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Cited by 195

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Chemobrain: A critical review and causal hypothesis of link between cytokines and epigenetic reprogramming associated with chemotherapy

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Wang, Xiao-Min, Walitt, Brian, Saligan, Leorey, Tiwari, Agnes FY, Cheung, Chi Wai, Zhang, Zhang-Jin·2015·Cytokine

Abstract

One consequence of modern cancer therapy is chemotherapy related cognitive dysfunction or “chemobrain”, the subjective experience of cognitive deficits at any point during or following chemotherapy. Chemobrain, a well-established clinical syndrome, has become an increasing concern because the number of long-term cancer survivors is growing dramatically. There is strong evidence that correlates changes in peripheral cytokines with the development of chemobrain in commonly used chemotherapeutic drugs for different types of cancer. However, the mechanisms by which these cytokines elicit change in the central nervous system are still unclear. In this review, we hypothesize that the administration of chemotherapy agents initiates a cascade of biological changes, with short-lived alterations in the cytokine milieu inducing persistent epigenetic alterations. These epigenetic changes lead to changes in gene expression, alterations in metabolic activity and neuronal transmission that are responsible for generating the subjective experience of cognition. This speculative but testable hypothesis should help to gain a comprehensive understanding of the mechanism underlying cognitive dysfunction in cancer patients. Such knowledge is critical to identify pharmaceutical targets with the potential to prevent and treat cancer-treatment related cognitive dysfunction and similar disorders.

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Metadata

Authors
Wang, X.-M., Walitt, B., Saligan, L., Tiwari, A. F., Cheung, C. W., & Zhang, Z.-J.
Venue
Cytokine
Publisher
Elsevier BV
Published
2015-03
Volume
72
Issue
1
Pages
86-96
ISSN
1043-4666 (ISSN-L)
OpenAlex
W2116471416
Cited by
195
References
20
FWCI
12.13
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Chemobrain: A critical review and causal hypothesis of link between cytokines and epigenetic reprogramming associated with chemotherapy. https://app.cochat.ai/papers/10.1016/j.cyto.2014.12.006
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Wang, X.-M., Walitt, B., Saligan, L., Tiwari, A. F., Cheung, C. W., & Zhang, Z.-J. (2015). Chemobrain: A critical review and causal hypothesis of link between cytokines and epigenetic reprogramming associated with chemotherapy. Cytokine. https://doi.org/10.1016/j.cyto.2014.12.006

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