神经递质基因多态性与接受放射治疗的患者的症状集群有关
Carolyn Harris1, Kord M Kober2, Steven M Paul2
1Department of Health Promotion and Development, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania.
Seminars in oncology nursing
|July 7, 2023
概括
神经递质通路的遗传变异会影响接受放射治疗的癌症患者的症状严重程度. 特定的基因多态性与疾病,情绪和与治疗相关的症状有关,这表明有共同的生物机制.
科学领域:
- 在瘤学瘤学.
- 遗传学 是一个遗传学.
- 神经科学是一个神经科学.
背景情况:
- 接受放射治疗的癌症患者会出现各种症状.
- 症状集群,包括疾病行为,情绪认知和与治疗相关的,是常见的.
- 神经递质系统在症状感知和管理中发挥作用.
研究的目的:
- 研究特定基因多态化与癌症患者三种不同症状集群的严重程度之间的关联.
- 探索catecholaminergic,GABAergic和 serotonergic神经传递基因多态化在症状严重性的作用.
主要方法:
- 157名乳腺癌和前列腺癌患者填写了放射治疗后的问卷.
- 纪念仪式的症状评估尺度确定了32种常见的症状.
- 探索性因子分析定义了三个症状集群,回归分析检查了与神经递质基因多态度的关联.
主要成果:
- 疾病-行为集群严重程度与SLC6A2,SLC6A3,SLC6A1和HTR2A基因中的多态性有关.
- 情绪认知集群严重性与ADRA1D,SLC6A2,SLC6A3,SLC6A1,HTR2A和HTR3A基因中的多态性相关.
- 与治疗相关的集群严重程度与SLC6A2,SLC6A3,COMT,SLC6A1,HTR2A,SLC6A4和TPH2基因中的多态性有关.
结论:
- 几个神经递质基因中的多态性与瘤病患者放射后的症状集群严重程度有关.
- 四个基因 (SLC6A2,SLC6A3,SLC6A1,HTR2A) 在所有三个症状集群中都显示出关联,表明共享的潜在机制.
- 这些发现凸显了癌症患者对症状体验的遗传贡献.
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