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                                       INNOSC Theranostics and Pharmacological Sciences 2023 Vol. 6 (No. 1) pp: 15-21





                                     INNOSC Theranostics and Pharmacological Sciences


                                               Journal homepage: https://accscience.com/journal/ITPS



                                                                                                 REVIEW ARTICLE
           Impact of COVID-19 Pandemic on Cancer Patients with Pulmonary

           Fibrosis on Chemosurveillance



           Kiran R. Dudhat*

           Department of Pharmaceutics, School of Pharmacy, RK University, Kasturbadham, Rajkot, Gujarat, India
           *Corresponding Author: Kiran Rameshbhai Dudhat, Email: kichupatel@gmail.com
           Received: November 8, 2022; Accepted: March 21, 2023; Published: April 3, 2023 DOI: 10.36922/itps.252
           Copyright: Author(s). This is an open-access article distributed under the terms of the Attribution Non-Commercial 4.0 International
           4.0 (CC BY-NC 4.0), which permits all non-commercial use, distribution, and reproduction in any medium, provided the original
           work is properly cited.

           Abstract:

           COVID-19 infection and multiplication can be regulated with the aid of vaccines, immunosurveillance, and antiviral medications,
           such interferon and nucleoside analogs. The main concern with COVID-19 infection is the proliferation of the virus. However,
           there is no medication to treat pulmonary fibrosis, a life-threatening condition, once it has manifested. To treat critically ill patients
           with cancer and pulmonary fibrosis, it is imperative to develop cell differentiation agent (CDA) formulations that can kill cancer
           stem cells. Chemosurveillance for cancer patients no longer functions as intended. As a result, people with cancer are more likely
           to experience severe symptoms of pulmonary fibrosis. The harm to chemosurveillance caused by cancer treatments that focus on
           cell death, such as cytotoxic drugs, radiation, and immunotherapy, may gravely accelerate the development of fatal pulmonary
           fibrosis. To prevent the development of fatal pulmonary fibrosis symptoms, cancer patients should be advised against contracting
           COVID-19, but, if they do, targeted therapy should be their first choice. The purpose of this study was to highlight the significance
           of chemosurveillance in determining when fatal pulmonary fibrosis manifests after COVID-19 infection in cancer patients and
           to conceptualize CDA formulations that can be used to treat both pulmonary fibrosis and cancer. COVID-19 infection causes
           biological and immunological reactions that are similar to those of a wound, leading to the production of prostaglandins and tumor
           necrosis factor, which cause respiratory illness symptoms, such as fever and cough, and cachexia symptoms, respectively. This
           results in the breakdown of chemosurveillance, a natural defense mechanism that ensures optimal wound healing, thus further
           promoting the development of cancer and pulmonary fibrosis.

           Keywords: Cancer, COVID-19, Cell differentiation agent formulations, Chemosurveillance, Pulmonary fibrosis, Wound healing

           1. Introduction                                      vaccinations significantly slowed the spread of the
                                                                pandemic. However, the rapid development of viral
           In  December  2019,  the  COVID-19 pandemic          variations  has led  to  the  COVID-19 pandemic’s
           began in China and swiftly spread to other nations,   incessant spread in successive waves [2].
           resulting in 6.34 million confirmed deaths and 571      Immunosurveillance, vaccinations and antiviral
           million  confirmed  cases  worldwide  as  of August   medications  such as interferon and nucleoside
           2022 [1,2]. Most individuals suffered either directly   analogues can all slow the growth of COVID-19.
           from infection or indirectly as a result of restrictions   Lung  fibrosis,  as  the  primary  cause  of  death
           on public gatherings.  The COVID-19  infection       from COVID-19  infection, is not yet treatable
           may result in deadly pulmonary fibrosis and severe   with  medication.  If  pulmonary  fibrosis  can
           acute respiratory syndrome [3]. The development of   be successfully treated,  COVID-19 might  not


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