SARS-CoV-2 infection and COVID-19 vaccination in cancer patients undergoing immune checkpoint inhibitors

Abstract Cancer patients are susceptible to severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). Different antitumor treatments have attracted wide attention in the context of coronavirus disease 2019 (COVID-19), especially immune checkpoint inhibitors (ICIs) that have revolutionized oncolo...

Full description

Bibliographic Details
Main Authors: Yang Yang, Gaosi Xu
Format: Article
Language:English
Published: Nature Publishing Group 2023-06-01
Series:Cell Death and Disease
Online Access:https://doi.org/10.1038/s41419-023-05922-w
_version_ 1797789526568992768
author Yang Yang
Gaosi Xu
author_facet Yang Yang
Gaosi Xu
author_sort Yang Yang
collection DOAJ
description Abstract Cancer patients are susceptible to severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). Different antitumor treatments have attracted wide attention in the context of coronavirus disease 2019 (COVID-19), especially immune checkpoint inhibitors (ICIs) that have revolutionized oncology changes. It may also have protective and therapeutic roles in viral infections. In this article, we collected 26 cases of SARS-CoV-2 infection during ICIs therapy and 13 related to COVID-19 vaccination from Pubmed, EMBASE, and Wed of Science. Of these 26 cases, 19 (73.1%) presented mild cases and 7 (26.9%) were severe cases. Melanoma (47.4%) was a common cancer type in mild cases and lung cancer (71.4%) in severe cases (P = 0.016). The results showed that their clinical outcomes varied widely. Although there are similarities between the immune checkpoint pathway and COVID-19 immunogenicity, ICIs therapy overactivated T cells, which often leads to immune-related adverse events. In fact, the COVID-19 vaccine has been shown to be safe and effective in patients treated with ICIs. In this review, we report the vital clinical observations of SARS-CoV-2 infection or vaccination in cancer patients treated with ICIs and explore the potential interaction between them.
first_indexed 2024-03-13T01:51:58Z
format Article
id doaj.art-d4f7fdde33244d199cebad7a5d01e8f2
institution Directory Open Access Journal
issn 2041-4889
language English
last_indexed 2024-03-13T01:51:58Z
publishDate 2023-06-01
publisher Nature Publishing Group
record_format Article
series Cell Death and Disease
spelling doaj.art-d4f7fdde33244d199cebad7a5d01e8f22023-07-02T11:28:12ZengNature Publishing GroupCell Death and Disease2041-48892023-06-0114611110.1038/s41419-023-05922-wSARS-CoV-2 infection and COVID-19 vaccination in cancer patients undergoing immune checkpoint inhibitorsYang Yang0Gaosi Xu1Department of Nephrology, The Second Affiliated Hospital of Nanchang UniversityDepartment of Nephrology, The Second Affiliated Hospital of Nanchang UniversityAbstract Cancer patients are susceptible to severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). Different antitumor treatments have attracted wide attention in the context of coronavirus disease 2019 (COVID-19), especially immune checkpoint inhibitors (ICIs) that have revolutionized oncology changes. It may also have protective and therapeutic roles in viral infections. In this article, we collected 26 cases of SARS-CoV-2 infection during ICIs therapy and 13 related to COVID-19 vaccination from Pubmed, EMBASE, and Wed of Science. Of these 26 cases, 19 (73.1%) presented mild cases and 7 (26.9%) were severe cases. Melanoma (47.4%) was a common cancer type in mild cases and lung cancer (71.4%) in severe cases (P = 0.016). The results showed that their clinical outcomes varied widely. Although there are similarities between the immune checkpoint pathway and COVID-19 immunogenicity, ICIs therapy overactivated T cells, which often leads to immune-related adverse events. In fact, the COVID-19 vaccine has been shown to be safe and effective in patients treated with ICIs. In this review, we report the vital clinical observations of SARS-CoV-2 infection or vaccination in cancer patients treated with ICIs and explore the potential interaction between them.https://doi.org/10.1038/s41419-023-05922-w
spellingShingle Yang Yang
Gaosi Xu
SARS-CoV-2 infection and COVID-19 vaccination in cancer patients undergoing immune checkpoint inhibitors
Cell Death and Disease
title SARS-CoV-2 infection and COVID-19 vaccination in cancer patients undergoing immune checkpoint inhibitors
title_full SARS-CoV-2 infection and COVID-19 vaccination in cancer patients undergoing immune checkpoint inhibitors
title_fullStr SARS-CoV-2 infection and COVID-19 vaccination in cancer patients undergoing immune checkpoint inhibitors
title_full_unstemmed SARS-CoV-2 infection and COVID-19 vaccination in cancer patients undergoing immune checkpoint inhibitors
title_short SARS-CoV-2 infection and COVID-19 vaccination in cancer patients undergoing immune checkpoint inhibitors
title_sort sars cov 2 infection and covid 19 vaccination in cancer patients undergoing immune checkpoint inhibitors
url https://doi.org/10.1038/s41419-023-05922-w
work_keys_str_mv AT yangyang sarscov2infectionandcovid19vaccinationincancerpatientsundergoingimmunecheckpointinhibitors
AT gaosixu sarscov2infectionandcovid19vaccinationincancerpatientsundergoingimmunecheckpointinhibitors