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The systemic pro-inflammatory response: targeting the dangerous liaison between COVID-19 and cancer

机译:全身性炎症反应:针对Covid-19和癌症之间的危险联络

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摘要

Inflammation is an established driver of severe SARS-CoV-2 infection and a mechanism linked to the increased susceptibility to fatal COVID-19 demonstrated by patients with cancer. As patients with cancer exhibit a higher level of inflammation compared with the general patient population, patients with cancer and COVID-19 may uniquely benefit from strategies targeted at overcoming the unrestrained pro-inflammatory response. Targeted and non-targeted anti-inflammatory therapies may prevent end-organ damage in SARS-CoV-2-infected patients with cancer and decrease mortality. Here, we review the clinical role of selective inhibition of pro-inflammatory interleukins, tyrosine kinase modulation, anti-tumor necrosis factor agents, and other non-targeted approaches including corticosteroids in their roles as disease-modulating agents in patients with COVID-19 and cancer. Investigation of these therapeutics in this highly vulnerable patient group is posited to facilitate the development of tailored therapeutics for this patient population, aiding the transition of systemic inflammation from a prognostic domain to a source of therapeutic targets.
机译:炎症是严重SARS-COV-2感染的载体,并与癌症患者表现出与致命的Covid-19的增加的敏感性增加的机制。由于癌症患者表现出更高水平的炎症,而与普通患者人群相比,患有癌症和Covid-19的患者可能从克服无拘无束的促炎反应时唯一受益于目标。有针对性的抗炎疗法可以防止SARS-COV-2感染患者的终末器官损伤,并降低死亡率。在此,我们审查了选择性抑制促炎白细胞介素,酪氨酸激酶调制,抗肿瘤坏死因子药物和其他非靶向方法的临床作用,包括Covid-19患者患者的疾病调节剂,包括皮质类固醇癌症。对这些高度脆弱的患者组进行这些治疗剂的调查,以促进这种患者群体的定制治疗方法,从而实现从预后结构域的系统性炎症的转变为治疗靶点。

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