Interferon-mediated fatigue

Ummekalsoom R. Malik, Della F. Makower, Scott Wadler

Research output: Contribution to journalArticle

89 Scopus citations

Abstract

Fatigue is a common side effect of interferon (IFN) therapy, reported in 70-100% of patients treated with IFN. The etiology of IFN-mediated fatigue (IMF) is multifactorial, with endocrine failure, neuropsychiatric disturbance, autoimmunity, and cytokine dysregulation potentially being contributors. Thyroid dysfunction, associated with the development of autoantibodies, is seen in 8-20% of patients receiving IFN-α. IFN-α also suppresses the hypothalamic-pituitary-adrenal axis. In addition, IFN-α therapy leads to depression and cognitive slowing, and depressed patients are predisposed to develop fatigue. Clinical management of IMF is challenging because the syndrome is variable in onset and severity and the pathophysiology is poorly understood. Current management typically centers on dose reduction, but ancillary nonpharmacologic measures may help improve symptoms. Other strategies include antidepressant or anxiolytic therapy and treatment of coexisting hypothyroidism. Future studies utilizing IFN should include quantitative guidelines for grading and managing IMF.

Original languageEnglish (US)
Pages (from-to)1664-1668
Number of pages5
JournalCancer
Volume92
Issue number6 SUPPL.
DOIs
StatePublished - Sep 15 2001

Keywords

  • Autoimmunity
  • Cytokines
  • Fatigue
  • Interferon
  • Nueropsychiatry

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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