Breast cancer patients (∼40%) experience debilitating cancer-related fatigue (CRF), and efficacious treatment options are limited due in part to lack of understanding of the underlying pathophysiology. One promising avenue for treatment discovery is investigation of inflammation effects on CNS pathways involved in motivation and motor activity that may contribute to fatigue. Previous work shows that fatigue both during and after breast cancer treatment is associated with increased inflammation. Nevertheless, CNS mechanisms by which inflammation influences behavior in breast cancer patients are currently unknown. Our group and others have found that inflammation can alter the neural activation of and functional connectivity between brain regions that are involved in motivation and motor activity, including the basal ganglia and prefrontal cortex. Herein we present preliminary data from breast cancer patients who recently completed treatment (n = 16) indicating that patients with high inflammation exhibited decreased functional connectivity between ventral and dorsal striatal and prefrontal cortical regions, as measured by functional magnetic resonance imaging (fMRI). These alterations in corticostriatal circuitry were associated with reduced performance on objective measures of motivation and motor activity (r = 0.67, p
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