Anti-Inflammatory and Anticancer Effects of Anticoagulant Therapy in Patients with Malignancy

Author:

Russo Vincenzo12ORCID,Falco Luigi1,Tessitore Viviana1,Mauriello Alfredo1ORCID,Catapano Dario1,Napolitano Nicola1,Tariq Moiz1,Caturano Alfredo3ORCID,Ciccarelli Giovanni12ORCID,D’Andrea Antonello34ORCID,Giordano Antonio2

Affiliation:

1. Cardiology Unit, Department of Medical Translational Science, University of Campania “Luigi Vanvitelli”—Monaldi Hospital, 80126 Naples, NA, Italy

2. Sbarro Institute for Cancer Research and Molecular Medicine, Center for Biotechnology, College of Science and Technology, Temple University, Philadelphia, PA 19122, USA

3. Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia 2, 80138 Naples, NA, Italy

4. Cardiology Unit, Umberto I Hospital, 84014 Nocera Inferiore, SA, Italy

Abstract

Optimizing the anticoagulation therapy is of pivotal importance in patients with a malignant tumor, as venous thromboembolism (VTE) has become the second-leading cause of death in this population. Cancer can highly increase the risk of thrombosis and bleeding. Consequently, the management of cancer-associated VTE is complex. In recent years, translational research has intensified, and several studies have highlighted the role of inflammatory cytokines in cancer growth and progression. Simultaneously, the pleiotropic effects of anticoagulants currently recommended for VTE have emerged. In this review, we describe the anti-inflammatory and anticancer effects of both direct oral anticoagulants (DOACs) and low-molecular-weight heparins (LWMHs).

Publisher

MDPI AG

Subject

Paleontology,Space and Planetary Science,General Biochemistry, Genetics and Molecular Biology,Ecology, Evolution, Behavior and Systematics

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