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Case report
Tingbo Liang
Zhejiang University School of Medicine First Affiliated Hospital
Corresponding Author
Jing Zhang
Zhejiang University School of Medicine First Affiliated Hospital
Corresponding Author
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This work is licensed under a CC BY 4.0 License. Read Full License
As coronavirus disease 2019 (COVID-19) spreads worldwide, there have been few reports of infections among the cancer population, although more than six million cases have been confirmed. Here we studied a surgical specimen from a patient with colon cancer and COVID-19 and two tissue microarrays comprising 103 colorectal cancer and 108 enterocyte cases pathologically. The results showed that, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) nucleocapsid antibody was positively expressed in colon cancer tissues. Moreover, the angiotensin converting enzyme 2 (ACE2) was overexpressed in both colorectal cancer tissue microarray and tumor tissue from this patient, with a positive rate as high as 93.2%. Finally, this case of SARS-CoV-2 infection in colon cancer tumor microenvironment (TME) is a failure of immune homeostasis, due to the decrease in TIA + and Granzyme B+ (GrB) CD8 + T cell proportion and the increase in PD-1 + CD8 + T cell proportion. In summary, we speculate that these three factors may have contributed significantly to infection risk and severity in the patient.
Keywords
Coronavirus disease 2019 (COVID-19), Angiotensin converting enzyme 2 (ACE2), Tumor microenvironment (TME), Colon cancer, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
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This is a preprint. It has not completed peer review.
Case report
Tingbo Liang
Zhejiang University School of Medicine First Affiliated Hospital
Corresponding Author
Jing Zhang
Zhejiang University School of Medicine First Affiliated Hospital
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 01 Jul, 2020
Community comments: 1
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
As coronavirus disease 2019 (COVID-19) spreads worldwide, there have been few reports of infections among the cancer population, although more than six million cases have been confirmed. Here we studied a surgical specimen from a patient with colon cancer and COVID-19 and two tissue microarrays comprising 103 colorectal cancer and 108 enterocyte cases pathologically. The results showed that, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) nucleocapsid antibody was positively expressed in colon cancer tissues. Moreover, the angiotensin converting enzyme 2 (ACE2) was overexpressed in both colorectal cancer tissue microarray and tumor tissue from this patient, with a positive rate as high as 93.2%. Finally, this case of SARS-CoV-2 infection in colon cancer tumor microenvironment (TME) is a failure of immune homeostasis, due to the decrease in TIA + and Granzyme B+ (GrB) CD8 + T cell proportion and the increase in PD-1 + CD8 + T cell proportion. In summary, we speculate that these three factors may have contributed significantly to infection risk and severity in the patient.
Figure 1
Figure 2
Figure 3
Figure 4
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