“…It can enter the mitochondria, causing DNA damage and energetic stress, by activating the caspase cascade, leading to cell death by apoptosis and triggering autophagy as a consequence of cell energy depletion. Finally, it can translocate into the nucleus, where it intercalates between double-stranded DNA helices and inhibits the enzymes topoisomerases I and II, provoking lethal changes in chromatin structure and the generation of free radicals which, when combined with iron ions, induce oxidative damage to cellular membranes, DNA, and proteins [6][7][8][9]. However, DOXO treatments can induce severe cardiotoxicity due to DOXO accumulation in cardiac tissue [10], which then imposes a narrow therapeutic dose, thus limiting DOXO effectiveness [11].…”