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SARS-CoV-2 作为一种溶瘤病毒,在免疫系统重新激活后:综述。

SARS-CoV-2 as an Oncolytic Virus Following Reactivation of the Immune System: A Review.

机构信息

School of Medicine, Health Sciences Decan, Universidad Autonoma de Guadalajara, Zapopan 45129, Mexico.

Immunology Research Laboratory, Health Sciences Decan, Universidad Autonoma de Guadalajara, Zapopan 45129, Mexico.

出版信息

Int J Mol Sci. 2023 Jan 24;24(3):2326. doi: 10.3390/ijms24032326.

Abstract

The effects SARS-CoV-2 inflicts on human physiology, especially in patients who developed COVID-19, can range from flu-like symptoms to death, and although many lives have been lost during the pandemic, others have faced the resolution of aggressive neoplasms that once proclaimed a poor prognosis following traditional treatments. The purpose of this review was to analyze several fortunate case reports and their associated biomolecular pathways to further explore new avenues that might provide oncological treatments in the future of medicine. We included papers that discussed cases in which patients affected by COVID-19 suffered beneficial changes in their cancer status. Multiple mechanisms which elicited a reactivation of the host's immune system included cross-reactivity with viral antigens and downregulation of neoplastic cells. We were able to identify important cases presenting the resolution/remission of different aggressive neoplasms, for which most of the time, standard-of-care treatments offered little to no prospect towards a cure. The intricacy of the defense mechanisms humans have adopted against cancer cells through the millennia are still not well understood, but SARS-CoV-2 has demonstrated that the same ruinous cytokine storm which has taken so many lives can paradoxically be the answer we have been looking for to recalibrate the immunological system to retarget and vanquish malignancies.

摘要

SARS-CoV-2 对人体生理的影响,特别是在感染 COVID-19 的患者中,范围从类似流感的症状到死亡不等,尽管大流行期间许多生命已经失去,但其他人面临着侵袭性肿瘤的解决,这些肿瘤在传统治疗后曾宣告预后不良。本综述的目的是分析几个幸运的病例报告及其相关的生物分子途径,以进一步探索未来医学中可能提供肿瘤治疗的新途径。我们纳入了讨论 COVID-19 患者癌症状况发生有益变化的病例的论文。多种引发宿主免疫系统重新激活的机制包括与病毒抗原的交叉反应和肿瘤细胞的下调。我们能够确定重要的病例,这些病例呈现出不同侵袭性肿瘤的缓解/消退,对于大多数情况下,标准治疗方法几乎没有治愈的前景。人类通过数千年时间针对癌细胞采用的防御机制的复杂性仍未得到很好的理解,但 SARS-CoV-2 表明,导致如此多生命丧失的致命细胞因子风暴可能恰恰是我们一直在寻找的答案,以重新调整免疫系统,重新靶向并消灭恶性肿瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e212/9916917/de718ca7ce91/ijms-24-02326-g001.jpg

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