Chemo brain: myth or clinical reality? Literature review and clinical case DOI Open Access
К. К. Yakhin,

Dina T. Zagretdinova,

Konstantin S. Sergienko

и другие.

Neurology Bulletin, Год журнала: 2024, Номер LVI(4), С. 426 - 438

Опубликована: Дек. 19, 2024

The review presents a psychopathological phenomenon new for the Russian psychiatry. It combines various cognitive and entities (hallucinations, delusions, consciousness disorders) occurring in cancer patients as result of chemotherapy. In foreign literature, such are generalized under common terms chemo brain, fog, post-chemotherapy impairment (PCCI). Chemo Brain is symptom complex developing after treatment with groups chemotherapeutic drugs caused by certain functional structural brain changes. This article collates data on etiology, pathogenesis, clinical features interventions case disorders generally known Brain. addition, it discusses most often inducing Fog (Cisplatin, Doxorubicin, Methotrexate, 5-fluorouracil), severe confusion episode. A 74-year-old female patient undergoing chemotherapy sigmoid colon carcinoma metastases experienced sharp deterioration memory, self-care, mobility routine round. had been treated cocktail 3 years several surgeries. With acute memory impairment, she consulted internal medicine department. doctors were puzzled her symptoms. Having received advice medical specialists corresponding treatment, showed improvement both motor functions. emphasizes need further research drug treatment.

Язык: Английский

Captopril attenuates oxidative stress and neuroinflammation implicated in cisplatin-induced cognitive deficits in rats DOI Creative Commons

Fatma Mostafa,

Eman M. Mantawy,

Riham S. Said

и другие.

Psychopharmacology, Год журнала: 2025, Номер unknown

Опубликована: Янв. 14, 2025

Язык: Английский

Процитировано

0

Low‐Intensity Focused Ultrasound Ameliorates Cisplatin‐Induced Cognitive Impairment by Attenuating Hippocampal Neuroinflammation and Enhancing Synaptic Plasticity in Rats DOI Creative Commons

Xiaowei Han,

Akifumi Hagiwara, Pin Lv

и другие.

iRadiology, Год журнала: 2025, Номер unknown

Опубликована: Март 10, 2025

ABSTRACT Background Platinum can cause chemotherapy‐related cognitive impairment. Low‐intensity focused ultrasound (LIFUS) is a promising noninvasive physical stimulation method with unique advantage in neurological rehabilitation. We aimed to investigate whether LIFUS alleviate cisplatin‐induced impairment rats and explore the related neuropathological mechanisms. Methods After confirming target position for treatment 18 rats, 64 were randomly divided into four groups: control, model, sham, groups. Before after treatment, detailed biological behavioral assessments magnetic resonance imaging performed. Finally, euthanized, relevant histopathological molecular experiments conducted analyzed. Results In Morris water maze, model group showed fewer platform crossings (1.25 ± 0.93 vs. 5.69 1.58), longer escape latency (41.65 36.55 s 6.38 2.11 s), lower novel object recognition index (29.77 11.83 83.69 5.67) than control group. improved these metrics, more (3.13 0.34), higher (65.58 8.71), shorter (6.45 2.27 s). Longitudinal analysis of further confirmed improvements. Neuroimaging revealed significant differences diffusion tensor metrics specific brain regions pre‐ post‐LIFUS. Moreover, neuropathology dendritic spine density, less myelin loss, apoptotic cells, synapses, mitochondrial autophagy treatment. The neuroimaging indicators correlated improvements, highlighting potential alleviating (as demonstrated through analysis). Our investigation mechanisms distinct protein expression patterns hippocampus its subregions. group, glial fibrillary acidic (GFAP) ionized calcium‐binding adaptor molecule 1 (IBA1) levels elevated across hippocampus, whereas neuronal nuclei (NeuN) was reduced. Subregional GFAP IBA1 NeuN, especially dentate gyrus subregion. positive cell areas larger cornu ammonis (CA)1, CA2, CA3, regions. CA2 among groups observed GFAP‐positive counts areas, there variations NeuN expression. Conclusions results suggest that reverse impairments. findings consistent histological basis supports research clinical applications LIFUS. Furthermore, appeared enhance plasticity synapses rat reduce hippocampal inflammation. These highlight as an effective, therapeutic strategy monitoring tool chemotherapy‐induced deficits.

