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Evidence of Associations between Cytokine Genes and Subjective Reports of Sleep Disturbance in Oncology Patients and Their Family Caregivers

Author

Listed:
  • Christine Miaskowski
  • Bruce A Cooper
  • Anand Dhruva
  • Laura B Dunn
  • Dale J Langford
  • Janine K Cataldo
  • Christina R Baggott
  • John D Merriman
  • Marylin Dodd
  • Kathryn Lee
  • Claudia West
  • Steven M Paul
  • Bradley E Aouizerat

Abstract

The purposes of this study were to identify distinct latent classes of individuals based on subjective reports of sleep disturbance; to examine differences in demographic, clinical, and symptom characteristics between the latent classes; and to evaluate for variations in pro- and anti-inflammatory cytokine genes between the latent classes. Among 167 oncology outpatients with breast, prostate, lung, or brain cancer and 85 of their FCs, growth mixture modeling (GMM) was used to identify latent classes of individuals based on General Sleep Disturbance Scale (GSDS) obtained prior to, during, and for four months following completion of radiation therapy. Single nucleotide polymorphisms (SNPs) and haplotypes in candidate cytokine genes were interrogated for differences between the two latent classes. Multiple logistic regression was used to assess the effect of phenotypic and genotypic characteristics on GSDS group membership. Two latent classes were identified: lower sleep disturbance (88.5%) and higher sleep disturbance (11.5%). Participants who were younger and had a lower Karnofsky Performance status score were more likely to be in the higher sleep disturbance class. Variation in two cytokine genes (i.e., IL6, NFKB) predicted latent class membership. Evidence was found for latent classes with distinct sleep disturbance trajectories. Unique genetic markers in cytokine genes may partially explain the interindividual heterogeneity characterizing these trajectories.

Suggested Citation

  • Christine Miaskowski & Bruce A Cooper & Anand Dhruva & Laura B Dunn & Dale J Langford & Janine K Cataldo & Christina R Baggott & John D Merriman & Marylin Dodd & Kathryn Lee & Claudia West & Steven M , 2012. "Evidence of Associations between Cytokine Genes and Subjective Reports of Sleep Disturbance in Oncology Patients and Their Family Caregivers," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-14, July.
  • Handle: RePEc:plo:pone00:0040560
    DOI: 10.1371/journal.pone.0040560
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    References listed on IDEAS

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    1. Davidson, Judith R. & MacLean, Alistair W. & Brundage, Michael D. & Schulze, Karleen, 2002. "Sleep disturbance in cancer patients," Social Science & Medicine, Elsevier, vol. 54(9), pages 1309-1321, May.
    2. Gilles Celeux & Gilda Soromenho, 1996. "An entropy criterion for assessing the number of clusters in a mixture model," Journal of Classification, Springer;The Classification Society, vol. 13(2), pages 195-212, September.
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