Department of Microbiology, Biochemistry, and Immunology, Morehouse School of Medicine, Atlanta, GA 30310, USA.
Cancer Health Equity Institute, Morehouse School of Medicine, Atlanta, GA 30310, USA.
Cells. 2022 Feb 8;11(3):579. doi: 10.3390/cells11030579.
Cancer cachexia remains a serious public health concern worldwide, particularly as cancer rates rise. Treatment is endangered, and survival is reduced, because this illness is commonly misdiagnosed and undertreated. Although weight loss is the most evident sign of cachexia, there are other early metabolic and inflammatory changes that occur before the most obvious symptoms appear. Cachexia-related inflammation is induced by a combination of factors, one of which is the release of inflammation-promoting chemicals by the tumor. Today, more scientists are beginning to believe that the development of SARS-CoV-2 (COVID-19) related cachexia is similar to cancer-related cachexia. It is worth noting that patients infected with COVID-19 have a significant inflammatory response and can develop cachexia. These correlations provide feasible reasons for the variance in the occurrence and severity of cachexia in human malignancies, therefore, specific therapeutic options for these individuals must be addressed based on disease types. In this review, we highlighted the role of key chemokines, cytokines, and clinical management in relation to cancer cachexia and its long-term impact on COVID-19 patients.
癌症恶病质仍然是全世界一个严重的公共卫生问题,尤其是随着癌症发病率的上升。这种疾病通常被误诊和治疗不足,从而危及治疗效果,降低患者的生存率。尽管体重减轻是恶病质最明显的迹象,但在最明显的症状出现之前,还会发生其他早期代谢和炎症变化。恶病质相关的炎症是由多种因素共同引起的,其中之一是肿瘤释放促炎化学物质。如今,越来越多的科学家开始相信,与 SARS-CoV-2(COVID-19)相关的恶病质的发展与癌症相关的恶病质相似。值得注意的是,感染 COVID-19 的患者会产生明显的炎症反应,并可能发展为恶病质。这些相关性为人类恶性肿瘤中恶病质的发生和严重程度的差异提供了可行的原因,因此,必须根据疾病类型为这些患者确定具体的治疗选择。在这篇综述中,我们强调了关键趋化因子、细胞因子在癌症恶病质中的作用,以及它们对 COVID-19 患者的长期影响。