Evidence map›Paper›PMID 39809748›Full record

ArticleNature communications2025

A diagnostic host-specific transcriptome response for Mycoplasma pneumoniae pneumonia to guide pediatric patient treatment.

Sandra Viz-Lasheras, Alberto Gómez-Carballa, Xabier Bello, Irene Rivero-Calle, Ana Isabel Dacosta, Myrsini Kaforou, Dominic Habgood-Coote, Aubrey J Cunnington, Marieke Emonts, Jethro A Herberg and 24 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Review
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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

34 authors.

Sandra Viz-Lasheras *Unidade de Xenética, Instituto de Ciencias Forenses, Facultade de Medicina, Universidade de Santiago de Compostela, 15782, Calle San Francisco sn, Galicia, Spain.ORCID http://orcid.org/0000-0001-5873-5104
Alberto Gómez-Carballa *Unidade de Xenética, Instituto de Ciencias Forenses, Facultade de Medicina, Universidade de Santiago de Compostela, 15782, Calle San Francisco sn, Galicia, Spain.ORCID http://orcid.org/0000-0003-0927-1272
Xabier BelloUnidade de Xenética, Instituto de Ciencias Forenses, Facultade de Medicina, Universidade de Santiago de Compostela, 15782, Calle San Francisco sn, Galicia, Spain.ORCID http://orcid.org/0000-0002-4990-8496
Irene Rivero-CalleGenetics, Vaccines and Infections Research Group (GenViP), Instituto de Investigación Sanitaria de Santiago (IDIS), 15706 Hospital Clínico Universitario de Santiago (SERGAS), Galicia, Spain.
Ana Isabel DacostaGenetics, Vaccines and Infections Research Group (GenViP), Instituto de Investigación Sanitaria de Santiago (IDIS), 15706 Hospital Clínico Universitario de Santiago (SERGAS), Galicia, Spain.ORCID http://orcid.org/0000-0002-8803-957X
Myrsini KaforouDepartment of Infectious Disease, Imperial College London, London, W2 1PG, UK.ORCID http://orcid.org/0000-0001-9878-4007
Dominic Habgood-CooteDepartment of Infectious Disease, Imperial College London, London, W2 1PG, UK.ORCID http://orcid.org/0000-0001-5501-0335
Aubrey J CunningtonDepartment of Infectious Disease, Imperial College London, London, W2 1PG, UK.ORCID http://orcid.org/0000-0002-1305-3529
Marieke EmontsPaediatric Immunology, Infectious Diseases & Allergy, Great North Children's Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, NE1 4LP, UK.
Jethro A HerbergDepartment of Infectious Disease, Imperial College London, London, W2 1PG, UK.
Victoria J WrightDepartment of Infectious Disease, Imperial College London, London, W2 1PG, UK.ORCID http://orcid.org/0000-0001-7826-1516
Enitan D CarrolDepartment of Infectious Diseases, Alder Hey Children's NHS Foundation Trust, Liverpool, L12 2AP, UK.
Stephane C PaulusDepartment of Paediatrics, University of Oxford and the NIHR Oxford Biomedical Research Centre, Oxford, OX3 9DU, UK.
Werner ZenzDepartment of General Paediatrics, Medical University of Graz, Graz, Auenbruggerplatz 34/2, 8036, Graz, Austria.
Daniela S KohlfürstDepartment of General Paediatrics, Medical University of Graz, Graz, Auenbruggerplatz 34/2, 8036, Graz, Austria.
Nina SchweintzgerDepartment of General Paediatrics, Medical University of Graz, Graz, Auenbruggerplatz 34/2, 8036, Graz, Austria.ORCID http://orcid.org/0000-0003-2549-5911
Michiel Van der FlierPediatric Infectious Diseases and Immunology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, 3508 AB, The Netherlands.
Ronald de GrootPediatric Infectious Diseases and Immunology, Amalia Children's Hospital, and Section Pediatric Infectious Diseases, Laboratory of Medical Immunology, Department of Laboratory Medicine, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, 6500 HB, The Netherlands.
