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

Authors :
David Beauvais
Oriane Karleskind
Severine Loridant
Remy Nyga
Marie Lamiaux
Anne-Sophie Moreau
Franck Morschhauser
Suman Mitra
Ibrahim Yakoub-Agha
Boualem Sendid
Source :
Journal of Microbiology, Immunology and Infection, Vol 54, Iss 2, Pp 327-330 (2021)
Publication Year :
2021
Publisher :
Elsevier, 2021.

Abstract

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.

Details

Language :
English
ISSN :
16841182
Volume :
54
Issue :
2
Database :
Directory of Open Access Journals
Journal :
Journal of Microbiology, Immunology and Infection
Publication Type :
Academic Journal
Accession number :
edsdoj.2a65ce551cf44b5f82905d7c384e4549
Document Type :
article
Full Text :
https://doi.org/10.1016/j.jmii.2021.02.006