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Methylprednisolone impairs conidial phagocytosis but does not attenuate hyphal damage by neutrophils against Exserohilum rostratum.

TitleMethylprednisolone impairs conidial phagocytosis but does not attenuate hyphal damage by neutrophils against Exserohilum rostratum.
Publication TypeJournal Article
Year of Publication2015
AuthorsSimitsopoulou, M., Walsh T. J., Kyrpitzi D., Petraitis V., Kontoyiannis D. P., Perlin D. S., & Roilides E.
JournalMed Mycol
Volume53
Issue2
Pagination189-93
Date Published2015 Feb 1
ISSN1460-2709
KeywordsAscomycota, Cells, Cultured, Humans, Hyphae, Methylprednisolone, Neutrophils, Phagocytosis, Spores, Fungal
Abstract

Exserohilum rostratum caused a multistate fungal meningitis outbreak following iatrogenic inoculation of contaminated methylprednisolone in the United States. To gain insight into the immunopathogenesis of this infection, we studied the innate host responses of human neutrophils against E. rostratum conidia and hyphae with or without methylprednisolone. The neutrophil-induced percentage fungal damage against conidia and hyphae was effector-to-target ratio dependent (≤55%). While methylprednisolone did not affect neutrophil-induced fungal damage by treatment of Exserohilum or neutrophils, it compromised phagocytosis of conidia (P < 0.05). These findings suggest that methylprednisolone-treated neutrophils may have altered phagocytic clearance of Exserohilum conidia, reducing host capacity to contain the invasive process.

DOI10.1093/mmy/myu034
Alternate JournalMed. Mycol.
PubMed ID25056961

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