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Tocilizumab increases citrullinated histone 3 in non-ST segment elevation myocardial infarction.

Ragnhild HelsethOla KlevelandThor UelandRune WisethJan Kristian DamasKaspar BrochAnnika MichelsenBjørn BendzLars GullestadPål AukrustIngebjørg Seljeflot
Published in: Open heart (2021)
In patients with NSTEMI, treatment with tocilizumab is associated with increased circulating H3Cit levels, suggesting that tocilizumab enhances NETosis. Further studies should clarify whether NETosis is a relevant side effect of tocilizumab. Regardless of tocilizumab, dsDNA associated with TnT release, indicating a link between extracellular nuclear material and myocardial injury.
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