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Severe COVID or Flu Tied to Higher Future Lung Cancer Risk, UVA Study Finds

Scientists report that intense respiratory infections can reprogram lung immunity in ways that later favor tumor growth.

Overview

  • An analysis of massive electronic health records, including Epic Cosmos, found a roughly 1.24-fold higher lung cancer incidence in patients previously hospitalized with COVID-19.
  • In mouse models, severe viral pneumonia sped tumor growth and increased mortality once oncogenic drivers were present, indicating infection acts as a promoter rather than a mutational cause.
  • Researchers identified a lasting epigenetic imprint in lung cells that boosted tumor‑associated neutrophils and dampened cytotoxic CD8 T cell function, creating a pro‑tumor microenvironment.
  • Prior vaccination prevented the cancer‑promoting reprogramming in animal models, and people with mild COVID did not show the increased risk, with a slight decrease reported instead.
  • The team urges enhanced surveillance after severe COVID, flu, or pneumonia—potentially including screening CT scans for high‑risk patients—and notes preclinical benefits from CXCR2 inhibition combined with PD‑L1 blockade.