Zare Mohammad-Sajad, Abedpoor Navid, Hajibabaie Fatemeh, Walker Adam K
Department of Chemistry, University of Georgia, Athens, GA, 30602, USA; Iranian Cancer Control Center (MACSA), Isfahan, Iran.
Department of Sports Physiology, Isf.C., Islamic Azad University, Isfahan, Iran.
Neurobiol Dis. 2025 Jul;211:106944. doi: 10.1016/j.nbd.2025.106944. Epub 2025 May 6.
Chemotherapy-related cognitive impairment (CRCI), is a well-recognized phenomenon in cancer patients who have undergone chemotherapy but the exact molecular mechanisms underpinning CRCI remain elusive. Symptoms reported by people with CRCI resemble those experienced by people with age-related neurodegenerative disorders (ARNDDs), yet no clear connection between CRCI and ARNDDs has been reported to date. The existence of shared mechanisms between these conditions offers opportunities for repurposing drugs already approved for the treatment of ARNDDs to improve symptoms of CRCI. Given that there is no available microarray or RNA-Seq data from the brains of people who have experienced CRCI, we investigated to what extent brain gene expression perturbations from validated rodent models of CRCI induced by chemotherapy compared with validated rodent models of Alzheimer's disease and Parkinson's disease. We utilized multiple bioinformatic analyses, including functional enrichment, protein-protein interaction network analyses, gene ontology analyses and identification of hub genes to reveal connections between comparable gene expression perturbations observed in these conditions. Collectively 165 genes overlapped between CRCI and Parkinson's disease and/or Alzheimer's disease, and 15 overlapped between all three conditions. The joint genes between Alzheimer's disease, Parkinson's disease and CRCI demonstrate an average of 83.65% nucleotide sequence similarity to human orthologues. Gene ontology and pathway enrichment analyses suggest mechanisms involved in neural activity and inflammatory response as the key components of the studied neuropathological conditions. Accordingly, genes in which expression was comparably affected in all three condition models could be attributed to neuroinflammation, cell cycle arrest, and changes in physiological neural activity.
化疗相关认知障碍(CRCI)是接受过化疗的癌症患者中一种广为人知的现象,但CRCI背后的确切分子机制仍不清楚。CRCI患者报告的症状与年龄相关性神经退行性疾病(ARNDDs)患者经历的症状相似,但迄今为止,尚未报道CRCI与ARNDDs之间有明确的联系。这些病症之间共享机制的存在为重新利用已批准用于治疗ARNDDs的药物来改善CRCI症状提供了机会。鉴于没有来自经历过CRCI的人的大脑的可用微阵列或RNA测序数据,我们研究了与阿尔茨海默病和帕金森病的经过验证的啮齿动物模型相比,化疗诱导的CRCI经过验证的啮齿动物模型中大脑基因表达扰动的程度。我们利用了多种生物信息学分析,包括功能富集、蛋白质-蛋白质相互作用网络分析、基因本体分析和枢纽基因鉴定,以揭示在这些情况下观察到的可比基因表达扰动之间的联系。CRCI与帕金森病和/或阿尔茨海默病之间共有165个基因重叠,所有三种病症之间有15个基因重叠。阿尔茨海默病、帕金森病和CRCI之间的共同基因与人类直系同源基因的平均核苷酸序列相似性为83.65%。基因本体和通路富集分析表明,神经活动和炎症反应相关机制是所研究神经病理病症的关键组成部分。因此,在所有三种病症模型中表达受到同等影响的基因可归因于神经炎症、细胞周期停滞和生理神经活动的变化。