Evidence map›Paper›PMID 23388505›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2013

Molecular pathways: radiation-induced cognitive impairment.

Dana Greene-Schloesser, Elizabeth Moore, Mike E Robbins

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05192447 (Analysis of the Cognitive-behavioral Dysfunctions Profile and the Potential of Neuroplasticity in Patients With Brain Tumors Subjected to Selected Radiotherapy Techniques and the Possibility of Their Compensation by Psycho-physical Training), which is not on this map. Cited by 153 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
153citing papers in PubMed, 1 pooled it
10.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05192447 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Analysis of the Cognitive-behavioral Dysfunctions Profile and the Potential of Neuroplasticity in Patients With Brain Tumors Subjected to Selected Radiotherapy Techniques and the Possibility of Their Compensation by Psycho-physical Training

TypeinterventionalSponsorThe Greater Poland Cancer CentreRan2021 to 2025Enrolled150ConditionsBrain Tumors, RadiotherapyArmsExercise treatment
3 · Its place in the literature

Who cites it

153 citing papers in PubMed, 1 synthesis or guideline pooled it, 275 citations in OpenAlex.

  1. Pooled it
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  4. Effect of the Maximum Dose on White Matter Fiber Bundles Using Longitudinal Diffusion Tensor Imaging.International journal of radiation oncology, biology, physics · 2016
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  12. Contrast-enhanced TScientific reports · 2026
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93 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Dana Greene-SchloesserDepartment of Radiation Oncology and Cancer Biology, Wake Forest School of Medicine, Winston-Salem, North Carolina 27157, USA. dgreenes@wakehealth.edu
Elizabeth Moore
Mike E Robbins
Wake Forest University · US

Funding

PPARs and Radiation-induced Brain InjuryR01CA112593 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BLACKSTOCK, ARTHUR W, METHENY-BARLOW, LINDA J · 2004 to 2013
$3.0M
Modulation of Radiation-induced Brain Injury in the Nonhuman PrimateR01CA155293 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DEADWYLER, SAMUEL A. · 2012 to 2015
$1.9M
The Renin-Angiotensin System, Inflammation and Radiation-induced Brain InjuryR01CA122318 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ROBBINS, MICHAEL E. · 2006 to 2010
$1.2M
NCI NIH HHS CA112593NCI NIH HHS CA122318NCI NIH HHS CA155293NCI NIH HHS R01 CA112593NCI NIH HHS R01 CA122318NCI NIH HHS R01 CA155293
6 · The paper itself

Abstract

Each year, approximately 200,000 patients in the United States will receive partial- or whole-brain irradiation for the treatment of primary or metastatic brain cancer. Early and delayed radiation effects are transient and reversible with modern therapeutic standards; yet, late radiation effects (≥6 months postirradiation) remain a significant risk, resulting in progressive cognitive impairment. These risks include functional deficits in memory, attention, and executive function that severely affect the patient's quality of life. The mechanisms underlying radiation-induced cognitive impairment remain ill defined. Classically, radiation-induced alterations in vascular and neuroinflammatory glial cell clonogenic populations were hypothesized to be responsible for radiation-induced brain injury. Recently, preclinical studies have focused on the hippocampus, one of two sites of adult neurogenesis within the brain, which plays an important role in learning and memory. Radiation ablates hippocampal neurogenesis, alters neuronal function, and induces neuroinflammation. Neuronal stem cells implanted into the hippocampus prevent the decrease in neurogenesis and improve cognition after irradiation. Clinically prescribed drugs, including PPARα and PPARγ agonists, as well as RAS blockers, prevent radiation-induced neuroinflammation and cognitive impairment independent of improved neurogenesis. Translating these exciting findings to the clinic offers the promise of improving the quality of life of brain tumor patients who receive radiotherapy.

Indexed as

AnimalsBrainBrain NeoplasmsCognition DisordersFenofibrateHumansNeurogenesisPeroxisome Proliferator-Activated ReceptorsRadiation InjuriesRadiation Injuries, ExperimentalRadiation-Protective AgentsRenin-Angiotensin SystemFenofibratePeroxisome Proliferator-Activated ReceptorsRadiation-Protective Agents

Identifiers

PMID23388505
PMCPMC3642233
OpenAlexW2130048692

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.