutylisonitrile in Assessing the Efficiency of Chemotherapy Cardiotoxicity Prevention

Article Preview

Abstract:

The main focus of the paper is to estimate the possibility of trimethylhydrasine propionate application to prevent an acute doxorubicin-induced cardiotoxicity in breast cancer patients. The study included women with breast cancer. Main group were injected intravenously trimethylhydrasine propionate prior to chemotherapy. For the cancer treatment of these patients doxorubicin was used. All patients were examined by GATE SPECT before starting chemotherapy and 1 hour after the first administration of doxorubicin. After doxorubicin administration in the control group there was a decrease in left ventricular ejection fraction (LVEF), and an increase in left ventricular end-systolic volume. After administration of doxorubicin 40% of patients had a significant reduction in LVEF. Prophylactic use of trimethylhydrasine propionate allows reducing acute doxorubicin-induced cardiotoxicity incidences by 22.5%.

You might also be interested in these eBooks

Info:

* - Corresponding Author

[1] M.G. Matysh T.L. Kravchuk, V.V. Vysotskaya, V.I. Chernov, V.E. Goldberg, Anthracycline-induced cardiotoxicity: mechanisms of development and clinical manifestations, Siberian J. of Oncol. 30 (2008) 66-75 (Russian).

Google Scholar

[2] C. Sesti, B.Z. Simkhovich, I. Kalvinsh, R. Kloner, Mildronate, a novel fatty acid oxidation inhibitor and antianginal agent, reduces myocardial infarct size without affecting hemodynamics, J. Cardiovasc. Pharmacol. 47 (2006) 493-499.

DOI: 10.1097/01.fjc.0000211732.76668.d2

Google Scholar

[3] Y. Hayashi, H. Ishida, M. Hoshiai, K. Hoshiai, T. Kirimoto, T. Kanno, M. Nakano, K. Tajima, H. Miyake, N. Matsuura, H. Nakazawa, MET-88, a gamma-butyrobetaine hydroxylase inhibitor, improves cardiac SR Ca2π uptake activity in rats with congestive heart failure following myocardial infarction, Mol. Cell. Biochem. 209 (2000).

DOI: 10.1023/a:1007093926315

Google Scholar

[4] Y.B. Lishmanov, V.I. Chernov, N.G. Krivonogov, I.Y. Efimova, J.V. Vesnina, K.V. Zavadovsky, S.M. Minin, S.I. Sazonova, V.S. Skuridin, A.N. Pankova, V.V. Saushkin, Y.N. Ilyushenkova, N.Y. Efimova, Radionuclide methods in the diagnosis of cardiovascular diseases, Siberian Med. J. 25 (2010).

Google Scholar

[5] D. Iarussi D, P. Indolfi, F. Casale, V. Martino, M.T. Di Tullio, R. Calabrò, Anthracycline-induced cardiotoxicity in children with cancer: strategies for prevention and management, Paediatr. Drugs. 7(2005) 67-76.

DOI: 10.2165/00148581-200507020-00001

Google Scholar

[6] S.M. Swain, F.S. Whaley, M.C. Gerber, S. Weisberg, M. York, D. Spicer, S.E. Jones, S. Wadler, A. Desai, C. Vogel, J. Speyer, A. Mittelman, S. Reddy, K. Pendergrass, E. Velez-Garcia, M.S. Ewer, J.R. Bianchine, R.A. Gams, Cardioprotection with dexrazoxane for doxorubicin-containing therapy in advanced breast cancer, J. Clin. Oncol. 15 (1997).

DOI: 10.1200/jco.1997.15.4.1318

Google Scholar

[7] V.I. Chernov, A.A. Garganeeva, J.V. Vesnina, Y.B. Lishmanov, Myocardial perfusion scintigraphy in the evaluation of the trimetazidine treatment results in patients with ischemic heart disease, J. Cardiol. 40 (2001) 14-16 (Russian).

Google Scholar

[8] N. Sjakste, A.L. Kleschyov, J.L. Boucher, L. Baumane, M. Dzintare, D. Meirena, J. Sjakste, K. Sydow, T. Münzel, I. Kalvinsh, Endothelium- and nitric oxide-dependent vasorelaxing activities of gamma-butyrobetaine esters: possible link to the antiischemic activities of mildronate, Eur. J. Pharmacol. 495 (2004).

DOI: 10.1016/j.ejphar.2004.05.006

Google Scholar