Evidence map›Paper›PMID 35527686›Full record

ArticleBiological research for nursing2022

Inflammatory, Oxidative Stress, and Cardiac Damage Biomarkers and Radiation-Induced Fatigue in Breast Cancer Survivors.

Alexi Vasbinder, Hilaire Thompson, Oleg Zaslavksy, Susan R Heckbert, Nazmus Saquib, Aladdin H Shadyab, Rowan T Chlebowski, Lisa Warsinger Martin, Electra D Paskett, Kerryn W Reding

Open access · greenAbstract read
In one paragraph

Article in Biological research for nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 14% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 18 citations in OpenAlex.

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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

10 authors at 6 institutions in 2 countries.

Alexi VasbinderDepartment of Biobehavioral Nursing and Health Informatics, School of Nursing, 49462University of Washington, Seattle, WA, USA.ORCID 0000-0002-1380-5364
Hilaire ThompsonDepartment of Biobehavioral Nursing and Health Informatics, School of Nursing, 49462University of Washington, Seattle, WA, USA.ORCID 0000-0002-5472-478X
Oleg ZaslavksyDepartment of Biobehavioral Nursing and Health Informatics, School of Nursing, 49462University of Washington, Seattle, WA, USA.
Susan R HeckbertDepartment of Epidemiology, School of Public Health, 49462University of Washington, Seattle, WA, USA.
Nazmus SaquibResearch Unit, College of Medicine, 473046Sulaiman AlRajhi University, Al Bukayriyah, Saudi Arabia.
Aladdin H ShadyabHerbert Wertheim School of Public Health and Human Longevity Science, 8784University of California, San Diego, CA, USA.
Rowan T Chlebowski117316Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Torrance, CA, USA.
Lisa Warsinger MartinDivision of Cardiology, School of Medicine and Health Sciences, 43989George Washington University, Washington, DC, USA.
Electra D PaskettDepartment of Medicine, Comprehensive Cancer Center, 549472The Ohio State University, Columbus, OH, USA.
Kerryn W RedingDepartment of Biobehavioral Nursing and Health Informatics, School of Nursing, 49462University of Washington, Seattle, WA, USA.
University of Washington · USGeorge Washington University · USSulaiman Al Rajhi Colleges · SAThe Ohio State University · USUCLA Medical Center · USUniversity of California San Diego · US

Funding

Women's Health Initiative Cancer Survivor CohortUM1CA173642 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI ANDERSON, GARNET L., CAAN, BETTE J · 2013 to 2018
$12.1M
Life and Longevity After Cancer (LILAC): The Women's Health Initiative Cancer Survivor CohortU01CA173642 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI ANDERSON, GARNET L., PASKETT, ELECTRA D. · 2019 to 2023
$7.5M
Omics and Symptom Science Training ProgramT32NR016913 · NINR · UNIVERSITY OF WASHINGTON · PI CYNTHIA M DOUGHERTY, Margaret McLean Heitkemper · 2017 to 2026
$3.2M
Biomarkers of oxidative stress, inflammation, and cardiac damage as markers of long-term radiation-induced cardiovascular outcomes in breast cancerR21HL152149 · NHLBI · UNIVERSITY OF WASHINGTON · PI REDING, KERRYN W · 2020 to 2021
$449k
Biomarkers of Long-Term Fatigue in Breast Cancer Survivors Treated with RadiationF31NR018588 · NINR · UNIVERSITY OF WASHINGTON · PI VASBINDER, ALEXI L · 2019 to 2020
$89k
NCI NIH HHS U01 CA173642NCI NIH HHS UM1 CA173642NHLBI NIH HHS HHSN268201600001CNHLBI NIH HHS HHSN268201600018CNHLBI NIH HHS R21 HL152149NINR NIH HHS F31 NR018588NINR NIH HHS T32 NR016913
6 · The paper itself

Abstract

purposeStudies examining biomarkers associated with fatigue in breast cancer survivors treated with radiation are limited. Therefore, we examined the longitudinal association between serum biomarkers and post-breast cancer fatigue in survivors treated with radiation: [oxidative stress] 8-hydroxyguanosine, myeloperoxidase; [inflammation] interleukin-6 (IL-6), c-reactive protein, growth differentiation factor-15 (GDF-15), placental growth factor, transforming growth factor-beta, [cardiac damage] cystatin-C, troponin-I.

methodsIn a secondary analysis, we included participants from the Women's Health Initiative if they had: a previous breast cancer diagnosis (stages I-III), no prior cardiovascular diseases, pre-and post-breast cancer serum samples drawn approximately 3 years apart, and fatigue measured using the Short-Form 36 vitality subscale at both serum collections. Biomarkers were measured using ELISA or RT-qPCR and modeled as the log

resultsOverall, 180 women with a mean (SD) age of 67.0 (5.5) years were included. The mean (SD) vitality scores were 66.2 (17.2) and 59.7 (19.7) pre- and post-breast cancer, respectively. Using multivariable weighted linear regression, higher biomarker ratios of cystatin-C, IL-6, and GDF-15 were associated with a lower vitality score (i.e., higher fatigue). For example, for each 2-fold difference in cystatin-C biomarker ratio, the vitality score was lower by 7.31 points (95% CI: -14.2, -0.45).

conclusionInflammatory and cardiac damage biomarkers are associated with fatigue in breast cancer survivors treated with radiation; however, these findings should be replicated in a larger sample. Biomarkers could be measured in clinical practice or assessed in risk prediction models to help identify patients at high risk for fatigue.

Indexed as

Breast NeoplasmsCancer SurvivorsCystatinsAgedBiomarkersFatigueFemaleGrowth Differentiation Factor 15HumansInterleukin-6Middle AgedOxidative StressPlacenta Growth FactorSurvivorsBiomarkersCystatinsGrowth Differentiation Factor 15Interleukin-6Placenta Growth Factorbiomarkersbreast cancerfatigueinflammationoxidative stressradiation

Identifiers

PMID35527686
PMCPMC9630726
OpenAlexW4229005745

What OpenQuestion holds

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Registered trials

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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.