Cardio-oncology & otherCohort study

Pretreatment Circulating Vascular Biomarkers Predict Cancer Therapy–Related Cardiac Dysfunction During HER2+ Breast Cancer Treatment

JACC CardioOncolPublished

  • Prospective cohort study
  • discovery and validation cohorts
  • multiomics profiling
  • random forest model

Authors' conclusion

Pretreatment endothelial-centric and inflammatory biomarkers outperformed both clinical and CMR measures in predicting CTRCD during chemotherapy.

Study context

Population
Women with early-stage HER2+ breast cancer receiving anthracycline and trastuzumab therapyvalidation cohort n = 38
Participants
136 women
Exposure
Patients who developed cancer therapy-related cardiac dysfunction (CTRCD) vs those who did not
Outcome
CMR-defined CTRCD (by LVEF on CMR)
Follow-up
Within 15 months

Main finding

As reported in the abstract

CMR-defined CTRCD

Developed CMR-defined CTRCD

37 (27.2%)

Observational data: associations, not effects.

Further findings

Pretreatment plasma microRNAs

Distinct CTRCD-associated signatures

Original publication

Pretreatment Circulating Vascular Biomarkers Predict Cancer Therapy–Related Cardiac Dysfunction During HER2+ Breast Cancer Treatment. JACC CardioOncol. Published 15 December 2025. doi:10.1016/j.jaccao.2025.09.004

Summarised from the published abstract; every number is checked against it