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48
Advances in Pharmaceutical Technology for Drug Delivery Systems (PTDDS), Volume 2
TABLE 2.1 
Supplementation Cardiotoxicity Models Cardiac function Reference
Vitamin D


Orally
Doxorubicin
(Dox)
Female rats 

Lee et al.
(2021)

2
+ curcumin (300 mg)
Paclitaxel-placebo
Paclitaxel 
breast cancer






Saghatelyan
et al. (2020)


Doxorubicin

Male albino
Wistar rats




al. (2019)
Ganodermalucidum
polysaccharides
Doxorubicin In-vivo male rats
In-vitro rat
cardiomyocytes
H9c2 and human
breast cancer cells
MCF-7
Evidence that GLPS could inhibit DOX-induced cardiomyocytes death,

-



Xu et al.
(2017)
Pera orange (Citrus
sinensis) and Moro
orange (Citrus
sinensis (L.) Osbeck)

Doxorubicin Male Wistar rats 
remodeling induced by doxorubicin, improved myocardial energy


oxidative stress
Ribeiro et
al. (2021)
Cinnamomum
zeylanicum Blume
(Ceylon cinnamon)
Doxorubicin Wister rats
C. zeylanicum to

Sandamali
et al. (2021)
Advances for Medical Applications in Breast Cancer and Cardiotoxicity
49
      
     

        
         


        

al., 2017).
-
sion took place at the transcriptional level through an autophagy-dependent

         

      



 
in edible plants and spices such as cloves, hops, pepper, oregano, and rose-
      
antimicrobial, analgesic, anticancer, and antioxidant activities. Currently, it
      
     

et al., 2016).
     
   -
        

        -
 

-


-

50
Advances in Pharmaceutical Technology for Drug Delivery Systems (PTDDS), Volume 2



-
       
      -

     



et al., 2021).
G. lucidum       
Asian countries to treat numerous diseases and promote health and longevity
G. lucidum

       
    -

-



  G. lucidum

-





Sohretoglu and Huang, 2018).

    

      -
  
      

Advances for Medical Applications in Breast Cancer and Cardiotoxicity
51
Citrus sinensis) and Moro
orange (Citrus sinensis-


     


C. zeylanicum        

C.
zeylanicum
        

       
against doxorubicin-induced cardiotoxicity. Flavonoids have important
     
     
as quercetin, hesperidin, luteolin, anthocyanin, and naringenin (NRG),
     


2.1.4 ADVANCES IN THE APPLICATION OF NANOTECHNOLOGY IN
BREAST CANCER

increased in recent years. Natural compounds can be a viable alternative to


reactions that traditional drugs cause (Su et al., 2022).
        
        
   Salvia sclarea) (Cosco et al., 2019),
Silybum marianum
et al., 2020), hydroxytyrosol (phenolic phytochemical) (Ahmed Wani et al.,
Helianthus tuber osus L. (Mariadoss et al., 2020) tetrahy-

        

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Advances in Pharmaceutical Technology for Drug Delivery Systems (PTDDS), Volume 2
TABLE 2.2 In-vitro 
Nanosystem Bioactive compound Drug delivery Cancer cell line References
Polimeric nanoparticles
(PLGA)
Sclareol (bicyclic diterpene
alcohol)
– Human colorectal adenocarcinoma cells (CaCo-2)
and human breast cancer cells (MCF-7 e
MDA-MB468)
Cosco et al. (2019)
Mesoporous bioactive
glass nanoparticles
Silibinin  Metastatic breast cancer cells MDA-MB-231 and
nonmetastatic breast cell line MCF-10A

Chitosan Hydroxytyrosol  Human lung adenocarcinoma cells (A549) and
human breast cancer cells (MDA-MB-231)
Ahmed Wani et al.
(2022)
 Copper oxide nanoparticles and
Helianthus tuberosus extracts
Human breast cancer MDA-MB-231 Mariadoss et al. (2020)
Solid lipid nanopar-

chitosan
  
MDA-MB-231, and the human keratinocyte cell



phosphatidylcholine
Isoliquiritigenin 

 Wang et al. (2023)
Niosomes Farnesol-gingerol
Cell lines MCF7, SKBR3, and HFF Lalami et al. (2022)
 
guava
 Human breast cancer cell line (MCF-7) Vasconcelos et al.
(2020)
Hybridcasein-calcium

Genistein  
MDA-MB-231
Bindhya et al. (2021)

polyethylene glycol
Naringenin  


Eudragit L100 Black pepper essential oil  
Solidlipid
Teucrium polium extract
 

Roumi et al. (2021)
Chitosan Resveratrol   

Advances for Medical Applications in Breast Cancer and Cardiotoxicity
53

        Teucrium polium extract




 

lipid matrix (Matos et al., 2019).
Polymeric nanoparticles have properties that include controlled release,
        
improvements in the therapeutic index. A nanocapsule has an aqueous or


 



such as optical, electronic, and magnetic properties. Metal nanoparticles can


-
-
         

        
       

 bioaccessibility

     C. longa   
      


curcumin molecules (Chen et al., 2020). Nanoparticles containing curcumin
    
       
(i.e., increased heart rate) and improved alterations in electrocardiogram,

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Advances in Pharmaceutical Technology for Drug Delivery Systems (PTDDS), Volume 2
H. tuberosus 
pharmacological properties (Mariadoss et al., 2020). Reduced copper oxide
H. tuberosus 
         


to be a viable therapy (Mariadoss et al., 2020).
Black pepper essential oils (Piper nigrum L.) have excellent antioxidant
      
 






       
        

       
      
(CaCo-2) (Cosco et al., 2019).

     


   
           


shells and has been used in nano-encapsulation processes due to their biocom-
-
       


W ani et al., 2022). On the other hand, resveratrol has antioxidant, anticancer ,


Advances for Medical Applications in Breast Cancer and Cardiotoxicity
55
   

   
            




   
     
    T. polium extract (Roumi et al., 2021),

et al., 2022).
  T. polium extract exhibited anti-

apoptosis induction in Ntra-2 cells (Roumi et al., 2021).



       


at any tested concentration (Vasconcelos et al., 2020).
  -

       
enhances skin permeation, cell uptake, and cytotoxicity against MDA-MB-

al., 2022).

     
   

 

      -
      


56
Advances in Pharmaceutical Technology for Drug Delivery Systems (PTDDS), Volume 2
    
            

       
  

both phytochemical compounds (Lalami et al., 2022).
-






induced cell apoptosis, and remained stable in relation to normal cells



        
     -
          




         

    
       
-
        

  


2.2 CONCLUSIONS

           
undergoing chemotherapy treatment, although incidental, reveal a reduction
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-



to prevent cardiotoxicity is still unclear, making additional results neces-
  
       

     

      

         
  
models. It should also be noted that, depending on the type and concentra-
       

      

         -

in the targeted site.

ACKNOWLEDGMENTS


  


KEYWORDS

• cardiac rehabilitation
• physical exercises
• nutritional supplementation
• nanotechnology