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Dai MY, Liu DB, Liu M, Zhou FX, Li GL, Chen Z, Zhang ZA, Md HY, Wu M, Zheng QC, Xiong Y, Xiong HH, Wang C, Chen CC, Xiong F, Zhang Y, Peng YQ, Ge SP, Zhen B, Yu TT, Wang L, Wang H, Liu Y, Chen YS, Mei JH, Gao XJ, Li ZY, Gan LJ, He C, Li Z, Shi YY, Qi YW, Yang J, Tenen DG, Chai L, Mucci LA, Santillana M, Cai H. Abstract CT406: Patients with cancer appear more vulnerable to SARS-COV-2: A multi-center study during the COVID-19 outbreak. Cancer Res 2020. [DOI: 10.1158/1538-7445.am2020-ct406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
The novel COVID-19 outbreak has affected more than 200 countries and territories as of March 2020. Given that patients with cancer are generally more vulnerable to infections, systematic analysis of diverse cohorts of patients with cancer affected by COVID-19 are needed. We performed a multi-center study including 105 cancer patients and 536 age-matched non-cancer patients confirmed with COVID-19. Our results showed COVID-19 patients with cancer had higher risks in all severe outcomes. Patients with hematological cancer, lung cancer, or with metastatic cancer (stage IV) had the highest frequency of severe events. Non-metastatic cancer patients experienced similar frequencies of severe conditions to those observed in patients without cancer. Patients who received surgery had higher risks of having severe events, while patients with only radiotherapy did not demonstrate significant differences in severe events when compared to patients without cancer. These findings indicate that cancer patients appear more vulnerable to SARS-COV-2 outbreak. Since this is the first large cohort study on this topic, our report will provide the much-needed information that will benefit global cancer patients. As such, we believe it is extremely important that our study be disseminated widely to alert clinicians and patients.
Citation Format: Meng-Yuan Dai, Dian-bo Liu, Miao Liu, Fu-Xiang Zhou, Gui-Ling Li, Zhen Chen, Zhi-An Zhang, Hua-You Md, Meng Wu, Qi-Chao Zheng, Yong Xiong, Hui-Hua Xiong, Chun Wang, Chang-Chun Chen, Fei Xiong, Yan Zhang, Ya-Qin Peng, Si-Ping Ge, Bo Zhen, Ting-Ting Yu, Ling Wang, Hua Wang, Yu Liu, Ye-Shan Chen, Jun-Hua Mei, Xiao-Jia Gao, Zhu-Yan Li, Li-Juan Gan, Can He, Zhen Li, Yu-Ying Shi, Yu-Wen Qi, Jing Yang, Daniel G. Tenen, Li Chai, Lorelei Ann Mucci, Mauricio Santillana, Hongbing Cai. Patients with cancer appear more vulnerable to SARS-COV-2: A multi-center study during the COVID-19 outbreak [abstract]. In: Proceedings of the Annual Meeting of the American Association for Cancer Research 2020; 2020 Apr 27-28 and Jun 22-24. Philadelphia (PA): AACR; Cancer Res 2020;80(16 Suppl):Abstract nr CT406.
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Affiliation(s)
- Meng-Yuan Dai
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Dian-bo Liu
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Miao Liu
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Fu-Xiang Zhou
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Gui-Ling Li
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Zhen Chen
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Zhi-An Zhang
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Hua-You Md
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Meng Wu
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Qi-Chao Zheng
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Yong Xiong
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Hui-Hua Xiong
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Chun Wang
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Chang-Chun Chen
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Fei Xiong
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Yan Zhang
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Ya-Qin Peng
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Si-Ping Ge
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Bo Zhen
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Ting-Ting Yu
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Ling Wang
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Hua Wang
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Yu Liu
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Ye-Shan Chen
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Jun-Hua Mei
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Xiao-Jia Gao
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Zhu-Yan Li
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Li-Juan Gan
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Can He
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Zhen Li
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Yu-Ying Shi
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Yu-Wen Qi
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Jing Yang
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Daniel G. Tenen
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Li Chai
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Lorelei Ann Mucci
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Mauricio Santillana
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
| | - Hongbing Cai
- Zhongnan Hospital of Wuhan University, Wuhan, China, Boston Children’s Hospital, Boston, MA, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China, Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Wuhan affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China, The Central Hospital of Huanggang, Wuhan, China, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Wuhan, China, Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology of Science and Technology, Wuhan, China, Hubei Cancer Hospital, Wuhan, China, Renmin Hospital of Wuhan University, Wuhan, China, Wuhan Puren Hospital, Wuhan, China, The Central Hospital of Xianning, Wuhan, China, The Central Hospital of Xiaogan, Wuhan, China, The People's Hospital of Huangmei, Wuhan, China, Xia
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