key: cord-0721885-p15bdmo2 authors: Winkler, Tom; Ben-David, Uri title: Elevated expression of ACE2 in tumor-adjacent normal tissues of cancer patients date: 2020-04-25 journal: bioRxiv DOI: 10.1101/2020.04.25.061200 sha: 45adcc70de274c6ec0bb467e5bd2ffdaf5fb34b3 doc_id: 721885 cord_uid: p15bdmo2 The rapidly developing COVID-19 pandemic has raised a concern that cancer patients may have increased susceptibility to SARS-CoV-2 infection. This discussion has mostly focused on therapy-induced immune suppression. Here, we examined the expression patterns of ACE2, the receptor through which SARX-CoV2 enters human cells, and found that ACE2 mRNA levels are elevated in tumor-adjacent normal tissues of cancer patients, including in normal-adjacent lung tissues of lung cancer patients. These observations raise the possibility that the elevated COVID-19 risk of cancer patients may not be limited to those undergoing immune-suppressing treatment. The recent outbreak of a novel betacoronavirus known as severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) has raised the concern that cancer patients might be particularly susceptible to infection by this virus 1 Cancer guidelines during the COVID-19 pandemic Gateways to the FANTOM5 promoter level mammalian expression atlas A precisely regulated gene expression cassette potently modulates metastasis and survival in multiple solid cancers Identification of a novel biomarker, SEMA5A, for non-small cell lung carcinoma in nonsmoking women Genome-scale analysis of DNA methylation in lung adenocarcinoma and integration with mRNA expression An expression signature as an aid to the histologic classification of nonsmall cell lung cancer