COVID-19 and Kidney Disease: Molecular Determinants and Clinical Implications in Renal Cancer

  • Author Footnotes
    † These authors share first coauthorship.
    Meredith Mihalopoulos
    † These authors share first coauthorship.
    Department of Urology, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA
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  • Author Footnotes
    † These authors share first coauthorship.
    Navneet Dogra
    † These authors share first coauthorship.
    Department of Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Department of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY, USA
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  • Nihal Mohamed
    Department of Urology, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA
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  • Ketan Badani
    Corresponding authors. Department of Urology, Icahn School of Medicine at Mount Sinai, 6th Floor, 1425, Madison Avenue, New York, NY 10029, USA. Tel.: +1 212 639 9371; Fax: +1 212 876-3246.
    Department of Urology, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA
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  • Natasha Kyprianou
    Corresponding authors. Department of Urology, Icahn School of Medicine at Mount Sinai, 6th Floor, 1425, Madison Avenue, New York, NY 10029, USA. Tel.: +1 212 639 9371; Fax: +1 212 876-3246.
    Department of Urology, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Department of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Department of Oncological Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA
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  • Author Footnotes
    † These authors share first coauthorship.



      The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic that erupted in December 2019 has affected more than a million people from over 200 countries, claiming over 70 000 lives (by April 7, 2020). As the viral infection is driven by increased angiotensin-converting enzyme-2 (ACE2) expression, with the kidney exhibiting the highest expression, it is crucial to gain insights into the mechanisms underlying renal cell carcinoma (RCC) and coronavirus disease 2019 (COVID-19).


      This study considers up-to-date information on the biological determinants shared by COVID-19 and renal disease, and aims to provide evidence-based recommendations for the clinical management of RCC patients with COVID-19.

      Evidence acquisition

      A literature search was performed using all sources (MEDLINE, EMBASE, ScienceDirect, Cochrane Libraries, and Web of Science). As of March 31, 2020, the Center for Disease Control reported that of the adults hospitalized for COVID-19 with underlying conditions in the USA, 74.8% had chronic renal disease.

      Evidence synthesis

      Evidence is discussed from epidemiological studies on SARS-CoV-2 pandemic and molecular studies on the role of kidney in facilitating routes for SARS-CoV-2 entry, leading to increased virulence of SARS-CoV-2 and clinical manifestation of symptoms in RCC.


      This analysis will advance our understanding of (1) the molecular signatures shared by RCC and COVID-19 and (2) the clinical implications of overlapping signaling pathways in the therapeutic management of RCC and COVID-19 patients.

      Patient summary

      Amid the coronavirus disease 2019 (COVID-19) pandemic, patients diagnosed with renal cell carcinoma and infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may receive complimentary treatment modalities to enhance therapeutic response.


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