PMID- 24738942 OWN - NLM STAT- MEDLINE DCOM- 20160401 LR - 20191210 IS - 1029-2403 (Electronic) IS - 1026-8022 (Linking) VI - 56 IP - 2 DP - 2015 Feb TI - Post-chemotherapy cognitive impairment in patients with B-cell non-Hodgkin lymphoma: a first comprehensive approach to determine cognitive impairments after treatment with rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone or rituximab and bendamustine. PG - 347-52 LID - 10.3109/10428194.2014.915546 [doi] AB - To assess the effects of chemoimmunotherapy on post-chemotherapy cognitive impairments (PCCI) in patients with B-cell non-Hodgkin lymphoma (NHL), we used objective and subjective measures of cognitive functions in combination with serum parameters and neuroelectric recordings. Self-perceived status of cognition, fatigue and emotional functioning were reduced in patients (n=30) compared to healthy controls (n=10). Cognitive performance was impaired in patients with NHL compared to controls and a norm sample (n=1179). PCCI was more severe in patients treated with rituximab and bendamustine (BR) than in patients who received R in combination with CHOP (cyclophosphamide, doxorubicin, vincristine, prednisone) polychemotherapy (R-CHOP). Individual alpha peak frequency and serum brain-derived neurotrophic factor (BDNF) levels in patients with NHL correlated with accuracy in the objective cognition test. Higher serum interleukin-6 (IL-6) concentrations were associated with higher fatigue levels. Patients with NHL and especially those who were treated with BR were affected by PCCI. BDNF and IL-6 might be involved in the pathogenesis of PCCI and fatigue. FAU - Zimmer, Philipp AU - Zimmer P AD - Department for Molecular and Cellular Sports Medicine. FAU - Mierau, Andreas AU - Mierau A FAU - Bloch, Wilhelm AU - Bloch W FAU - Struder, Heiko K AU - Struder HK FAU - Hulsdunker, Thorben AU - Hulsdunker T FAU - Schenk, Alexander AU - Schenk A FAU - Fiebig, Leonie AU - Fiebig L FAU - Baumann, Freek T AU - Baumann FT FAU - Hahn, Moritz AU - Hahn M FAU - Reinart, Nina AU - Reinart N FAU - Hallek, Michael AU - Hallek M FAU - Elter, Thomas AU - Elter T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140605 PL - United States TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Interleukin-6) RN - 4F4X42SYQ6 (Rituximab) RN - 5J49Q6B70F (Vincristine) RN - 80168379AG (Doxorubicin) RN - 8N3DW7272P (Cyclophosphamide) RN - 981Y8SX18M (Bendamustine Hydrochloride) RN - VB0R961HZT (Prednisone) SB - IM MH - Aged MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects/*therapeutic use MH - B-Lymphocytes/*drug effects/pathology MH - Bendamustine Hydrochloride/administration & dosage/adverse effects MH - Brain-Derived Neurotrophic Factor/blood MH - Cognition Disorders/chemically induced/*diagnosis MH - Cyclophosphamide/administration & dosage/adverse effects MH - Doxorubicin/administration & dosage/adverse effects MH - Electroencephalography MH - Fatigue/chemically induced/diagnosis MH - Female MH - Humans MH - Interleukin-6/blood MH - Lymphoma, Non-Hodgkin/blood/*drug therapy MH - Male MH - Middle Aged MH - Outcome Assessment, Health Care/methods MH - Prednisone/administration & dosage/adverse effects MH - Rituximab/administration & dosage/adverse effects MH - Surveys and Questionnaires MH - Vincristine/administration & dosage/adverse effects OTO - NOTNLM OT - Chemobrain OT - EEG OT - cognition OT - cytokines OT - fatigue OT - lymphoma EDAT- 2014/04/18 06:00 MHDA- 2016/04/02 06:00 CRDT- 2014/04/18 06:00 PHST- 2014/04/18 06:00 [entrez] PHST- 2014/04/18 06:00 [pubmed] PHST- 2016/04/02 06:00 [medline] AID - 10.3109/10428194.2014.915546 [doi] PST - ppublish SO - Leuk Lymphoma. 2015 Feb;56(2):347-52. doi: 10.3109/10428194.2014.915546. Epub 2014 Jun 5.