Язык: Английский

Процитировано

0

Potential of Natural Phenolic Compounds against Doxorubicin-Induced Chemobrain: Biological and Molecular Mechanisms Involved DOI Creative Commons
Simona Serini, Gabriella Calviello

Antioxidants, Год журнала: 2024, Номер 13(4), С. 486 - 486

Опубликована: Апрель 18, 2024

Chemotherapy-induced cognitive impairment or "chemobrain" is a prevalent long-term complication of chemotherapy and one the more devastating. Most studies performed so far to identify dysfunctions induced by antineoplastic chemotherapies have been focused on treatment with anthracyclines, frequently administered breast cancer patients, population that, after treatment, shows high possibility long survival and, consequently, chemobrain development. In last few years, different possible strategies explored prevent reduce anthracycline doxorubicin (DOX), known promote oxidative stress inflammation, which strongly implicated in development this brain dysfunction. Here, we critically analyzed results preclinical from years that evaluated potential phenolic compounds (PheCs), large class natural products able exert powerful antioxidant anti-inflammatory activities, inhibiting DOX-induced chemobrain. Several PheCs belonging classes shown be revert morphological damages deficits associated learning, memory, exploratory behavior. We biological molecular mechanisms suggested future perspectives research area.

Язык: Английский

Процитировано

4

Distinct Morning and Evening Fatigue Profiles in Patients With Gynecologic Cancers Receiving Chemotherapy DOI

David Ayangba Asakitogum,

Jerry John Nutor,

Marilyn J Hammer

и другие.

Oncology nursing forum, Год журнала: 2025, Номер 52(2), С. E35 - E57

Опубликована: Фев. 18, 2025

To identify distinct morning and evening fatigue profiles in patients with gynecologic cancers evaluate for differences demographic clinical characteristics, common symptoms, quality-of-life outcomes. Outpatients (N = 233) were recruited before their second or third cycles of chemotherapy at four cancer centers San Francisco Bay New York. The Lee Fatigue Scale was completed six times over two the evening. Latent profile analysis used to profiles. Four classes identified. Common risk factors included younger age, higher body mass index, lower functional status, comorbidity burden. Patients worst reported levels anxiety, depression, sleep disturbance; energy cognitive function; poorer quality life. Clinicians can use this information higher-risk develop individualized interventions fatigue.

Язык: Английский

Процитировано

0

The chemotherapy agent doxorubicin induces CNS expression of Ascl1, a regulator of adult neurogenesis and differentiation DOI Creative Commons
Christi Anne S. Ng,

Morgan Pedus,

Madeline F. Lee

и другие.

Scientific Reports, Год журнала: 2025, Номер 15(1)

Опубликована: Март 21, 2025

Cancer-related cognitive impairment (CRCI) is a common side effect of cancer and its treatments. Cancer chemotherapy has been associated with hippocampal dysfunction memory impairment. We investigated the effects one agent, doxorubicin, on transcription factor Ascl1 proliferation stem cells in brain. used an inducible mouse model designed to express TdTomato Ascl1-lineage cells. Five six-month-old Ascl1-CreERT2:ROSA mice were treated peripherally single dose either doxorubicin (10 mg/kg) or DMSO control (n = 9 per group, n 4–5 sex). analyzed brains that had exposed for 2 weeks induced expression after first week. immunostaining neurogenesis stage specific markers evaluate neuronal differentiation dentate gyrus hippocampus. Overall, significantly increased by 81% at this time point. As measured double stains Sox2, GFAP, NeuroD1, doxorubicin-treated experienced increase Ascl1-mediated neural compared control. A similar significant number Ascl1-expressing (by 146%) treatment was observed gray matter cerebral cortex. Thus, rather than leading loss developing neurons, we found their appearance progression, suggesting losses from chemotherapies may require greater more sustained damage.

