Cardiovascular Toxicology

, Volume 19, Issue 2, pp 105–119 | Cite as

An Overview on Arsenic Trioxide-Induced Cardiotoxicity

  • Vadavanath Prabhakaran VineethaEmail author
  • Kozhiparambil Gopalan Raghu


Arsenic trioxide (ATO) is among the first-line chemotherapeutic drugs used in oncological practice. It has shown substantial efficacy in treating patients with relapsed or refractory acute promyelocytic leukaemia. The clinical use of ATO is hampered due to cardiotoxicity and hence many patients are precluded from receiving this highly effective treatment. An alternative to this would be to use any drug that can ameliorate the cardiotoxic effects and allow exploiting the full therapeutic potential of ATO, with considerable impact on cancer therapy. Generation of reactive oxygen species is involved in a wide range of human diseases, including cancer, cardiovascular, pulmonary and neurological disorders. Hence, agents with the ability to protect against these reactive species may be therapeutically useful. The present review focuses on the beneficial as well as harmful effects of arsenic and ATO, the mechanisms underlying ATO toxicity and the possible ways that can be adopted to circumvent ATO-induced toxicity.


Arsenic trioxide Cardiotoxicity Reactive oxygen species Chemotherapy Phytochemicals 



The first author thank Kerala State Council for Science, Technology and Environment (KSCSTE), Woman Scientist Division (WSD) – Project Grant No.1107/2017/KSCSTE.

Compliance with Ethical Standards

Conflict of interest

There is no conflict of interest existing among the authors.


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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Processing TechnologyKerala University of Fisheries and Ocean Studies (KUFOS)KochiIndia
  2. 2.Agroprocessing and Natural Products DivisionNational Institute for Interdisciplinary Science and Technology (CSIR - NIIST)ThiruvananthapuramIndia

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