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. 2024 Aug 31;16(8):e68303. doi: 10.7759/cureus.68303

Table 2. Potential viral proteins triggering carcinogenesis.

ACE2: angiotensin-converting enzyme 2; TMPRSS2: transmembrane serine protease 2; ATGIIR1: angiotensin II receptor-1

Protein/ Molecule Role in Carcinogenesis Key Mechanism Relevant Cancer Types
ACE2 [65-68] Downregulation due to SARS-COV-2 infection may increase AGTII levels, promoting tumor growth via the ATGIIR1 pathway. Facilities tumorigenesis by promoting angiogenesis and cellular proliferation Lung, kidney, testicle, and small intestine cancers
TMPRSS2 [54] Degrades extracellular matrix proteins, facilitating cancer cell invasion and metastasis. Overexpressed in COVID-19 cases. Supports viral entry and possibly enhances cancer cell invasiveness  Prostate cancer, potential in other cancers through interaction with TMPRSS2
FURIN [69,70] Promotes cell proliferation, migration, invasion, and vascularization in various cancers, overexpressed in COVID-19 cases. Drives oncogenic processes, especially in KRAS and BRAF mutant colorectal cancer  Lung, head and neck, colon, gynecological cancers, sarcomas