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应对新冠疫情背景下的肺癌(综述)

Dealing with lung cancer in the COVID-19 scenario (A review).

作者信息

Aran Veronica, De Marchi Pedro, Zamboni Mauro, Ferreira Carlos Gil

机构信息

Instituto Estadual do Cérebro Paulo Niemeyer (IECPN), Rio de Janeiro, RJ 20231-092, Brazil.

Oncoclínicas, Rio de Janeiro, RJ 22251-060, Brazil.

出版信息

Mol Clin Oncol. 2021 Feb;14(2):27. doi: 10.3892/mco.2020.2189. Epub 2020 Dec 14.

DOI:10.3892/mco.2020.2189
PMID:33414908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7784234/
Abstract

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which has caused the coronavirus disease 2019 (COVID-19), first appeared in December 2019 in Wuhan (China) and quickly spread worldwide and has since been assigned a pandemic status. This affected the worlds' social interactions, including within medical practices, thus interfering with routine treatments for a variety of diseases including cancer. Different studies have addressed the fact that patients with cancer are often immunocompromised, making them more susceptible to infections. Since COVID-19 frequently causes respiratory distress, patients with lung cancer are considered to be a high-risk group. Genes that have been indicated to mediate viral entry into host cells such as angiotensin-converting enzyme 2 and transmembrane protease serine 2 are expressed in the lung tissue, a fact that could partially explain COVID-19 pathogenesis and lung involvement. Therefore, the current study offers a disease overview including molecular aspects behind the infection and provide a perspective on already published Chinese data plus recommendations for the management of lung cancer patients according to the two main lung cancer types and stages: non-small cell lung cancer and small cell lung cancer. This review aimed to add to the collective effort of selecting the most appropriate guidelines to follow for the treatment of these patients.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引发了2019冠状病毒病(COVID-19),于2019年12月首次在中国武汉出现,并迅速在全球传播,随后被列为大流行病。这影响了全球的社交互动,包括医疗实践中的互动,从而干扰了包括癌症在内的多种疾病的常规治疗。不同的研究指出,癌症患者往往免疫功能低下,更容易受到感染。由于COVID-19经常导致呼吸窘迫,肺癌患者被视为高危人群。已表明介导病毒进入宿主细胞的基因,如血管紧张素转换酶2和跨膜丝氨酸蛋白酶2,在肺组织中表达,这一事实可以部分解释COVID-19的发病机制和肺部受累情况。因此,本研究提供了该疾病的概述,包括感染背后的分子层面,并根据非小细胞肺癌和小细胞肺癌这两种主要肺癌类型和阶段,对已发表的中国数据以及肺癌患者的管理建议提供了一个视角。本综述旨在为选择治疗这些患者的最合适指南的集体努力做出贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8412/7784234/1361d2c00b18/mco-14-02-02189-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8412/7784234/8911ce5d24b8/mco-14-02-02189-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8412/7784234/97cda303bb68/mco-14-02-02189-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8412/7784234/1361d2c00b18/mco-14-02-02189-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8412/7784234/8911ce5d24b8/mco-14-02-02189-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8412/7784234/97cda303bb68/mco-14-02-02189-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8412/7784234/1361d2c00b18/mco-14-02-02189-g02.jpg

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Antibody tests for identification of current and past infection with SARS-CoV-2.用于识别当前和既往感染新型冠状病毒2的抗体检测。
Cochrane Database Syst Rev. 2020 Jun 25;6(6):CD013652. doi: 10.1002/14651858.CD013652.
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Saliva-based PCR tests for SARS-CoV-2 detection.用于检测新型冠状病毒的唾液聚合酶链反应检测
J Oral Sci. 2020;62(3):350-351. doi: 10.2334/josnusd.20-0267.
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ACE2 Expression Is Increased in the Lungs of Patients With Comorbidities Associated With Severe COVID-19.ACE2 表达在与严重 COVID-19 相关的合并症患者的肺部中增加。
J Infect Dis. 2020 Jul 23;222(4):556-563. doi: 10.1093/infdis/jiaa332.
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COVID-19 Infection and Circulating ACE2 Levels: Protective Role in Women and Children.新型冠状病毒肺炎感染与循环血管紧张素转换酶2水平:对妇女和儿童的保护作用
Front Pediatr. 2020 Apr 23;8:206. doi: 10.3389/fped.2020.00206. eCollection 2020.
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