» Articles » PMID: 30455235

Examination of Fluconazole-Induced Alopecia in an Animal Model and Human Cohort

Abstract

Fluconazole-induced alopecia is a significant problem for patients receiving long-term therapy. We evaluated the hair cycle changes of fluconazole in a rat model and investigated potential molecular mechanisms. Plasma and tissue levels of retinoic acid were not found to be causal. Human patients with alopecia attributed to fluconazole also underwent detailed assessment and in both our murine model and human cohort fluconazole induced telogen effluvium. Future work further examining the mechanism of fluconazole-induced alopecia should be undertaken.

Citing Articles

Chronic paronychia associated with fluconazole use in two pediatric patients with coccidioidomycosis.

Price N, Cormack E, Matthias K, Shehab K IDCases. 2024; 37:e02026.

PMID: 39045033 PMC: 11265586. DOI: 10.1016/j.idcr.2024.e02026.


Challenges Facing Antimicrobial Stewardship Programs in the Endemic Region for Coccidioidomycosis.

Hayes J, Nix D Open Forum Infect Dis. 2024; 11(6):ofae041.

PMID: 38887479 PMC: 11181196. DOI: 10.1093/ofid/ofae041.


Novel antifungals and treatment approaches to tackle resistance and improve outcomes of invasive fungal disease.

Hoenigl M, Arastehfar A, Arendrup M, Bruggemann R, Carvalho A, Chiller T Clin Microbiol Rev. 2024; 37(2):e0007423.

PMID: 38602408 PMC: 11237431. DOI: 10.1128/cmr.00074-23.


Experience of Isavuconazole as a Salvage Therapy in Chronic Pulmonary Fungal Disease.

Nwankwo L, Gilmartin D, Matharu S, Nuh A, Donovan J, Armstrong-James D J Fungi (Basel). 2022; 8(4).

PMID: 35448593 PMC: 9029347. DOI: 10.3390/jof8040362.


Aspiring Antifungals: Review of Current Antifungal Pipeline Developments.

Gintjee T, Donnelley M, Thompson 3rd G J Fungi (Basel). 2020; 6(1).

PMID: 32106450 PMC: 7151215. DOI: 10.3390/jof6010028.

References
1.
Thatcher J, Buttrick B, Shaffer S, Shimshoni J, Goodlett D, Nelson W . Substrate specificity and ligand interactions of CYP26A1, the human liver retinoic acid hydroxylase. Mol Pharmacol. 2011; 80(2):228-39. PMC: 3141886. DOI: 10.1124/mol.111.072413. View

2.
Topletz A, Thatcher J, Zelter A, Lutz J, Tay S, Nelson W . Comparison of the function and expression of CYP26A1 and CYP26B1, the two retinoic acid hydroxylases. Biochem Pharmacol. 2011; 83(1):149-63. PMC: 3229621. DOI: 10.1016/j.bcp.2011.10.007. View

3.
Eppenberger U, Hsia S . Binding of steroid hormones by the 105,00 x g supernatant fraction from homogenates of rat skin and variations during the hair cycle. J Biol Chem. 1972; 247(17):5463-9. View

4.
Foitzik K, Spexard T, Nakamura M, Halsner U, Paus R . Towards dissecting the pathogenesis of retinoid-induced hair loss: all-trans retinoic acid induces premature hair follicle regression (catagen) by upregulation of transforming growth factor-beta2 in the dermal papilla. J Invest Dermatol. 2005; 124(6):1119-26. DOI: 10.1111/j.0022-202X.2005.23686.x. View

5.
Lee J, Newman R, Lippman S, Fossella F, Calayag M, Raber M . Phase I evaluation of all-trans retinoic acid with and without ketoconazole in adults with solid tumors. J Clin Oncol. 1995; 13(6):1501-8. DOI: 10.1200/JCO.1995.13.6.1501. View