The Impact of COVID-19 on Cancer Recurrence: A Narrative Review

Arch Iran Med. 2022 Jul 1;25(7):450-455. doi: 10.34172/aim.2022.74.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) continues to be a worldwide healthcare problem. While our knowledge of the interaction of cancer and its management with COVID-19 mortality is gradually evolving, there are still many unanswered questions regarding the impact of COVID-19 on cancer and its prognosis. Several factors activated during COVID-19 have been implicated in tumorigenesis and the development of metastasis. Inflammation, hypoxia, reduced levels of angiotensin converting enzyme 2, elevated levels of Interleukin 6 and some other cytokines that are hallmarks of COVID-19 are capable of inducing tumor relapse and metastasis. On the other hand, there are reports that COVID-19 has been associated with cancer cure. Understanding the interaction between COVID-19 and tumor cells is essential for evaluating the potential long-term risks of COVID-19 in cancer patients, and for scheduling necessary preventive and therapeutic interventions. In this review, we briefly overview the potential impacts that COVID-19 might have on tumorigenesis and cancer relapse, as well as the role that COVID-19 might play in cancer remission and cure.

Keywords: Angiotensin converting enzyme; COVID-19; Cancer; Dormant cancer cells; Inflammation; Interleukins; Metastasis; Neutrophil extracellular traps; Recurrence.

Publication types

  • Review

MeSH terms

  • COVID-19*
  • Carcinogenesis*
  • Humans
  • Recurrence
  • SARS-CoV-2