Evidence map›Paper›PMID 19547701›Full record

ArticlePloS one2009

Chlamydia pneumoniae hides inside apoptotic neutrophils to silently infect and propagate in macrophages.

Jan Rupp, Lisa Pfleiderer, Christiane Jugert, Sonja Moeller, Matthias Klinger, Klaus Dalhoff, Werner Solbach, Steffen Stenger, Tamas Laskay, Ger van Zandbergen

Abstract read
In one paragraph

Article in PloS one, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed.

  1. Pathogens (Basel, Switzerland) · 2026
    Article
  2. ThemBio · 2026
    Article
  3. Review
  4. Review
  5. mBio · 2025
    Article
  6. Frontiers in immunology · 2025
    Article
  7. Review
  8. Frontiers in neuroscience · 2024
    Review
  9. Medicine and pharmacy reports · 2023
    Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. TheFrontiers in immunology · 2021
    Article
  15. Article
  16. The Role of Neutrophils in Brucellosis.Microbiology and molecular biology reviews : MMBR · 2020
    Review
  17. Article
  18. Article
  19. Review
  20. Neutrophils as Trojan Horse Vehicles forFrontiers in immunology · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jan RuppInstitute of Medical Microbiology and Hygiene, University of Luebeck, Luebeck, Germany. jan.rupp@uk-sh.de
Lisa Pfleiderer
Christiane Jugert
Sonja Moeller
Matthias Klinger
Klaus Dalhoff
Werner Solbach
Steffen Stenger
Tamas Laskay
Ger van Zandbergen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntracellular pathogens have developed elaborate strategies for silent infection of preferred host cells. Chlamydia pneumoniae is a common pathogen in acute infections of the respiratory tract (e.g. pneumonia) and associated with chronic lung sequelae in adults and children. Within the lung, alveolar macrophages and polymorph nuclear neutrophils (PMN) are the first line of defense against bacteria, but also preferred host phagocytes of chlamydiae. METHODOLOGY/PRINCIPAL

findingsWe could show that C. pneumoniae easily infect and hide inside neutrophil granulocytes until these cells become apoptotic and are subsequently taken up by macrophages. C. pneumoniae infection of macrophages via apoptotic PMN results in enhanced replicative activity of chlamydiae when compared to direct infection of macrophages, which results in persistence of the pathogen. Inhibition of the apoptotic recognition of C. pneumoniae infected PMN using PS- masking Annexin A5 significantly lowered the transmission of chlamydial infection to macrophages. Transfer of apoptotic C. pneumoniae infected PMN to macrophages resulted in an increased TGF-ss production, whereas direct infection of macrophages with chlamydiae was characterized by an enhanced TNF-alpha response. CONCLUSIONS/SIGNIFICANCE: Taken together, our data suggest that C. pneumoniae uses neutrophil granulocytes to be silently taken up by long-lived macrophages, which allows for efficient propagation and immune protection within the human host.

Indexed as

ApoptosisCell LineCell SeparationChlamydophila pneumoniaeCytokinesFlow CytometryGranulocytesHumansMacrophagesMacrophages, AlveolarModels, BiologicalNeutrophilsReverse Transcriptase Polymerase Chain ReactionCytokines

Identifiers

PMID19547701
PMCPMC2695784

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.