Potential role of tocilizumab in severe gastrointestinal barrier damage after CAR T-cell therapy

We report a septicemia and disseminated candidiasis due to delayed gastrointestinal mucosae repair in a patient treated with tocilizumab after anti-CD19 CAR T-cell therapy. Tocilizumab could have inhibited intestinal tissue repair and furthered bacteria translocation leading to the invasion of intes...

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Veröffentlicht in:Journal of microbiology, immunology and infection immunology and infection, 2021-04, Vol.54 (2), p.327-330
Hauptverfasser: Beauvais, David, Karleskind, Oriane, Loridant, Severine, Nyga, Remy, Lamiaux, Marie, Moreau, Anne-Sophie, Morschhauser, Franck, Mitra, Suman, Yakoub-Agha, Ibrahim, Sendid, Boualem
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Sprache:eng
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Zusammenfassung:We report a septicemia and disseminated candidiasis due to delayed gastrointestinal mucosae repair in a patient treated with tocilizumab after anti-CD19 CAR T-cell therapy. Tocilizumab could have inhibited intestinal tissue repair and furthered bacteria translocation leading to the invasion of intestinal mucosa by yeasts as IL-6 is known to be involved in mucosal wound healing.
ISSN:1684-1182
1995-9133
1995-9133
DOI:10.1016/j.jmii.2021.02.006