Evidence map›Paper›PMID 41403898›Full record

ArticleFrontiers in aging2025

Epigenetic age acceleration and neurotrophin signaling pathways in cancer-related cognitive impairment: a longitudinal, prospective cohort study.

Michael Sayer, Ding Quan Ng, Julia Trudeau, Raymond J Chan, Munjal M Acharya, Kord Kober, Alexandre Chan

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in aging, 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Review
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.

Michael SayerSchool of Pharmacy and Pharmaceutical Sciences, University of California Irvine, Irvine, CA, United States.
Ding Quan NgSchool of Pharmacy and Pharmaceutical Sciences, University of California Irvine, Irvine, CA, United States.
Julia TrudeauSchool of Pharmacy and Pharmaceutical Sciences, University of California Irvine, Irvine, CA, United States.
Raymond J ChanCollege of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.
Munjal M AcharyaSchool of Medicine, University of California Irvine, Irvine, CA, United States.
Kord KoberSchool of Nursing, University of California San Francisco, San Francisco, CA, United States.
Alexandre ChanSchool of Pharmacy and Pharmaceutical Sciences, University of California Irvine, Irvine, CA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Biological age acceleration and disruptions in neurotrophin pathway signaling may significantly contribute to cancer-related cognitive impairment (CRCI) etiology. In this study, we evaluated the relationship of epigenetic age acceleration with cognitive function measures and circulating BDNF levels. Furthermore, we evaluated DNA methylation (DNAm) patterns to explore neurotrophin pathway associations with CRCI symptoms. Methods: In a longitudinal study, 51 newly diagnosed Adolescent and Young adult cancer patients and 8 age-matched healthy controls provided blood samples for DNAm and BDNF measurements with concurrent clinical assessments (#NCT03476070). We evaluated the relationship of epigenetic ageing with cancer status, circulating BDNF levels, and measured cognitive function. Next, we identified significant differentially methylated positions (DMPs), regions (DMRs), and significantly enriched pathways associated with BDNF and cognitive function outcomes. Results: PhenoAge and GrimAge demonstrated significant age acceleration relative to non-cancer controls and worsening cognitive function symptoms, with accelerated GrimAge associated with decreasing BDNF levels. DMPs associated with 5 different cognitive function outcomes (FactCog Score, Response, Memory, Executive Function, Multi-Tasking) were mapped to genes within KEGG pathway HSA:04722 (Neurotrophin Signaling Pathway). Key enriched pathways relative to both subjective cognitive function and multiple objective cognitive measurement domains were also enriched with respect to BDNF levels, including Synapse (GO:0045202), Glutamatergic Synapse (GO:0098978), and Neuron Projection (GO:0043005). Conclusion: Cancer and cancer treatment lead to significant epigenetic age acceleration, which can influence neuronal health and CRCI symptom onset. Furthermore, DNAm patterns corroborate BDNF as a potential biomarker for CRCI and suggest neurotrophin pathways play a meaningful role in CRCI etiology.

Indexed as

brain derived neurotrophic factorcancer related cognitive impairmentdifferential DNA methylationepigenetic ageingneurotrophin signaling pathwayspathway enrichment analysis

Identifiers

PMID41403898
PMCPMC12702849

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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.