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.

Biomedicines
|October 27, 2022
PubMed

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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