1. Potential role of tocilizumab in severe gastrointestinal barrier damage after CAR T-cell therapy
- Author
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Boualem Sendid, Ibrahim Yakoub-Agha, Marie Lamiaux, Suman Mitra, David Beauvais, Anne-Sophie Moreau, Rémy Nyga, Franck Morschhauser, Oriane Karleskind, Séverine Loridant, Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Institut de Pathologie [CHU Lille], Pôle de Biologie Pathologie Génétique [CHU Lille], Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille)-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Unité de Glycobiologie Structurale et Fonctionnelle UMR 8576 (UGSF), Université de Lille-Centre National de la Recherche Scientifique (CNRS), Service de Parasitologie-Mycologie [CHRU LIlle], Institut de Microbiologie [CHRU Lille], Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille)-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille)-Pôle de Biologie Pathologie Génétique [CHU Lille], Groupe de Recherche sur les formes Injectables et les Technologies Associées - ULR 7365 (GRITA), Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Miniaturisation pour la Synthèse, l’Analyse et la Protéomique - UAR 3290 (MSAP), Institute for Translational Research in Inflammation - U 1286 (INFINITE (Ex-Liric)), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), and Université de Lille, LillOA
- Subjects
0301 basic medicine ,Microbiology (medical) ,musculoskeletal diseases ,Il-6 ,[SDV]Life Sciences [q-bio] ,Antigens, CD19 ,030106 microbiology ,Chromosomal translocation ,CAR T-cell ,Antibodies, Monoclonal, Humanized ,Immunotherapy, Adoptive ,Microbiology ,03 medical and health sciences ,chemistry.chemical_compound ,tocilizumab ,0302 clinical medicine ,Tocilizumab ,Intestinal mucosa ,Sepsis ,Humans ,Immunology and Allergy ,Medicine ,030212 general & internal medicine ,Intestinal Mucosa ,Interleukin 6 ,skin and connective tissue diseases ,Aged ,General Immunology and Microbiology ,biology ,Interleukin-6 ,business.industry ,Candidiasis ,General Medicine ,Disseminated Candidiasis ,QR1-502 ,[SDV] Life Sciences [q-bio] ,Gastrointestinal Tract ,Intestines ,Infectious Diseases ,chemistry ,Immunology ,biology.protein ,Gastrointestinal barrier ,CAR T-cell therapy ,Female ,business ,Wound healing - Abstract
International audience; 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.
- Published
- 2021