Increased resting-state cerebellar-cortical connectivity in breast cancer survivors with cognitive complaints after chemotherapy

Abstract Cognitive complaints after chemotherapy are common in breast cancer patients, but the neural bases for these complaints remain unclear. This pilot study explored resting-state functional connectivity (FC) as a marker of subtle cognitive changes in breast cancer patients who experience cogni...

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Autores principales: Hye Yoon Park, Hyeongrae Lee, Joohyuk Sohn, Suk Kyoon An, Kee Namkoong, Eun Lee
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/bb1268496cff4f26bd392bceb3ce57a1
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spelling oai:doaj.org-article:bb1268496cff4f26bd392bceb3ce57a12021-12-02T17:34:30ZIncreased resting-state cerebellar-cortical connectivity in breast cancer survivors with cognitive complaints after chemotherapy10.1038/s41598-021-91447-12045-2322https://doaj.org/article/bb1268496cff4f26bd392bceb3ce57a12021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-91447-1https://doaj.org/toc/2045-2322Abstract Cognitive complaints after chemotherapy are common in breast cancer patients, but the neural bases for these complaints remain unclear. This pilot study explored resting-state functional connectivity (FC) as a marker of subtle cognitive changes in breast cancer patients who experience cognitive complaints. Chemotherapy-treated (n = 20, at least 6 months off therapy) and untreated (n = 17, disease-control) female breast cancer patients with cognitive complaints and healthy controls (n = 20) were recruited. The FC of the right dorsolateral prefrontal cortex was calculated, and any correlations between this FC and neuropsychological assessments were determined. Chemotherapy-treated patients with cognitive complaints displayed increased FC between the right dorsolateral prefrontal cortex and both the contralateral cerebellar lobule VII and the cerebellar vermis XI, compared to the disease-control and healthy-control groups, despite unimpaired neuropsychological performance. The increased FC was negatively correlated with executive function and attention in breast cancer survivors with cognitive complaints. Our pilot study findings provide evidence that cerebellar-cortical FC changes may be a pathophysiological basis for chemotherapy-related cognitive complaints. In addition, the FC changes have the potential to reflect minor or compensated cognitive function impairment in breast cancer patients.Hye Yoon ParkHyeongrae LeeJoohyuk SohnSuk Kyoon AnKee NamkoongEun LeeNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Hye Yoon Park
Hyeongrae Lee
Joohyuk Sohn
Suk Kyoon An
Kee Namkoong
Eun Lee
Increased resting-state cerebellar-cortical connectivity in breast cancer survivors with cognitive complaints after chemotherapy
description Abstract Cognitive complaints after chemotherapy are common in breast cancer patients, but the neural bases for these complaints remain unclear. This pilot study explored resting-state functional connectivity (FC) as a marker of subtle cognitive changes in breast cancer patients who experience cognitive complaints. Chemotherapy-treated (n = 20, at least 6 months off therapy) and untreated (n = 17, disease-control) female breast cancer patients with cognitive complaints and healthy controls (n = 20) were recruited. The FC of the right dorsolateral prefrontal cortex was calculated, and any correlations between this FC and neuropsychological assessments were determined. Chemotherapy-treated patients with cognitive complaints displayed increased FC between the right dorsolateral prefrontal cortex and both the contralateral cerebellar lobule VII and the cerebellar vermis XI, compared to the disease-control and healthy-control groups, despite unimpaired neuropsychological performance. The increased FC was negatively correlated with executive function and attention in breast cancer survivors with cognitive complaints. Our pilot study findings provide evidence that cerebellar-cortical FC changes may be a pathophysiological basis for chemotherapy-related cognitive complaints. In addition, the FC changes have the potential to reflect minor or compensated cognitive function impairment in breast cancer patients.
format article
author Hye Yoon Park
Hyeongrae Lee
Joohyuk Sohn
Suk Kyoon An
Kee Namkoong
Eun Lee
author_facet Hye Yoon Park
Hyeongrae Lee
Joohyuk Sohn
Suk Kyoon An
Kee Namkoong
Eun Lee
author_sort Hye Yoon Park
title Increased resting-state cerebellar-cortical connectivity in breast cancer survivors with cognitive complaints after chemotherapy
title_short Increased resting-state cerebellar-cortical connectivity in breast cancer survivors with cognitive complaints after chemotherapy
title_full Increased resting-state cerebellar-cortical connectivity in breast cancer survivors with cognitive complaints after chemotherapy
title_fullStr Increased resting-state cerebellar-cortical connectivity in breast cancer survivors with cognitive complaints after chemotherapy
title_full_unstemmed Increased resting-state cerebellar-cortical connectivity in breast cancer survivors with cognitive complaints after chemotherapy
title_sort increased resting-state cerebellar-cortical connectivity in breast cancer survivors with cognitive complaints after chemotherapy
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/bb1268496cff4f26bd392bceb3ce57a1
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