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Biological and Exploitable Crossroads for the Immune Response in Cancer and COVID-19
Letizia Vitali1,2, Alessandra Merlini1,2, Federica Galvagno1,2
1Candiolo Cancer Institute, FPO-IRCCS, Strada Provinciale 142 Km 3.95, 10060 Candiolo, Italy.
Abstract:
The outbreak of novel coronavirus disease 2019 (COVID-19) has exacted a disproportionate toll on cancer patients. The effects of anticancer treatments and cancer patients' characteristics shared significant responsibilities for this dismal outcome; however, the underlying immunopathological mechanisms are far from being completely understood. Indeed, despite their different etiologies, SARS-CoV-2 infection and cancer unexpectedly share relevant immunobiological connections. In the pathogenesis and natural history of both conditions, there emerges the centrality of the immune response, orchestrating the timed appearance, functional and dysfunctional roles of multiple effectors in acute and chronic phases. A significant number (more than 600) of observational and interventional studies have explored the interconnections between COVID-19 and cancer, focusing on aspects as diverse as psychological implications and prognostic factors, with more than 4000 manuscripts published so far. In this review, we reported and discussed the dynamic behavior of the main cytokines and immune system signaling pathways involved in acute vs. early, and chronic vs. advanced stages of SARS-CoV-2 infection and cancer. We highlighted the biological similarities and active connections within these dynamic disease scenarios, exploring and speculating on possible therapeutic crossroads from one setting to the other.
Insights
Cancer patients face severe outcomes from COVID-19 due to treatment effects and patient factors. This review explores shared immune mechanisms between SARS-CoV-2 infection and cancer, identifying potential therapeutic strategies.
Area of Science:
- Immunology
- Oncology
- Infectious Diseases
Background:
- The novel coronavirus disease 2019 (COVID-19) has disproportionately affected cancer patients.
- Anticancer treatments and patient characteristics contribute to poor outcomes in COVID-19 cancer patients.
- The immunopathological mechanisms linking COVID-19 and cancer are not fully understood.
Purpose of the Study:
- To review and discuss the immunobiological connections between SARS-CoV-2 infection and cancer.
- To analyze the dynamic behavior of immune responses and signaling pathways in both conditions.
- To explore potential therapeutic strategies at the intersection of COVID-19 and cancer.
Main Methods:
- Literature review of over 4000 published manuscripts and 600 observational/interventional studies.
- Analysis of cytokine dynamics and immune system signaling pathways in acute and chronic phases of both diseases.
- Discussion of biological similarities and active connections between SARS-CoV-2 infection and cancer.
Main Results:
- SARS-CoV-2 infection and cancer share significant immunobiological connections, with the immune response playing a central role in both.
- Dynamic changes in cytokines and immune pathways are observed across different stages of both COVID-19 and cancer.
- Similarities in immune dysregulation highlight potential shared vulnerabilities and therapeutic targets.
Conclusions:
- Understanding the shared immunopathological mechanisms is crucial for managing COVID-19 in cancer patients.
- The interplay between immune responses in cancer and SARS-CoV-2 infection offers opportunities for novel therapeutic approaches.
- Further research into these connections may reveal synergistic treatments for both conditions.
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