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COVID-19 对癌症患者治疗和预后的影响

英文原题:The impact of COVID-19 on the treatment and prognosis of cancer patients.

查看英文原题

The impact of COVID-19 on the treatment and prognosis of cancer patients.

PubMed 2025/11/19(内容时间) Int J Surg Q1 · IF 9(JCR 2025)

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中文摘要

自2019年底出现以来,coronavirus disease 2019(COVID-19)迅速演变为全球公共卫生紧急事件,对全球个人健康和医疗体系产生了广泛影响。尽管全球卫生系统为应对这一问题做出了努力,但COVID-19大流行暴露了这些系统的弱点,并引发了对新型病毒性疾病防控策略的深刻反思。本综述聚焦于COVID-19如何影响癌症治疗和预后,并深入探讨该病毒对免疫系统特别是免疫细胞和细胞因子的影响。研究表明,COVID-19感染不仅增加了癌症患者的治疗复杂性,还通过干扰免疫应答机制影响其预后。它导致T细胞、B细胞和natural killer cells(NK cells)等免疫细胞数量和功能下降,这可能削弱抗肿瘤免疫应答并促进肿瘤进展。

此外,COVID-19引发了细胞因子风暴,导致炎症因子大量释放,进一步加剧免疫系统功能障碍。然而,本综述也发现了潜在的益处。例如,COVID-19疫苗接种可能已在人体中启动了抗肿瘤免疫应答,为癌症治疗提供了新途径。

此外,研究COVID-19感染的机制可产生有价值的知识,指导创新性抗肿瘤疗法的开发。总之,COVID-19对癌症治疗和预后产生了多方面且深远的影响。通过深入研究病毒对免疫系统的影响并开发新的抗肿瘤治疗方法,我们更有机会应对这一挑战,提高癌症患者的生存率和生活质量。

然而,由于时间限制,本研究缺乏长期研究数据来更好地证实COVID-19会恶化癌症患者的预后。展望未来,开展长期队列研究和分层研究(基于癌症类型、分期等)可以产生更有价值的临床数据。

展开英文摘要原文

Since emerging in late 2019, coronavirus disease 2019 (COVID-19) has swiftly turned into a global public health emergency, exerting extensive influences on personal well-being and healthcare setups across the globe. In spite of the endeavors made by global health systems to tackle this issue, the COVID-19 pandemic has laid bare the weaknesses of these systems and spurred profound reflection on strategies for preventing and controlling novel viral diseases.

This review focuses on how COVID-19 impacts cancer treatment and prognosis and delves into the virus's effect on the immune system particularly immune cells and cytokines. Research indicates that a COVID-19 infection not only heightens the treatment complexity for cancer patients but also impacts their prognosis by interfering with the immune response mechanism.

It leads to a decrease in the number and function of immune cells such as T cells, B cells, and natural killer cells (NK cells), which may weaken the anti-tumor immune response and promote tumor progression.

Additionally, COVID-19 has triggered a cytokine storm, causing a massive release of inflammatory factors and further exacerbating immune system dysfunction.

However, the review also identified potential benefits. For instance, COVID-19 vaccination may have initiated anti-tumor immune responses in humans, presenting novel avenues for cancer treatment.

Additionally, investigating the mechanisms behind COVID-19 infection yields valuable knowledge that can guide the development of innovative anti-tumor therapies.

In conclusion, COVID-19 has had a multifaceted and profound effect on cancer treatment and prognosis. By thoroughly investigating the virus's impact on the immune system and developing new anti-tumor treatments, we stand a better chance of addressing this challenge and improving cancer patients' survival rates and quality of life.

However, due to time constraints, this study lacks long-term research data to better substantiate that COVID-19 can worsen the prognosis of cancer patients. Looking ahead, conducting long-term cohort studies and stratified research (based on cancer type, stage, etc.) can yield more valuable clinical data.

论文信息

作者
Liao K、Fu Z、Gao J、Guo S、Wen J、Ai K、Fu Y、Liu Z
单位
Department of Clinical Laboratory, The 2nd Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.China
期刊
International journal of surgery (London, England)2025 Nov 19
原文标识
PubMed 41717685 · DOI 10.1097/JS9.0000000000004053