Perturbations in common and distinct inflammatory pathways associated with morning and evening fatigue in outpatients receiving chemotherapy

Autor: Kord M. Kober, Carolyn Harris, Yvette P. Conley, Anand Dhruva, Vasuda Dokiparthi, Marilyn J. Hammer, Jon D. Levine, Kate Oppegaard, Steven Paul, Joosun Shin, Anatol Sucher, Fay Wright, Brian Yuen, Adam B. Olshen, Christine Miaskowski
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Cancer Medicine, Vol 12, Iss 6, Pp 7369-7380 (2023)
Druh dokumentu: article
ISSN: 2045-7634
DOI: 10.1002/cam4.5435
Popis: Abstract Background Moderate to severe fatigue occurs in up to 94% of patients with cancer. Recent evidence suggests that morning and evening fatigue are distinct dimensions of physical fatigue. The purposes of this study were to evaluate the transcriptome for common and distinct perturbed inflammatory pathways in patients receiving chemotherapy who reported low versus high levels of morning or low versus high levels of evening cancer‐related fatigue. Methods Patients completed questionnaires during the week prior to their chemotherapy treatment. Severity of morning and evening fatigue was evaluated using the Lee Fatigue Scale. Gene expression and pathway impact analyses (PIA) were performed in two independent samples using RNA‐sequencing (n = 357) and microarray (n = 360). Patterns of interactions between and among these perturbed pathways were evaluated using a knowledge network (KN). Results Across the PIA, nine perturbed pathways (FDR
Databáze: Directory of Open Access Journals
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