Methylprednisolone enhances the growth of Exserohilum rostratum in vitro, attenuates spontaneous apoptosis, and increases mortality rates in immunocompetent Drosophila flies.

High concentrations of methylprednisolone (0.32 mg/mL) accelerated growth and attenuated spontaneous apoptosis of Exserohilum rostratum in vitro. Injection of E. rostratum conidia preexposed to 0.32 mg/mL of methylprednisolone for 7 days in immunocompetent flies led to increased mortality and a higher fungal burden. Exposure to methylprednisolone could enhance the virulence of E. rostratum.

[1]  D. Kontoyiannis,et al.  Exserohilum infections: review of 48 cases before the 2012 United States outbreak. , 2014, Medical mycology.

[2]  D. Kontoyiannis,et al.  What Can We Learn and What Do We Need to Know amidst the Iatrogenic Outbreak of Exserohilum Rostratum Meningitis? Virulence Factors and Central Nervous System Infection , 2022 .

[3]  W. Shieh,et al.  Exserohilum infections associated with contaminated steroid injections: a clinicopathologic review of 40 cases. , 2013, The American journal of pathology.

[4]  T. Patterson,et al.  Fungal infections associated with contaminated methylprednisolone injections. , 2013, The New England journal of medicine.

[5]  L. Halasyamani,et al.  Magnetic resonance imaging screening to identify spinal and paraspinal infections associated with injections of contaminated methylprednisolone acetate. , 2013, JAMA.

[6]  D. Kontoyiannis,et al.  Mitochondrial Respiratory Pathways Inhibition in Rhizopus oryzae Potentiates Activity of Posaconazole and Itraconazole via Apoptosis , 2013, PloS one.

[7]  M. Kainer,et al.  Fungal infections associated with contaminated methylprednisolone in Tennessee. , 2012, The New England journal of medicine.

[8]  G. Halder,et al.  Drosophila melanogaster as a model host to dissect the immunopathogenesis of zygomycosis , 2008, Proceedings of the National Academy of Sciences.

[9]  D. Murphy,et al.  US Food and Drug Administration approval of ciprofloxacin hydrochloride for management of postexposure inhalational anthrax. , 2004, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[10]  D. Kontoyiannis,et al.  Glucocorticoids and invasive fungal infections , 2003, The Lancet.

[11]  G. Robson,et al.  Hydrocortisone-enhanced growth of Aspergillus spp.: implications for pathogenesis. , 1994, Microbiology.

[12]  T. Walsh,et al.  A Real-Time PCR Assay for Rapid Detection and Quantification of Exserohilum , 2013 .

[13]  S. Abram Safety Assessment and Pharmacokinetics of Intrathecal Methylprednisolone Acetate in Dogs , 2012 .

[14]  D. Kontoyiannis,et al.  Role of mini-host models in the study of medically important fungi. , 2007, The Lancet. Infectious diseases.

[15]  M. Arduino,et al.  Exophiala infection from contaminated injectable steroids prepared by a compounding pharmacy--United States, July-November 2002. , 2002, MMWR. Morbidity and mortality weekly report.