Evidence map›Paper›PMID 40810770›Full record

ArticleGeroScience2026

Mitochondrial bioenergetics in resilience of older adults with gynecologic cancer: design and rationale of a pilot study.

Anna Kuan-Celarier, Michelle L Wallander, Jennifer Hartzell, Brittany Lees, Xiaoyan Iris Leng, Philip A Kramer, Nicholas J Day, Wei-Jun Qian, Bumsoo Ahn

Abstract read
In one paragraph

Article in GeroScience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Anna Kuan-CelarierDepartment of Obstetrics and Gynecology, Atrium Health Wake Forest Baptist Comprehensive Cancer Center, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Michelle L WallanderClinical Trials Office, Atrium Health Wake Forest Baptist Comprehensive Cancer Center, Charlotte, NC, USA.
Jennifer HartzellDepartment of Supportive Oncology, Levine Cancer Institute, Atrium Health Wake Forest Baptist Comprehensive Cancer Center, Charlotte, NC, USA.
Brittany LeesDivision of Obstetrics and Gynecology, Atrium Health Levine Cancer Institute, Charlotte, NC, USA.
Xiaoyan Iris LengDepartment of Biostatistics and Data Science, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Philip A KramerDepartment of Internal Medicine, Section of Gerontology and Geriatric Medicine, Wake Forest University School of Medicine, 1 Medical Center Boulevard, Winston-Salem, NC, 27157, USA.
Nicholas J DayBiological Sciences Division, Pacific Northwest National Laboratory, Richland, WA, USA.
Wei-Jun QianBiological Sciences Division, Pacific Northwest National Laboratory, Richland, WA, USA.
Bumsoo AhnDepartment of Internal Medicine, Section of Gerontology and Geriatric Medicine, Wake Forest University School of Medicine, 1 Medical Center Boulevard, Winston-Salem, NC, 27157, USA. bumsoo.ahn@advocatehealth.org.ORCID 0000-0002-2743-7099

Funding

Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI LEON LENCHIK · 2002 to 2026
$36.4M
The role of unacylated ghrelin on age-associated progressive muscle weakness and cachexia elicited by cancerR00AG064143 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI AHN, BUMSOO · 2022 to 2024
$839k
American Cancer Society Junior Faculty Institutional Research GrantComprehensive Cancer Center at Wake Forest Baptist Medical Center Intercampus Pilot AwardNIA NIH HHS AG064143NIA NIH HHS P30 AG021332NIA NIH HHS R00 AG064143
6 · The paper itself

Abstract

Resilience-the ability to recover and maintain function following stresses-is a critical factor influencing treatment tolerance and recovery in older adults with cancer. Despite the high incidence of gynecologic cancers in postmenopausal individuals, resilience in this population remains underexplored, even though patients commonly face compounded stress from both chemotherapy and surgery. The goal of our research is (1) to test the feasibility of cognitive and physical function assessments in older women with gynecologic cancers and (2) to discover reliable predictors that enhance clinical decision-making and guide personalized treatment strategies. Current clinical assessments focus on isolated physiological systems. As such, there is a need for a reliable predictor that captures systemic resilience more comprehensively. A reliable predictor of resilience following cancer treatment could improve clinical decision-making and identify potential targets for therapeutic intervention. Both mitochondrial bioenergetics and oxidative stress are presumably mechanistically linked to resilience of patients with gynecologic cancers because of widely known effects of chemotherapy and tumor burden on mitochondrial bioenergetics. Mitochondria generate more than 95% of cellular ATP through oxidative phosphorylation, a process essential for recovery following physiological stress. Oxidative stress disrupts excitation-contraction coupling and reduces metabolic efficiency in skeletal muscle, contributing to weakness and fatigue. In the brain, oxidative modifications have been associated with impaired neurotransmission and cognitive dysfunction. This protocol paper describes a longitudinal study design aimed at evaluating the feasibility of resilience assessment and testing mitochondria and oxidative stress as predictors of resilience in older adults diagnosed with advanced endometrial or ovarian cancer.

Indexed as

Energy MetabolismGenital Neoplasms, FemaleMitochondriaResilience, PsychologicalAgedFemaleHumansOxidative StressPilot ProjectsAgingChemotherapyCognitive resilienceGynecologic cancerMitochondriaPhysical resilience

Identifiers

PMID40810770
PMCPMC12972482

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.