Interferon alpha2b induced dopamine changes in Cutaneous Melanoma patients

Objective. The authors interest was focused on interferon impact on dopamine status and on the relation between negative emotional state and dopamine in melanoma patients. Methods. 60 patients diagnosed with malignant melanoma in 1st or 2nd clinical stage were included in the first 56 days after su...

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Main Authors: Corina-Daniela Ene, Ilinca Nicolae
Format: Article
Language:English
Published: Amaltea Medical Publishing House 2015-12-01
Series:Romanian Journal of Neurology
Subjects:
Online Access:https://rjn.com.ro/articles/2015.4/RJN_2015_4_Art-06.pdf
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author Corina-Daniela Ene
Ilinca Nicolae
author_facet Corina-Daniela Ene
Ilinca Nicolae
author_sort Corina-Daniela Ene
collection DOAJ
description Objective. The authors interest was focused on interferon impact on dopamine status and on the relation between negative emotional state and dopamine in melanoma patients. Methods. 60 patients diagnosed with malignant melanoma in 1st or 2nd clinical stage were included in the first 56 days after surgical removal of the tumor in an observational prospective study. The patients were divided in 2 groups: group A that included 30 cases treated with 10MU interferon alpha2b/mp three times a week for one year and group B that included 30 cases with no adjuvant treatment. Urinary dopamine (ELISA) was evaluated before treatment with interferon alpha2b, after 1, 6, 12 months of treatment and after 6 months from the end of the treatment. Neuropsychiatric disorders were grouped according to their frequency in melanoma patients. Results. Neuropsychiatric disorders associated with the treatment with interferon were: irritability, asthenia and fatigability, sleep disorders, anxiety, cognitive disorders, somatic symptoms. The treatment with interferon altered dopamine metabolism. Dopamine returned to the pretherapeutical values at six months after interferon was stopped. Patients with low levels of urinary dopamine had a high, statistically significant risk of developing depression during interferon treatment (OR=2.647, IC=2.186-3.014, p=0.0216). Conclusions. Low dopamine might have a major role in the development of depression secondary to interferon treatment.
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spelling doaj.art-23fa5b80aee947489a8d149a8a59039d2022-12-22T03:22:03ZengAmaltea Medical Publishing HouseRomanian Journal of Neurology1843-81482069-60942015-12-0114421922410.37897/RJN.2015.4.6Interferon alpha2b induced dopamine changes in Cutaneous Melanoma patientsCorina-Daniela Ene0Ilinca Nicolae1“Carol Davila” Clinical Hospital of Nephrology, Bucharest, RomaniaResearch Department in Dermatology, “Victor Babes” Clinical Hospital of Tropical and Infectious Diseases, Bucharest, RomaniaObjective. The authors interest was focused on interferon impact on dopamine status and on the relation between negative emotional state and dopamine in melanoma patients. Methods. 60 patients diagnosed with malignant melanoma in 1st or 2nd clinical stage were included in the first 56 days after surgical removal of the tumor in an observational prospective study. The patients were divided in 2 groups: group A that included 30 cases treated with 10MU interferon alpha2b/mp three times a week for one year and group B that included 30 cases with no adjuvant treatment. Urinary dopamine (ELISA) was evaluated before treatment with interferon alpha2b, after 1, 6, 12 months of treatment and after 6 months from the end of the treatment. Neuropsychiatric disorders were grouped according to their frequency in melanoma patients. Results. Neuropsychiatric disorders associated with the treatment with interferon were: irritability, asthenia and fatigability, sleep disorders, anxiety, cognitive disorders, somatic symptoms. The treatment with interferon altered dopamine metabolism. Dopamine returned to the pretherapeutical values at six months after interferon was stopped. Patients with low levels of urinary dopamine had a high, statistically significant risk of developing depression during interferon treatment (OR=2.647, IC=2.186-3.014, p=0.0216). Conclusions. Low dopamine might have a major role in the development of depression secondary to interferon treatment.https://rjn.com.ro/articles/2015.4/RJN_2015_4_Art-06.pdfdopamineinterferon alpha2bmelanomaneuropsychiatric disorders
spellingShingle Corina-Daniela Ene
Ilinca Nicolae
Interferon alpha2b induced dopamine changes in Cutaneous Melanoma patients
Romanian Journal of Neurology
dopamine
interferon alpha2b
melanoma
neuropsychiatric disorders
title Interferon alpha2b induced dopamine changes in Cutaneous Melanoma patients
title_full Interferon alpha2b induced dopamine changes in Cutaneous Melanoma patients
title_fullStr Interferon alpha2b induced dopamine changes in Cutaneous Melanoma patients
title_full_unstemmed Interferon alpha2b induced dopamine changes in Cutaneous Melanoma patients
title_short Interferon alpha2b induced dopamine changes in Cutaneous Melanoma patients
title_sort interferon alpha2b induced dopamine changes in cutaneous melanoma patients
topic dopamine
interferon alpha2b
melanoma
neuropsychiatric disorders
url https://rjn.com.ro/articles/2015.4/RJN_2015_4_Art-06.pdf
work_keys_str_mv AT corinadanielaene interferonalpha2binduceddopaminechangesincutaneousmelanomapatients
AT ilincanicolae interferonalpha2binduceddopaminechangesincutaneousmelanomapatients