Despite recent advances in cancer therapy, anthracycline-based combination
therapy remains the standardized first-line strategy and has been found to have
effective antitumor actions. Anthracyclines are extremely cardiotoxic, which
limits the use of these powerful chemotherapeutic agents. Although numerous
studies have been conducted on the cardiotoxicity of anthracyclines, the precise
mechanisms by which doxorubicin causes cardiomyocyte death and myocardial
dysfunction remain incompletely understood. This review highlights recent updates
in mechanisms and therapies involved in doxorubicin-induced cardiomyocyte death,
including autophagy, ferroptosis, necroptosis, pyroptosis, and apoptosis, as well
as mechanisms of cardiovascular dysfunction resulting in myocardial atrophy,
defects in calcium handling, thrombosis, and cell senescence. We sought to
uncover potential therapeutic approaches to manage anthracycline cardiotoxicity
via
manipulation of crucial targets involved in doxorubicin-induced
cardiomyocyte death and dysfunction.