Evidence map›Paper›PMID 40597835›Full record

Observational studyBMC cancer2025

Brain-derived neurotrophic factor and cytokines as predictors of cognitive impairment in adolescent and young adult cancer patients receiving chemotherapy: a longitudinal study.

Julia Trudeau, Ding Quan Ng, Michael Sayer, Chia Jie Tan, Yu Ke, Raymond J Chan, Alexandre Chan

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03476070 (Adolescent and Young Adult Cancer Patients), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT03476070 unknown statusnot on this map

Adolescent and Young Adult Cancer Patients: Cognitive Toxicity on Survivorship (ACTS)

TypeobservationalSponsorNational University of SingaporeRan2018 to 2022Enrolled236ConditionsBreast Cancer, Lymphoma, Germ Cell Tumor, Cognitive Impairment
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
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

7 authors.

Julia TrudeauDepartment of Clinical Pharmacy Practice, University of California Irvine, 802 W Peltason Dr, Irvine, CA, 92697-4625, USA.
Ding Quan NgDepartment of Clinical Pharmacy Practice, University of California Irvine, 802 W Peltason Dr, Irvine, CA, 92697-4625, USA.
Michael SayerDepartment of Clinical Pharmacy Practice, University of California Irvine, 802 W Peltason Dr, Irvine, CA, 92697-4625, USA.
Chia Jie TanDepartment of Pharmacotherapy, University of Utah, Salt Lake City, UT, USA.
Yu KeDivision of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore.
Raymond J ChanCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.
Alexandre ChanDepartment of Clinical Pharmacy Practice, University of California Irvine, 802 W Peltason Dr, Irvine, CA, 92697-4625, USA. a.chan@uci.edu.

Funding

Neurotrophic strategy to mitigate chemotherapy-related brain injuryR01CA276212 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI Munjal M Acharya, Alexandre Chan · 2023 to 2026
$1.9M
Stem cell-derived exosomes to ameliorate chemobrainR01CA262213 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI Munjal M Acharya · 2023 to 2026
$1.7M
National Medical Research Council NMRC/CIRG/1471/2017, ACNCI NIH HHS R01 CA262213NCI NIH HHS R01 CA276212NIH HHS R01CA276212
6 · The paper itself

Abstract

backgroundInflammatory signaling is linked with cancer-related cognitive impairment (CRCI), potentially through modulation of brain-derived neurotrophic factor (BDNF) expression. Here, we evaluate associations between plasma cytokines and BDNF and their relationship with cognition in a longitudinal study of adolescent and young adult cancer patients (AYAC) receiving chemotherapy and non-cancer controls (NC) (Clinicaltrials.gov: NCT03476070).

methodsNewly diagnosed AYAC (15-39 years old) and age-matched NC completed the Functional Assessment of Cancer Therapy-Cognitive Function questionnaire (FACT-Cog), the Cambridge Neuropsychological Test Automated Battery (CANTAB), and blood draws every 3-6 months up to 12 months (AYAC) or 6 months (NC) from baseline. Plasma levels of cytokines and BDNF were quantified using a multiplexed immunoassay and ELISA, respectively. Biomarker-cognition and cytokine-BDNF associations were analyzed using mixed-effects models with interactions for chemotherapy status for AYAC (during chemotherapy vs. > 30 days post-chemotherapy).

resultsOne-hundred and seventy-seven participants were included, with 66 AYAC and 111 NC. AYAC had a higher frequency of clinically significant cognitive impairment during and post-chemotherapy compared to NC. In trends unique to AYAC, higher IL-10 was associated with better self-perceived cognition, IL-8 with better multi-tasking, IL-6 with worse multi-tasking, response speed, and attention, and TNF-α with better memory (p < 0.05). Higher BDNF was associated with better memory and response speed (p < 0.05). IL-4, IL-10, TNF-α, and IFN-γ were associated with BDNF levels among AYAC and NC (p < 0.05).

conclusionsOur large, age-matched study implicates dysregulated cytokine signaling and altered BDNF expression in CRCI among AYAC during and post-chemotherapy. As precision medicine becomes integrated into AYA patient care, plasma BDNF and cytokines may serve as important predictors of CRCI onset.

trial registrationThe study was prospectively registered on ClinicalTrials.gov (NCT03476070) on March 3, 2018.

Indexed as

Brain-Derived Neurotrophic FactorChemotherapy-Related Cognitive ImpairmentCognitive DysfunctionCytokinesNeoplasmsAdolescentAdultBiomarkersFemaleHumansLongitudinal StudiesMaleNeuropsychological TestsYoung AdultBDNF protein, humanBiomarkersBrain-Derived Neurotrophic FactorCytokinesAdolescent and young adult cancer patientsBDNFCancer-related cognitive impairmentCytokines

Identifiers

PMID40597835
PMCPMC12211463

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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.