Evidence map›Paper›PMID 25157244›Full record

ReviewFrontiers in microbiology2014

Novel aspects on the pathogenesis of Mycoplasma pneumoniae pneumonia and therapeutic implications.

Takeshi Saraya, Daisuke Kurai, Kazuhide Nakagaki, Yoshiko Sasaki, Shoichi Niwa, Hiroyuki Tsukagoshi, Hiroki Nunokawa, Kosuke Ohkuma, Naoki Tsujimoto, Susumu Hirao and 7 more

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in microbiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 4 pooled it
4.5field-weighted citation impact, top 5% of its field
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

52 citing papers in PubMed, 4 syntheses or guidelines pooled it, 89 citations in OpenAlex.

  1. Pooled it
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  9. The Post-Pandemic Return ofJournal of clinical medicine · 2026
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  12. Outcomes of Adjunctive Corticosteroid Treatment in Hypoxemic Adults Hospitalized for Mycoplasma pneumoniae Pneumonia: A Retrospective Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
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  19. Journal of clinical medicine · 2022
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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

17 authors at 4 institutions in 1 country.

Takeshi SarayaDepartment of Respiratory Medicine, Kyorin University School of Medicine Mitaka, Japan.
Daisuke KuraiDepartment of Respiratory Medicine, Kyorin University School of Medicine Mitaka, Japan.
Kazuhide NakagakiDepartment of Virology and Immunology, College of Veterinary Medicine, Nippon Veterinary and Animal Science University Mitaka, Japan.
Yoshiko SasakiGunma Prefectural Institute of Public Health and Environmental Sciences Maebashi, Japan.
Shoichi NiwaGunma Prefectural Institute of Public Health and Environmental Sciences Maebashi, Japan.
Hiroyuki TsukagoshiGunma Prefectural Institute of Public Health and Environmental Sciences Maebashi, Japan.
Hiroki NunokawaDepartment of Respiratory Medicine, Kyorin University School of Medicine Mitaka, Japan.
Kosuke OhkumaDepartment of Respiratory Medicine, Kyorin University School of Medicine Mitaka, Japan.
Naoki TsujimotoDepartment of Respiratory Medicine, Kyorin University School of Medicine Mitaka, Japan.
Susumu HiraoDepartment of Respiratory Medicine, Kyorin University School of Medicine Mitaka, Japan.
Hiroo WadaDepartment of Respiratory Medicine, Kyorin University School of Medicine Mitaka, Japan.
Haruyuki IshiiDepartment of Respiratory Medicine, Kyorin University School of Medicine Mitaka, Japan.
Koh NakataBioscience Medical Research Center, Niigata University Medical and Dental Hospital Niigata, Japan.
Hirokazu KimuraInfectious Disease Surveillance Center, National Institute of Infectious Diseases Tokyo, Japan.
Kunihisa KozawaGunma Prefectural Institute of Public Health and Environmental Sciences Maebashi, Japan.
Hajime TakizawaDepartment of Respiratory Medicine, Kyorin University School of Medicine Mitaka, Japan.
Hajime GotoDepartment of Respiratory Medicine, Kyorin University School of Medicine Mitaka, Japan.
Kyorin University · JPGunma Prefectural Institute of Public Health and Environmental Sciences · JPNational Institute of Infectious Diseases · JPNiigata University Medical and Dental Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mycoplasma pneumoniae (Mp) is a leading cause of community acquired pneumonia. Knowledge regarding Mp pneumonia obtained from animal models or human subjects has been discussed in many different reports. Accumulated expertise concerning this critical issue has been hard to apply clinically, and potential problems may remain undiscovered. Therefore, our multidisciplinary team extensively reviewed the literature regarding Mp pneumonia, and compared findings from animal models with those from human subjects. In human beings, the characteristic pathological features of Mp pneumonia have been reported as alveolar infiltration with neutrophils and lymphocytes and lymphocyte/plasma cell infiltrates in the peri-bronchovascular area. Herein, we demonstrated the novel aspects of Mp pneumonia that the severity of the Mp pneumonia seemed to depend on the host innate immunity to the Mp, which might be accelerated by antecedent Mp exposure (re-exposure or latent respiratory infection) through up-regulation of Toll-like receptor 2 expression on bronchial epithelial cells and alveolar macrophages. The macrolides therapy might be beneficial for the patients with macrolide-resistant Mp pneumonia via not bacteriological but immunomodulative effects. This exhaustive review focuses on pathogenesis and extends to some therapeutic implications such as clarithromycin, and discusses the various diverse aspects of Mp pneumonia. It is our hope that this might lead to new insights into this common respiratory disease.

Indexed as

animal modelsepidemiologyMycoplasma pneumoniae pneumoniapathogenesispathology

Identifiers

PMID25157244
PMCPMC4127663
OpenAlexW2062435090

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.