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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Nature Portfolio
2021
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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) |
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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 |
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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 |
work_keys_str_mv |
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