Wuhan strain of SARS-CoV-2 triggers activation of immune evasion machinery similar to the one operated by cancer cells

In the last 2 years, there has been an increasing concern that SARS-CoV-2 infection may represent a marker of undiagnosed cancers. A potential connection between COVID-19/long COVID and malignant transformation/cancer progression was reported in a number of studies. It is, however, unclear if the vi...

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Main Authors: Maryam Abooali, Inna M. Yasinska, Gauri Thapa, Xi Lei, Kelly A. S. da Costa, Stephanie Schlichtner, Steffen M. Berger, Elizaveta Fasler-Kan, Nigel J. Temperton, Romina Vuono, Vadim V. Sumbayev
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1599352/full
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author Maryam Abooali
Inna M. Yasinska
Gauri Thapa
Xi Lei
Kelly A. S. da Costa
Stephanie Schlichtner
Stephanie Schlichtner
Stephanie Schlichtner
Steffen M. Berger
Elizaveta Fasler-Kan
Nigel J. Temperton
Romina Vuono
Vadim V. Sumbayev
author_facet Maryam Abooali
Inna M. Yasinska
Gauri Thapa
Xi Lei
Kelly A. S. da Costa
Stephanie Schlichtner
Stephanie Schlichtner
Stephanie Schlichtner
Steffen M. Berger
Elizaveta Fasler-Kan
Nigel J. Temperton
Romina Vuono
Vadim V. Sumbayev
author_sort Maryam Abooali
collection DOAJ
description In the last 2 years, there has been an increasing concern that SARS-CoV-2 infection may represent a marker of undiagnosed cancers. A potential connection between COVID-19/long COVID and malignant transformation/cancer progression was reported in a number of studies. It is, however, unclear if the virus itself can cause malignant transformation or if it has a potential to support malignant processes in human body. We analyzed nasopharyngeal swabs collected from individuals infected with Wuhan strain of SARS-CoV-2 and conducted in vitro studies using BEAS-2B human bronchial epithelial cells. Here we report that Wuhan strain of SARS-CoV-2 and its spike protein induce activation of hypoxia-inducible factor 1 (HIF-1) transcription complex in infected cells. This effect is achieved through conversion of cellular 2-oxoglutarate into 2-hydroxy-glutarate, which most likely blocks the activity of HIF-1α prolyl hydroxylation. As such, it leads to activation of HIF-1, which triggers production of transforming growth factor–β type 1 (TGF-β). TGF-β induces expression of immune checkpoint proteins, such as galectin-9, programmed death-ligand 1, and indoleamine-2,3-dioxygenase, an enzyme, which is involved in production of immunosuppressive amino acid called L-kynurenine. These immune checkpoint pathways were capable of suppressing both helper and cytotoxic activities of T lymphocytes and, as such, could potentially support malignant processes in infected tissues.
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publisher Frontiers Media S.A.
