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Record W7115165605 · doi:10.1016/j.jaccao.2025.09.004

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

2025· article· en· W7115165605 on OpenAlexafffund

Bibliographic record

VenueJACC CardioOncology · 2025
Typearticle
Languageen
FieldMedicine
TopicChemotherapy-induced cardiotoxicity and mitigation
Canadian institutionsWomen's College HospitalPrincess Margaret Cancer CentreUniversity Health NetworkToronto General HospitalUniversity of TorontoToronto Rehabilitation InstituteTed Rogers Centre for Heart Research
FundersNational Health and Medical Research CouncilCanadian Institutes of Health ResearchCanadian Cancer SocietyCanada Foundation for InnovationCanada Research ChairsHeart and Stroke Foundation of Canada
KeywordsCancerBreast cancerCardiac dysfunctionBiomarkerDiseaseCardiotoxicity

Abstract

fetched live from OpenAlex

BACKGROUND: Blood biomarkers to predict cancer therapy-related cardiac dysfunction (CTRCD) risk remain limited. OBJECTIVES: breast cancer patients. METHODS: breast cancer receiving anthracycline and trastuzumab therapy underwent serial evaluation with cardiac magnetic resonance imaging (CMR), echocardiography, clinical assessments, and blood biobanking every 3 months. Multiomics profiling of 3 circulating cardiac damage biomarkers and 35 markers of inflammation, angiogenesis and endothelial activation and profiling of >2,000 plasma microRNAs were performed before and early during treatment (3 and 6 months). CTRCD was defined by left ventricular ejection fraction measured on CMR, and sensitivity analyses used echocardiography. Pretreatment protein biomarkers were measured in a validation cohort. RESULTS: breast cancer patients. CONCLUSIONS: Pretreatment endothelial-centric and inflammatory biomarkers outperformed both clinical and CMR measures in predicting CTRCD during chemotherapy.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.001
Threshold uncertainty score0.003

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0010.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.011
GPT teacher head0.279
Teacher spread0.267 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations3
Published2025
Admission routes2
Has abstractyes

Explore more

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