Язык: Английский

Процитировано

0

Meta-analyses of executive function deficits in chemotherapy-treated rodent models DOI Creative Commons

Weiye Chen,

Ian N. Johnston

Neuroscience & Biobehavioral Reviews, Год журнала: 2025, Номер unknown, С. 106131 - 106131

Опубликована: Апрель 1, 2025

People diagnosed with cancer who undergo chemotherapy commonly encounter cognitive changes, particularly in executive functions (EFs). EFs support goal-directed behaviours, EF deficits implicated various neurocognitive impairments. We conducted five meta-analyses of the rodent models to investigate impact across domains. A systematic search PubMed, Web Science, Scopus, and PsycINFO yielded 56 eligible papers. Our findings supported clinical literature suggesting selective on different Specifically, chemotherapy-treated animals performed significantly more poorly than controls tasks assessing working memory, behavioural flexibility, problem-solving, no significant group differences inhibition or attention. Subgroup analyses revealed that alkylating agents, antitumor antibiotics, combination therapies were strongly associated memory deficits, whereas mitotic inhibitors not. Rodent species, strain, age, sex, number treatments, time assessment since end treatment did not moderate drug effect any assessed To increase generalisability translational validity results, overall reporting quality animal studies needs be improved details randomisation, blinding, sample sizes, criteria for exclusions.

Язык: Английский

Процитировано

0

Plant-Derived Natural Compounds as an Emerging Antiviral in Combating COVID-19 DOI
Mansi Singh,

Shih-Hsiu Lo,

Rajni Dubey

и другие.

Indian Journal of Microbiology, Год журнала: 2023, Номер 63(4), С. 429 - 446

Опубликована: Окт. 31, 2023

Язык: Английский

Процитировано

9

The NF-κB Pathway: Key Players in neurocognitive functions and related disorders DOI Creative Commons

Danfeng Yang,

Junwei Su,

Yeru Chen

и другие.

European Journal of Pharmacology, Год журнала: 2024, Номер 984, С. 177038 - 177038

Опубликована: Окт. 5, 2024

Язык: Английский

Процитировано

2

Chemo brain: myth or clinical reality? Literature review and clinical case DOI Open Access
К. К. Yakhin,

Dina T. Zagretdinova,

Konstantin S. Sergienko

и другие.

Neurology Bulletin, Год журнала: 2024, Номер LVI(4), С. 426 - 438

Опубликована: Дек. 19, 2024

The review presents a psychopathological phenomenon new for the Russian psychiatry. It combines various cognitive and entities (hallucinations, delusions, consciousness disorders) occurring in cancer patients as result of chemotherapy. In foreign literature, such are generalized under common terms chemo brain, fog, post-chemotherapy impairment (PCCI). Chemo Brain is symptom complex developing after treatment with groups chemotherapeutic drugs caused by certain functional structural brain changes. This article collates data on etiology, pathogenesis, clinical features interventions case disorders generally known Brain. addition, it discusses most often inducing Fog (Cisplatin, Doxorubicin, Methotrexate, 5-fluorouracil), severe confusion episode. A 74-year-old female patient undergoing chemotherapy sigmoid colon carcinoma metastases experienced sharp deterioration memory, self-care, mobility routine round. had been treated cocktail 3 years several surgeries. With acute memory impairment, she consulted internal medicine department. doctors were puzzled her symptoms. Having received advice medical specialists corresponding treatment, showed improvement both motor functions. emphasizes need further research drug treatment.

Язык: Английский

Процитировано

0