title: Evidence of associations between cytokine genes and subjective reports of sleep disturbance in oncology patients and their family caregivers.
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.
authors: Department of Physiological Nursing, University of California San Francisco, San Francisco, California, United States of America. chris.miaskowski@nursing.ucsf.edu
authors: Christine
authors: C
authors: Miaskowski
authors: Bruce A
authors: BA
authors: Cooper
authors: Anand
authors: A
authors: Dhruva
authors: Laura B
authors: LB
authors: Dunn
authors: Dale J
authors: DJ
authors: Langford
authors: Janine K
authors: JK
authors: Cataldo
authors: Christina R
authors: CR
authors: Baggott
authors: John D
authors: JD
authors: Merriman
authors: Marylin
authors: M
authors: Dodd
authors: Kathryn
authors: K
authors: Lee
authors: Claudia
authors: C
authors: West
authors: Steven M
authors: SM
authors: Paul
authors: Bradley E
authors: BE
authors: Aouizerat
mesh_terms: D017028:Caregivers / Q000706:statistics & numerical data*; D016207:Cytokines / Q000235:genetics*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D009369:Neoplasms / Q000150:complications* / Q000532:radiotherapy; D020641:Polymorphism, Single Nucleotide; D012044:Regression Analysis; D057566:Self Report; D012893:Sleep Wake Disorders / Q000150:complications* / Q000235:genetics*
chemical_list: D016207:Cytokines