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spelling doaj-art-aaed9dd9967a413dbe108126cf4263e92025-08-20T03:22:03ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-06-011610.3389/fimmu.2025.15993521599352Wuhan strain of SARS-CoV-2 triggers activation of immune evasion machinery similar to the one operated by cancer cellsMaryam Abooali0Inna M. Yasinska1Gauri Thapa2Xi Lei3Kelly A. S. da Costa4Stephanie Schlichtner5Stephanie Schlichtner6Stephanie Schlichtner7Steffen M. Berger8Elizaveta Fasler-Kan9Nigel J. Temperton10Romina Vuono11Vadim V. Sumbayev12Medway School of Pharmacy, Universities of Kent and Greenwich, Chatham, United KingdomMedway School of Pharmacy, Universities of Kent and Greenwich, Chatham, United KingdomMedway School of Pharmacy, Universities of Kent and Greenwich, Chatham, United KingdomMedway School of Pharmacy, Universities of Kent and Greenwich, Chatham, United KingdomMedway School of Pharmacy, Universities of Kent and Greenwich, Chatham, United KingdomDKFZ-Hector Cancer Institute at the University Medical Center Mannheim, Mannheim, GermanyDivision of Personalized Medical Oncology (A420), German Cancer Research Center (DKFZ), Heidelberg, GermanyDepartment of Personalized Oncology, University Hospital Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, GermanyDepartment of Pediatric Surgery, Children’s Hospital, Inselspital Bern, University of Bern and Department of Biomedical Research, University of Bern, Bern, SwitzerlandDepartment of Pediatric Surgery, Children’s Hospital, Inselspital Bern, University of Bern and Department of Biomedical Research, University of Bern, Bern, SwitzerlandMedway School of Pharmacy, Universities of Kent and Greenwich, Chatham, United KingdomMedway School of Pharmacy, Universities of Kent and Greenwich, Chatham, United KingdomMedway School of Pharmacy, Universities of Kent and Greenwich, Chatham, United KingdomIn the last 2 years, there has been an increasing concern that SARS-CoV-2 infection may represent a marker of undiagnosed cancers. A potential connection between COVID-19/long COVID and malignant transformation/cancer progression was reported in a number of studies. It is, however, unclear if the virus itself can cause malignant transformation or if it has a potential to support malignant processes in human body. We analyzed nasopharyngeal swabs collected from individuals infected with Wuhan strain of SARS-CoV-2 and conducted in vitro studies using BEAS-2B human bronchial epithelial cells. Here we report that Wuhan strain of SARS-CoV-2 and its spike protein induce activation of hypoxia-inducible factor 1 (HIF-1) transcription complex in infected cells. This effect is achieved through conversion of cellular 2-oxoglutarate into 2-hydroxy-glutarate, which most likely blocks the activity of HIF-1α prolyl hydroxylation. As such, it leads to activation of HIF-1, which triggers production of transforming growth factor–β type 1 (TGF-β). TGF-β induces expression of immune checkpoint proteins, such as galectin-9, programmed death-ligand 1, and indoleamine-2,3-dioxygenase, an enzyme, which is involved in production of immunosuppressive amino acid called L-kynurenine. These immune checkpoint pathways were capable of suppressing both helper and cytotoxic activities of T lymphocytes and, as such, could potentially support malignant processes in infected tissues.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1599352/fullSARS-CoV-2COVID-19cancerimmune checkpointsimmune evasion
spellingShingle Maryam Abooali
Inna M. Yasinska
Gauri Thapa
Xi Lei
Kelly A. S. da Costa
Stephanie Schlichtner
Stephanie Schlichtner
Stephanie Schlichtner
Steffen M. Berger
Elizaveta Fasler-Kan
Nigel J. Temperton
Romina Vuono
Vadim V. Sumbayev
Wuhan strain of SARS-CoV-2 triggers activation of immune evasion machinery similar to the one operated by cancer cells
Frontiers in Immunology
SARS-CoV-2
COVID-19
cancer
immune checkpoints
immune evasion
title Wuhan strain of SARS-CoV-2 triggers activation of immune evasion machinery similar to the one operated by cancer cells
title_full Wuhan strain of SARS-CoV-2 triggers activation of immune evasion machinery similar to the one operated by cancer cells
title_fullStr Wuhan strain of SARS-CoV-2 triggers activation of immune evasion machinery similar to the one operated by cancer cells
title_full_unstemmed Wuhan strain of SARS-CoV-2 triggers activation of immune evasion machinery similar to the one operated by cancer cells
title_short Wuhan strain of SARS-CoV-2 triggers activation of immune evasion machinery similar to the one operated by cancer cells
title_sort wuhan strain of sars cov 2 triggers activation of immune evasion machinery similar to the one operated by cancer cells
topic SARS-CoV-2
COVID-19
cancer
immune checkpoints
immune evasion
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1599352/full
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