2017
DOI: 10.3748/wjg.v23.i48.8660
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Stricturing Crohn’s disease-like colitis in a patient treated with belatacept

Abstract: Cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4) modifying agents have been involved in the development of intestinal inflammation, especially therapeutic monoclonal antibodies directed against CTLA-4. Here we report the appearance of a severe stricturing Crohn’s disease-like colitis in a patient with a kidney allograft who was treated with belatacept, a recombinant CTLA-4-Ig fusion protein.

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Cited by 5 publications
(2 citation statements)
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“…No data regarding the impact of this treatment on the GM have been published so far. However, a recent case report relates the occurrence of severe intestinal lesions (Crohn‐like colitis) induced by belatacept 129 . The possible role of the GM in this complication needs to be explored.…”
Section: Belataceptmentioning
confidence: 99%
“…No data regarding the impact of this treatment on the GM have been published so far. However, a recent case report relates the occurrence of severe intestinal lesions (Crohn‐like colitis) induced by belatacept 129 . The possible role of the GM in this complication needs to be explored.…”
Section: Belataceptmentioning
confidence: 99%
“…3 Krummey and Cheeseman 4 demonstrated that interleukin 17-secreting T helper (Th17) cells are especially sensitive to CTLA-4 coinhibition and resistant to costimulation blockade. Psoriasis and inflammatory bowel disease, for which a belatacept-induced case has been recently reported, 5 are both Th17 mediated.…”
Section: Belatacept and Autoimmune Adverse Eventsmentioning
confidence: 99%