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

J Microbiol Immunol Infect

Univ. Lille, Inserm U1285, CNRS UMR 8576 - UGSF - Unité de Glycobiologie Structurale et Fonctionnelle, F-59000 Lille, France; CHU Lille, Service de Parasitologie Mycologie, F-59037 Lille, France.

Published: April 2021

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.

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Source
http://dx.doi.org/10.1016/j.jmii.2021.02.006DOI Listing

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