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APOE Ɛ4状态,化疗和内分泌疗法对乳腺癌幸存者的认知功能之间的相互作用:CANTO-Cog纵向研究
Mylène Duivon1, François Christy1,2, Emilie Thomas3,4
1ANTICIPE U1086 INSERM-UCN, Equipe Labellisée Ligue Contre le Cancer, Centre François Baclesse, Normandie Université UNICAEN, 14000, Caen, France.
阿波利波蛋白E4基因型 (APOE4) 在接受治疗的乳腺癌患者中没有预测整体认知障碍. 然而,在接受内分泌治疗的APOE4载体中观察到特定的认知缺陷.
科学领域:
- 神经科学是一个神经科学.
- 在瘤学瘤学.
- 遗传学 遗传学 是一个
背景情况:
- 阿波利波蛋白E4基因型 (APOE4) 与癌症幸存者的认知障碍有关.
- APOE4对接受特定治疗的乳腺癌患者认知功能的影响尚不清楚.
研究的目的:
- 研究乳腺癌 (BC) 妇女的APOE4状态和认知障碍之间的关联.
- 评估APOE4与化疗 (CT) 和内分泌疗法 (ET) 对随时间推移的认知结果的相互作用.
主要方法:
- 对334名I-III期乳腺癌患者进行了长度研究.
- 诊断时的认知评估,1年,2年和4年.
- APOE4基因型识别和分析情节性记忆,工作记忆,注意力,处理速度和执行功能.
主要成果:
- 整体认知障碍与APOE4状态或CT/ET相互作用之间没有显著的关联.
- 在第4年,接受ET的APOE4+患者的注意力比不接受ET的APOE4患者要低.
- 没有接受ET的APOE4+患者比没有接受ET的APOE4-患者具有较低的情节性记忆.
结论:
- 在预测乳腺癌患者的认知障碍方面,APOE4基因型定型不有效.
- 需要进一步的研究来确定新的遗传标记,以预测这一群体的认知衰退.
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