Evidence map›Paper›PMID 19552640›Full record

ArticleClinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology2009

A low dose of Mycoplasma pneumoniae infection enhances an established allergic inflammation in mice: the role of the prostaglandin E2 pathway.

Q Wu, R J Martin, S LaFasto, H W Chu

Abstract read
In one paragraph

Article in Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Glycyrrhizin alleviatesJournal of thoracic disease · 2026
    Article
  2. Article
  3. Immune dysregulation inFrontiers in immunology · 2026
    Review
  4. Article
  5. Review
  6. Helicobacter pylori infection increases the risk of adult-onset asthma: a nationwide cohort study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2017
    Article
  7. Article
  8. Article
  9. Article
  10. Mycoplasma pneumoniae in children with acute and refractory asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2013
    Article
  11. Review
  12. SPLUNC1 deficiency enhances airway eosinophilic inflammation in mice.American journal of respiratory cell and molecular biology · 2012
    Article
  13. Review
  14. In vivo function of airway epithelial TLR2 in host defense against bacterial infection.American journal of physiology. Lung cellular and molecular physiology · 2011
    Article
  15. Developments in the field of allergy in 2009 through the eyes of Clinical and Experimental Allergy.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2010
    Review
  16. Effects of atypical infections with Mycoplasma and Chlamydia on asthma.Immunology and allergy clinics of North America · 2010
    Review
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

4 authors.

Q WuDepartment of Medicine, National Jewish Health, University of Colorado Denver, Denver, CO 80206, USA.
R J Martin
S LaFasto
H W Chu

Funding

The Effect of Mycoplasma on Chronic AsthmaP01HL073907 · NHLBI · NATIONAL JEWISH HEALTH · PI KRAFT, MONICA · 2004 to 2008
$10.3M
Effects of Allergic Inflammation on TLR2 Signaling and Mycoplasma InfectionR01AI070175 · NIAID · NATIONAL JEWISH HEALTH · PI CHU, HONG W · 2008 to 2011
$1.6M
NHLBI NIH HHS P01 HL073907NIAID NIH HHS R01 AI070175
6 · The paper itself

Abstract

backgroundOver 40% of chronic stable asthma patients have evidence of respiratory Mycoplasma pneumoniae (Mp) infection as detected by PCR, but not by serology and culture, suggesting that a low-level Mp is involved in chronic asthma. However, the role of such a low-level Mp infection in the regulation of allergic inflammation remains unknown.

objectiveTo determine the impact of a low-level Mp infection in mice with established airway allergic inflammation on allergic responses such as eosinophilia and chemokine eotaxin-2, and the underlying mechanisms [i.e. the prostaglandin E(2) (PGE(2)) pathway] since PGE(2) inhalation before an allergen challenge suppressed the eosinophil infiltration in human airways.

methodsBALB/c mouse models of ovalbumin (OVA)-induced allergic asthma with an ensuing low- or high-dose Mp were used to assess IL-4 expression, bronchoalveolar lavage (BAL) eosinophil, eotaxin-2 and PGE(2) levels, and lung mRNA levels of microsomal prostaglandin E synthase-1 (mPGES-1). Primary alveolar macrophages (pAMs) from naïve BALB/c mice were cultured to determine whether Mp-induced PGE(2) or exogenous PGE(2) down-regulates IL-4/IL-13-induced eotaxin-2.

resultsLow-dose Mp in allergic mice significantly enhanced IL-4 and eotaxin-2, and moderately promoted lung eosinophilia, whereas high-dose Mp significantly reduced lung eosinophilia and tended to decrease IL-4 and eotaxin-2. Moreover, in both OVA-naïve and allergic mice, lung mPGES-1 mRNA and BAL PGE(2) levels were elevated in mice infected with high-dose, but not low-dose Mp. In pAMs, IL-4/IL-13 significantly increased eotaxin-2, which was reduced by Mp infection accompanied by dose-dependent PGE(2) induction. Exogenous PGE(2) inhibited IL-4/IL-13-induced eotaxin-2 in a dose-dependent manner.

conclusionsThis study highlights a novel concept on how different bacterial loads in the lung modify the established allergic airway inflammation and thus interact with an allergen to further induce Th2 responses. That is, unlike high-level Mp, low-level Mp fails to effectively induce PGE(2) to down-regulate allergic responses (e.g. eotaxin-2), thus maintaining or even worsening allergic inflammation in asthmatic airways.

Indexed as

AnimalsAsthmaBronchoalveolar LavageChemokine CCL24DinoprostoneDose-Response Relationship, ImmunologicEosinophiliaFemaleHumansInflammationInterleukin-13Interleukin-4Intramolecular OxidoreductasesMiceMice, Inbred BALB CMycoplasma pneumoniaeCcl24 protein, mouseChemokine CCL24DinoprostoneInterleukin-13Interleukin-4Intramolecular OxidoreductasesProstaglandin-E SynthasesPTGES protein, humanPtges protein, mouse

Identifiers

PMID19552640
PMCPMC2784117

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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.