INFERTILITY RISK AND TERATOGENICITY OF MOLECULARLY TARGETED ANTICANCER THERAPY: A CHALLENGING ISSUE

Publication date: Available online 21 August 2016
Source:Critical Reviews in Oncology/Hematology
Author(s): Elena Lorenzi, Matteo Simonelli, Armando Santoro
The growing population of young cancer survivors and a trend toward postponing pregnancy until later in life are shifting areas of focus toward understanding treatment induced sequelae, particularly the effects of cancer and/or treatment on fertility. Whereas the fertility risk of cytotoxic agents for both men and women is well-recognized, the fertility risks and teratogenic potential associated with molecular targeted therapies is not established. We summarize available preclinical and clinical data on the impact of new molecular targeted agents on fertility in both sexes, and their potential teratogenic effects, providing recommendations for clinicians, where possible. Agents were categorized by class and the potential relevance of their target signaling pathways to gonadal maturation discussed.



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