2020
DOI: 10.1007/s12032-020-01376-8
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Lymphopenia that may develop in patients treated with temozolomide and immune control check-point inhibitor may be a high risk for mortality during the COVID-19 outbreak

Abstract: As we know more about the clinical and laboratory features of COVID-19, which is now accepted as a pandemic, many questions have been raised about how to manage and monitor the treatment of cancer patients. It was determined that the incidence of lymphopenia increased in COVID-19 and there was a significant relationship between lymphopenia and mortality. This can be thought of as an unresponsive problem in how to maintain anti-cancer drugs that cause lymphopenia. This article was written for a hypothetical app… Show more

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Cited by 6 publications
(4 citation statements)
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“…This is followed by a late stimulation of respiratory DCs to the lymph nodes chain with an insufficient virus-specific T cell response [ 45 ]. In patients infected with SARS-CoV-2, there is a start of lymphopenia, and the lymphocyte count is an estimate of disease danger and death-rate [ 46 ]. Lymphocyte levels recover with viral removal and the control of the disease, along with adaptive immune cells (CD3+ T cells) exist particularly significant [ 47 ].…”
Section: Discussionmentioning
confidence: 99%
“…This is followed by a late stimulation of respiratory DCs to the lymph nodes chain with an insufficient virus-specific T cell response [ 45 ]. In patients infected with SARS-CoV-2, there is a start of lymphopenia, and the lymphocyte count is an estimate of disease danger and death-rate [ 46 ]. Lymphocyte levels recover with viral removal and the control of the disease, along with adaptive immune cells (CD3+ T cells) exist particularly significant [ 47 ].…”
Section: Discussionmentioning
confidence: 99%
“…28 Lymphopenia is associated with an increased risk of opportunistic infections (a significant implication during the present pandemic), and worse oncologic outcomes due to the lymphocytes' essential roles within the anti-tumor immune response. 29,30 Finally, the present times may represent a boost for further investigation regarding IL-6 targeting in cancer patients.…”
Section: F I G U R Ementioning
confidence: 93%
“…Moreover, this treatment‐induced pro‐inflammatory microenvironment could lead to lymphocyte deficiency 28 . Lymphopenia is associated with an increased risk of opportunistic infections (a significant implication during the present pandemic), and worse oncologic outcomes due to the lymphocytes' essential roles within the anti‐tumor immune response 29,30 …”
Section: Cancer and Il‐6mentioning
confidence: 99%
“…While the efficacy of mRNA vaccines for SARS-CoV-2 was not affected by the immunosuppression in cancer patients, the relationship between ICI and humoral response to mRNA vaccines in cancer patients needs to be investigated [18]. The lymphopenia occurs in treatment with temozolomide, ICIs, or other anti-cancer drugs, which may negatively affect the mortality with COVID-19 [19]. As COVID-19 affects global concern, many cancer drugs including monoclonal antibodies, antibody-drug conjugates, CAR-T cell therapies, and ICIs have been approved in the COVID-19 pandemic [20].…”
Section: Icis and Covid-19mentioning
confidence: 99%