direct oxidative damage to cellular components remains a common postulated mechanism of
AIC, there are alternative proposed mechanisms that probably contribute to cardiac dysfunction. Anthracycline compounds have a planar structure, which intercalates into the DNA through noncovalent interaction, preventing further DNA and RNA synthesis and likely contributing to the death of myocytes and mitochondrial mutations. Anthracyclines disrupt DNA by poisoning topoisomerase, a critical enzyme for unwinding of the DNA for replication and synthesis, thereby causing growth arrest and programmed cell death.