{"id":226462,"date":"2025-03-12T07:05:08","date_gmt":"2025-03-12T11:05:08","guid":{"rendered":"https:\/\/today.uconn.edu\/?p=226462"},"modified":"2025-09-16T14:42:30","modified_gmt":"2025-09-16T18:42:30","slug":"crisp-award-funds-study-on-immunotherapys-impact-on-cognitive-function","status":"publish","type":"post","link":"https:\/\/today.uconn.edu\/2025\/03\/crisp-award-funds-study-on-immunotherapys-impact-on-cognitive-function\/","title":{"rendered":"CRISP Award Funds Study on Immunotherapy\u2019s Impact on Cognitive Function"},"content":{"rendered":"<p><span data-contrast=\"auto\">Over the past decade, immunotherapy has been gaining popularity as a treatment for many kinds of cancer, giving patients another option besides chemotherapy and radiation. <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><span data-contrast=\"auto\">Immunotherapy boosts a person\u2019s own immune system to identify and fight cancer cells that normally evade its defenses.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">However, like traditional cancer treatments, immunotherapy may cause or exacerbate cognitive decline, especially in older adults. Because this treatment is much newer than chemotherapy or radiation, these potential side effects have not yet been widely studied.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><span data-contrast=\"auto\">Gee Su Yang, assistant professor at the UConn School of Nursing, has received a $60,000 CRISP (Clinical Research Innovation Seed Program) Award from the Office of the Vice President for Research to conduct a pilot study of how immunotherapy impacts cognitive function in older cancer patients.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201c<\/span><span data-contrast=\"auto\">Research on the impact of immunotherapy on cognitive function is <\/span><span data-contrast=\"auto\">limited<\/span><span data-contrast=\"auto\">,\u201d Yang says. <\/span><span data-contrast=\"auto\">\u201c<\/span><span data-contrast=\"auto\">We don\u2019t know just how immunotherapy affects their cognitive function<\/span><span data-contrast=\"auto\">. <\/span><span data-contrast=\"auto\">So, I hope to provide some preliminary evidence.\u201d <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Yang <\/span><span data-contrast=\"auto\">will<\/span><span data-contrast=\"auto\"> collaborat<\/span><span data-contrast=\"auto\">e<\/span><span data-contrast=\"auto\"> with Dr. Upendra Hedge at the Carole and Ray Neag Comprehensive Cancer Center at UConn Health<\/span><span data-contrast=\"auto\">, Dr. Breno Diniz <\/span><span data-contrast=\"auto\">at t<\/span><span data-contrast=\"auto\">he <\/span><span data-contrast=\"auto\">UConn Center on Aging<\/span><span data-contrast=\"auto\">, and<\/span><span data-contrast=\"auto\"> Professors Nancy Redeker and Keith Bellizzi <\/span><span data-contrast=\"auto\">at <\/span><span data-contrast=\"auto\">UConn Storrs<\/span><span data-contrast=\"auto\"> for this study.<\/span><\/p>\n<p><span data-contrast=\"auto\">Yang is working with a population of 24 men and women over the age of 60 with cancer. The group will contain both those receiving immunotherapy treatment<\/span><span data-contrast=\"auto\">, <\/span><span data-contrast=\"auto\">specifically <\/span><span data-contrast=\"auto\">immune checkpoint inhibitors<\/span><span data-contrast=\"auto\">,<\/span> <span data-contrast=\"auto\">and those with the same cancer stage and type who are not, as a control group. <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Immune checkpoint inhibitors are a type of immunotherapy treatment that<\/span><span data-contrast=\"auto\"> blocks the checkpoints on T-cells<\/span><span data-contrast=\"auto\">, a critical part of the body\u2019s immune system. These checkpoints<\/span><span data-contrast=\"auto\"> tell the cells to stay turned \u201coff\u201d when the<\/span><span data-contrast=\"auto\">re isn\u2019t anything to attack<\/span><span data-contrast=\"auto\">, protecting healthy cells<\/span><span data-contrast=\"auto\">. <\/span><span data-contrast=\"auto\">But c<\/span><span data-contrast=\"auto\">ancer cells<\/span><span data-contrast=\"auto\"> can <\/span><span data-contrast=\"auto\">attach to these checkpoints and keep them off. By blocking the checkpoint, this immunotherapy treatment enables the T-cells to fight<\/span><span data-contrast=\"auto\">\u00a0cancer cells. <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">This group will contain patients with <\/span><span data-contrast=\"auto\">melanoma<\/span><span data-contrast=\"auto\">, head and neck cancer,<\/span><span data-contrast=\"auto\"> or other solid tumors<\/span><span data-contrast=\"auto\">, a critical consideration as much previous research on cancer-related cognitive impairment (CRCI) has been limited to breast cancer survivors.