%0 Journal Article %T Evaluating tocilizumab safety and immunomodulatory effects under ocular HTLV-1 infection in vitro. %A Zhang J %A Kamoi K %A Zong Y %A Yang M %A Zou Y %A Ohno-Matsui K %J Int Immunopharmacol %V 137 %N 0 %D 2024 Jun 21 %M 38908082 %F 5.714 %R 10.1016/j.intimp.2024.112460 %X There is growing interest in evaluating the safety and therapeutic potential of existing treatments such as tocilizumab (TCZ), an IL-6 receptor antagonist used to treat inflammatory diseases. However, there have been reports of increased inflammation in patients with HTLV-1 uveitis after TCZ treatment, and its ocular safety in the HTLV-1 infected state remains unknown. This study focused on assessing the impact of TCZ on HTLV-1-infected ocular cells using an in vitro model in which retinal pigment epithelial cells were cocultured with irradiated HTLV-1-infected T-cell lines. TCZ did not significantly affect cellular viability, inflammatory markers, or HTLV-1 proviral loads at various concentrations (25/50/100 µg/ml), indicating no increased risk of HTLV-1 viral infection and no exacerbation of the inflammatory aspects of HTLV-1 infection in the ocular cells. These promising results support the potential of TCZ as a safe treatment option for HTLV-1-infected patients, particularly those with eye infections.