Pre-Chemotherapy Differences in Visuospatial Working Memory in Breast Cancer Patients Compared to Controls: An fMRI Study

Introduction: Cognitive deficits are a side-effect of chemotherapy, however pre-treatment research is limited. This study examines neurofunctional differences during working memory between breast cancer (BC) patients and controls, prior to chemotherapy. Methods: Early stage BC females (23), scanned after surgery but before chemotherapy, were individually matched to non-cancer controls. Participants underwent functional magnetic resonance imaging (fMRI) while performing a Visuospatial N-back task and data was analyzed by multiple group comparisons. fMRI task performance, neuropsychological tests, hospital records, and salivary biomarkers were also collected. Results: There were no significant group differences on neuropsychological tests, estrogen, or cortisol. Patients made significantly fewer commission errors but had less overall correct responses and were slower than controls during the task. Significant group differences were observed for the fMRI data, yet results depended on the type of analysis. BC patients presented with increased activations during working memory compared to controls in areas such as the inferior frontal gyrus, insula, thalamus, and midbrain. Individual group regressions revealed a reverse relationship between brain activity and commission errors. Conclusion: This is the first fMRI investigation to reveal neurophysiological differences during visuospatial working memory between BC patients pre-chemotherapy and controls. These results also increase the knowledge about the effects of BC and related factors on the working memory network. Significance: This highlights the need to better understand the pre-chemotherapy BC patient and the effects of associated confounding variables

The Effects of Outgroup Threat and Opportunity to Derogate on Salivary Cortisol Levels

Perceptions of intergroup threat have been related to both experiences of physiological stress responses and derogation of the outgroup. In this study, a neuroscience perspective was used to investigate the relationship between stress and opportunity to derogate the outgroup, in a threatening intergroup context. Research from a social identity perspective suggests that engaging in outgroup derogation alleviates stress when perceiving an intergroup threat. However, in line with the model of intergroup anxiety, opportunity to derogate could exacerbate the negative connotations of a threatening situation, resulting in more stress. Canadian participants (N = 110) were exposed to text describing either discriminatory or favorable comments expressed by Chinese individuals towards Canadians. Half of the participants were given the opportunity to derogate via a bias task. Salivary cortisol was used as a measure of stress and was collected at baseline, post-threat, and post-derogation. As expected, threatening identity led to more stress as evidenced by increased cortisol concentrations. Furthermore, threatened participants who had an opportunity to derogate showed greater cortisol concentrations than those who did not. These results demonstrate a link between stress and the opportunity to derogate, and highlights the value of using biological markers within the intergroup context. Rewrite abstract to remove all the references (they are meaningless because the abstracting services will use the abstract as is but will not provide the references so their presence is useless

Outgroup threat and opportunity to derogate: A social neuroscience approach

Intergroup communication is at the core of intergroup relations. Studies demonstrate that intergroup threat and having an opportunity to derogate the outgroup result in heightened cortisol levels. However, biomarkers associated with different stress systems may show distinct patterns under the same conditions. We investigated whether perceptions of threat and the opportunity to derogate would result in an increase in alpha-amylase levels. White Canadian university students (N = 77) read discriminatory or favorable comments that Chinese individuals made towards Canadians. Subsequently, they were given the opportunity to derogate the outgroup. Salivary alpha-amylase was collected at baseline, following the threat, and after the opportunity to derogate. Participants showed an alpha-amylase response to threat, albeit delayed, but no further increase in concentration values due to derogation. The findings illustrate the impact of intergroup communication on physiological stress as well as the importance of using multiple biomarkers to elucidate that relationship

Modeling Dad: Animal models of paternal behavior

In humans, paternal behaviors have a strong influence on the emotional and social development of children. Fathers, more frequently than mothers, leave the family nucleus, and/or become abusive, leading to offspring that are more likely to grow under stressful conditions and greater susceptibility to abnormal health and social outcomes. Literature on parental behaviors, human or animal, has primarily focused on the interactions between mothers and offspring, with little research directed at understanding paternal behavior. In animal studies, experimenters correlate paternal behaviors with those seen in rodent or primate mothers, often under situations in which behaviors such as nest protection, huddling, pup grooming, and retrieval are artificially induced. In humans, the majority of the studies have looked at paralleling hormonal changes in fathers with those occurring in mothers, or observed paternal behaviors in populations with specific anthropological backgrounds. These studies reveal commonalities in parental behaviors and their underlying neural circuits. However, this work highlights the possibility that paternal behavior has components that are strictly masculine with unique neurobiological mechanisms. This review summarizes this information and provides a current view of a topic that needs further exploration

Investigation of a neuropsychological screen for chemo-fog

Research on chemotherapy-induced cognitive impairment (the term ‘‘chemo-fog’’ is used by many investigators) supports the occurrence of subtle declines in function for a subset of recipients. Identification of vulnerable individuals via comprehensive neuropsychological batteries is complicated due to their lack of clinical utility and increased risk of misclassification. The goal of this paper was to evaluate the ability of a reduced battery to detect chemotherapy-related cognitive impairments. Data from our previous study (Ouimet et al. J Clin Exp Neuropsychol 31:73–89, 2009) were used to compare a comprehensive neuropsychological test battery comprising 23 tests with a reduced battery consisting of a subset of nine tests. A standardized regression-based approach revealed that a comparable numbers of participants were identified by both batteries, suggesting that individuals vulnerable to chemotherapy-induced cognitive impairment can be identified by a more selective battery. Further work is needed to clarify the neuropsychological tests most sensitive to detecting impairments associated with chemotherapy so that assessment batteries can be limited to these tests

Salivary Alpha-Amylase Reactivity in Breast Cancer Survivors

The two main components of the stress system are the hypothalamic-pituitary-adrenal (HPA) and sympathetic-adrenal-medullary (SAM) axes. While cortisol has been commonly used as a biomarker of HPA functioning, much less attention has been paid to the role of the SAM in this context. Studies have shown that long-term breast cancer survivors display abnormal reactive cortisol patterns, suggesting a dysregulation of their HPA axis. To fully understand the integrity of the stress response in this population, this paper explored the diurnal and acute alpha-amylase profiles of 22 breast cancer survivors and 26 women with no history of cancer. Results revealed that breast cancer survivors displayed identical but elevated patterns of alpha-amylase concentrations in both diurnal and acute profiles relative to that of healthy women, F (1, 39) = 17.95, p < 0.001 and F (1, 37) = 7.29, p = 0.010, respectively. The average area under the curve for the diurnal and reactive profiles was 631.54 ± 66.94 SEM and 1238.78 ± 111.84 SEM, respectively. This is in sharp contrast to their cortisol results, which showed normal diurnal and blunted acute patterns. The complexity of the stress system necessitates further investigation to understand the synergistic relationship of the HPA and SAM axes