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Updated: May 27, 2025

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Published on: June 5, 2020
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Genotoxic risks in patients with COVID-19
Nurşen Başaran1, Olga Szewczyk-Roszczenko2, Piotr Roszczenko3
1Department of Pharmaceutical Toxicology, Faculty of Pharmacy, Başkent University, Ankara 06790, Türkiye.
Summary
The COVID-19 pandemic may lead to genotoxicity and cancer. Studies show increased DNA damage in severe COVID-19 patients, linked to SARS-CoV-2 spike proteins and impaired DNA repair.
Area of Science:
- Oncology
- Virology
- Genetics
Background:
- The COVID-19 pandemic has caused significant global mortality.
- Long-term consequences, including genotoxicity and neoplasm development, remain a concern.
- This review addresses the potential for DNA damage and cancer following SARS-CoV-2 infection.
Purpose of the Study:
- To review current data on genotoxicity in COVID-19 patients.
- To explore the role of SARS-CoV-2 in DNA damage and repair inhibition.
- To assess DNA damage as a prognostic factor for COVID-19 outcomes.
Main Methods:
- Systematic review of international studies on COVID-19 and DNA damage.
- Analysis of reported DNA damage levels in nucleated blood cells.
- Evaluation of the impact of SARS-CoV-2 spike proteins and viral inhibition of DNA repair.
Main Results:
- Multiple studies report elevated DNA damage in severe COVID-19 cases.
- DNA damage levels correlate with disease severity and prognosis.
- SARS-CoV-2 spike proteins are implicated in causing DNA damage.
- The virus appears to inhibit the body's DNA repair mechanisms.
Conclusions:
- COVID-19 infection is associated with significant genotoxicity.
- DNA damage serves as a potential prognostic biomarker for COVID-19.
- Further research is needed to understand the long-term oncogenic risks.
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