脑源性神经营养因子 rs6265 多态性与女性癌症幸存者的严重癌症相关疲劳和神经性疼痛有关。

IF 3.1 2区 医学 Q2 ONCOLOGY
Journal of Cancer Survivorship Pub Date : 2024-12-01 Epub Date: 2023-07-18 DOI:10.1007/s11764-023-01426-w
Taichi Goto, Diane Von Ah, Xiaobai Li, Lichen Xiang, Catherine Kwiat, Christopher Nguyen, Chao-Pin Hsiao, Leorey N Saligan
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引用次数: 0

摘要

目的:本研究探讨了脑源性神经营养因子(BDNF)rs6265的单核苷酸多态性(SNP)与女性癌症幸存者的精神神经症状(PN)之间的关系:这项二次分析调查了 393 名研究参与者。除人口统计学变量外,还使用 "患者报告结果测量信息系统"(Patient-Reported Outcomes Measurement Information System)和 "36-项短式健康调查"(36-Item Short-Form Health Survey)收集了自我报告的PN症状评分(焦虑、身体疼痛、抑郁、疲劳、神经性疼痛和睡眠障碍)。采集颊拭子样本以获得 BDNF rs6265 的基因型(Val/Val、Val/Met 或 Met/Met)。我们比较了不同基因型的 PN 症状得分,并使用回归模型检验了它们之间的关系。我们还探讨了每种基因型中不同症状之间的相关性:结果:Met/Met 基因型的参与者报告的癌症相关疲劳和神经性疼痛明显更严重,这一点在基于等级的回归分析中得到了证实。此外,癌症相关疲劳还与其他 PN 症状相关,尤其是抑郁。与其他基因型的研究人员相比,Met/Met 基因型的研究人员的这些相关性更强:我们的研究表明,BDNF rs6265 基因型为 Met/Met 的女性癌症幸存者可能会经历更严重的癌症相关疲劳和神经病理性疼痛,而且癌症相关疲劳是该人群并发 PN 症状的良好预测因子:我们的研究结果增进了科学界对女性癌症幸存者所经历的癌症相关 PN 症状的了解,尤其是 BDNF rs6265 多态性在这些症状中的独特作用。我们的研究结果为临床实践提供了有价值的见解,即女性癌症幸存者的症状体验可能因 BDNF 基因型而异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Brain-Derived Neurotrophic Factor rs6265 polymorphism is associated with severe cancer-related fatigue and neuropathic pain in female cancer survivors.

Purpose: This study examined the relationships between a single-nucleotide polymorphism (SNP) of brain-derived neurotrophic factor (BDNF) rs6265 and psychoneurological (PN) symptoms in female cancer survivors.

Methods: This secondary analysis examined 393 study participants. In addition to demographic variables, self-reported PN symptom scores (anxiety, bodily pain, depression, fatigue, neuropathic pain, and sleep disturbance) were collected using the Patient-Reported Outcomes Measurement Information System and 36-Item Short-Form Health Survey. Buccal swab samples were collected to obtain genotypes for BDNF rs6265 (Val/Val, Val/Met, or Met/Met). The PN symptom scores were compared across genotypes, and the relationships were examined using a regression model. We also explored correlations between different symptoms within each genotype.

Results: Participants with the Met/Met genotype reported significantly worse cancer-related fatigue and neuropathic pain, which was confirmed by rank-based regression analysis. In addition, cancer-related fatigue was correlated with other PN symptoms, particularly depression. These correlations were stronger in study participants with the Met/Met genotype than those with other genotypes.

Conclusion: Our study suggests that female cancer survivors with the Met/Met genotype of BDNF rs6265 are likely to experience worse cancer-related fatigue and neuropathic pain and that cancer-related fatigue is a good predictor of co-occurring PN symptoms in this population.

Implications for cancer survivors: Our findings advance the scientific community's understanding of cancer-related PN symptoms experienced by female cancer survivors, especially the unique role of BDNF rs6265 polymorphism in these symptoms. Our findings offer valuable insights for clinical practice that the symptom experience among female cancer survivors may vary based on BDNF genotypes.

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来源期刊
CiteScore
7.00
自引率
10.80%
发文量
149
审稿时长
>12 weeks
期刊介绍: Cancer survivorship is a worldwide concern. The aim of this multidisciplinary journal is to provide a global forum for new knowledge related to cancer survivorship. The journal publishes peer-reviewed papers relevant to improving the understanding, prevention, and management of the multiple areas related to cancer survivorship that can affect quality of care, access to care, longevity, and quality of life. It is a forum for research on humans (both laboratory and clinical), clinical studies, systematic and meta-analytic literature reviews, policy studies, and in rare situations case studies as long as they provide a new observation that should be followed up on to improve outcomes related to cancer survivors. Published articles represent a broad range of fields including oncology, primary care, physical medicine and rehabilitation, many other medical and nursing specialties, nursing, health services research, physical and occupational therapy, public health, behavioral medicine, psychology, social work, evidence-based policy, health economics, biobehavioral mechanisms, and qualitative analyses. The journal focuses exclusively on adult cancer survivors, young adult cancer survivors, and childhood cancer survivors who are young adults. Submissions must target those diagnosed with and treated for cancer.
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