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201c<\/span><span data-contrast=\"none\">Generating data on<\/span><span data-contrast=\"none\"> the cognitive health of<\/span><span data-contrast=\"none\"> patients receiving immunotherapy, and particularly in cancers other than breast cancer, will advance the field,\u201d Yang says.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Yang will use objective and subjective measures to assess the cognitive functioning of patients receiving immunotherapy and the control group before and then three months later during treatment.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cI want to examine longitudinal changes in cognitive function as well as <\/span><span data-contrast=\"auto\">frailty, comorbidities, comorbid symptoms, <\/span><span data-contrast=\"auto\">and <\/span><span data-contrast=\"auto\">genetic and neurodegenerative <\/span><span data-contrast=\"auto\">disease <\/span><span data-contrast=\"auto\">factors that predict cognitive changes among older adults with cancer,\u201d Yang says.\u00a0\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Yang will take blood samples from participants to check for certain known biomarkers associated with Alzheimer\u2019s and other neurodegenerative diseases.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Yang will also screen for the <\/span><span data-contrast=\"auto\">APOE4<\/span><span data-contrast=\"auto\"> genotype.<\/span><span data-contrast=\"auto\">\u00a0This <\/span><span data-contrast=\"auto\">variant<\/span><span data-contrast=\"auto\"> has been associated with cognitive function decline in people with cancer.\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cI want to see how this genetic information could provide some prediction of cognitive changes since we know this genotype has a significant association with cognitive impairment in cancer patients,\u201d Yang says. <\/span><\/p>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><span data-contrast=\"auto\">As a registered nurse, Yang is interested in how this research can translate to individualized patient care.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><span data-contrast=\"auto\">\u201cI think understanding how immunotherapy can affect the cognitive performance of older patients may aid in tailoring their treatment strategy and the development of a more comprehensive support plan<\/span> <span data-contrast=\"auto\">for<\/span><span data-contrast=\"auto\"> treatment decisions and potential interventions to preserve<\/span> <span data-contrast=\"auto\">or mitigate the impact of immunotherapy on cognitive well-being<\/span><span data-contrast=\"auto\">,\u201d Yang says. \u201cI really want my study to be helpful and beneficial in improving patients\u2019 cancer survivorship and contribute to improving their quality of life.\u201d\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This research by Gee Su Yang will evaluate how immunotherapy treatment may impact cognitive functioning in older cancer patients<\/p>\n","protected":false},"author":147,"featured_media":226463,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_crdt_document":"","wds_primary_category":0,"wds_primary_series":0,"wds_primary_attribution":0,"footnotes":""},"categories":[2230,1877,2460,2231,2648,2076,1868,2235,179],"tags":[],"magazine-issues":[],"coauthors":[2277],"class_list":["post-226462","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cancer","category-nur","category-faculty","category-health-well-being","category-blue-research","category-research","category-meds","category-today-homepage","category-uconn-health"],"pp_statuses_selecting_workflow":false,"pp_workflow_action":"current","pp_status_selection":"publish","acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-12 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