Saskatoon Cancer Centre and College of Medicine, University of Saskatchewan, Saskatoon, Canada.
International Consultancy in Blood Components Quality/Safety, Audit/Inspection and DDR Strategy, London, UK.
Transfus Apher Sci. 2022 Aug;61(4):103488. doi: 10.1016/j.transci.2022.103488. Epub 2022 Jun 14.
The COVID-19 pandemic caused by the SARS-CoV-2 virus has significantly disrupted and burdened the diagnostic workup and delivery of care, including transfusion, to cancer patients across the globe. Furthermore, cancer patients suffering from solid tumors or hematologic malignancies were more prone to the infection and had higher morbidity and mortality than the rest of the population. Major signaling pathways have been identified at the intersection of SARS-CoV-2 and cancer cells, often leading to tumor progression or alteration of the tumor response to therapy. The reactivation of oncogenic viruses has also been alluded to in the context and following COVID-19. Paradoxically, certain tumors responded better following the profound infection-induced immune modulation. Unveiling the mechanisms of the virus-tumor cell interactions will lead to a better understanding of the pathophysiology of both cancer progression and virus propagation. It would be challenging to monitor, through the different cancer registries, retrospectively, the response of patients who have been previously exposed to the virus in contrast to those who have not contracted the infection.
由 SARS-CoV-2 病毒引起的 COVID-19 大流行,严重扰乱并加重了全球癌症患者的诊断工作和治疗护理,包括输血。此外,患有实体瘤或血液系统恶性肿瘤的癌症患者比其他人群更容易感染,发病率和死亡率更高。在 SARS-CoV-2 和癌细胞的交汇处,已经确定了主要的信号通路,这些通路通常会导致肿瘤进展或肿瘤对治疗的反应发生改变。在 COVID-19 期间和之后,致癌病毒的重新激活也被提及。矛盾的是,某些肿瘤在受到强烈感染诱导的免疫调节后反应更好。揭示病毒-肿瘤细胞相互作用的机制,将有助于更好地理解癌症进展和病毒传播的病理生理学。通过不同的癌症登记处,回顾性地监测那些先前接触过病毒的患者与那些未感染的患者的反应,这将是具有挑战性的。