Luregn J SchlapbachDepartment of Intensive Care and Neonatology, and Children's Research Center, University Children's Hospital Zürich, University of Zürich, Zürich, Switzerland.
Philipp AgyemanDepartment of Pediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0002-8339-5444
Andrew J PollardDepartment of Paediatrics, University of Oxford and the NIHR Oxford Biomedical Research Centre, Oxford, OX3 9DU, UK.ORCID http://orcid.org/0000-0001-7361-719X
Colin FinkMicropathology Ltd, University of Warwick, Warwick, CV4 7EZ, UK.ORCID http://orcid.org/0000-0002-8008-5870
Taco T KuijpersDivision of Pediatric Immunology, Rheumatology and Infectious diseases, Emma Children's Hospital, Amsterdam Univiersyt Medical Center (Amsterdam UMC), Amsterdam, 1105 AZ, The Netherlands.
Suzanne AndersonMedical Research Council Unit at the London School of Hygene & Tropical Medicine, Banjul, The Gambia.
Ulrich Von BothInfectious Diseases, Department of Pediatrics, Dr von Hauner Children's Hospital, University Hospital, LMU Munich, Munich, Germany.ORCID http://orcid.org/0000-0001-8411-1071
Marko PokornDivision of Paediatrics, University Medical Centre Ljubljana and Medical Faculty, University of Ljubljana, Ljubljana, Slovenia.ORCID http://orcid.org/0000-0002-2341-2791
Dace ZavadskaChildren's Clinical University Hospital, Rīga Stradins University, Rïga, Latvia.
María TsoliaSecond Department of Paediatrics, National and Kapodistrian University of Athens (NKUA), School of Medicine, Panagiotis & Aglaia, Kyriakou Children's Hospital, Athens, Greece.
Henriëtte A MollDepartment of Paediatric Infectious Diseases and Immunology, Erasmus MC Sophia Children's Hospital, Rotterdam, Netherlands.
Clementien VermontDepartment of Paediatric Infectious Diseases and Immunology, Erasmus MC Sophia Children's Hospital, Rotterdam, Netherlands.
Michael LevinDepartment of Infectious Disease, Imperial College London, London, W2 1PG, UK.ORCID http://orcid.org/0000-0003-2767-6919
Federico Martinón-TorresGenetics, Vaccines and Infections Research Group (GenViP), Instituto de Investigación Sanitaria de Santiago (IDIS), 15706 Hospital Clínico Universitario de Santiago (SERGAS), Galicia, Spain.ORCID http://orcid.org/0000-0002-9023-581X
Antonio SalasUnidade de Xenética, Instituto de Ciencias Forenses, Facultade de Medicina, Universidade de Santiago de Compostela, 15782, Calle San Francisco sn, Galicia, Spain. antonio.salas@usc.es.ORCID http://orcid.org/0000-0002-2336-702X
EUCLIDS, PERFORM, and DIAMONDS consortia

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mycoplasma pneumoniae causes atypical pneumonia in children and young adults. Its lack of a cell wall makes it resistant to beta-lactams, which are the first-line treatment for typical pneumonia. Current diagnostic tests are time-consuming and have low specificity, leading clinicians to administer empirical antibiotics. Using a LASSO regression simulation approach and blood microarray data from 107 children with pneumonia (including 30 M. pneumoniae) we identify eight different transcriptomic signatures, ranging from 3-10 transcripts, that differentiate mycoplasma pneumonia from other bacterial/viral pneumonias with high accuracy (AUC: 0.84-0.95). Additionally, we demonstrate that existing signatures for broadly distinguishing viral/bacterial infections and viral/bacterial pneumonias are ineffective in distinguishing M. pneumoniae from viral pneumonia. The new signatures are successfully validated in an independent RNAseq cohort of children with pneumonia, demonstrating their robustness. The high sensibility of these signatures presents a valuable opportunity to guide the treatment and management of M. pneumoniae pneumonia patients.

Indexed as

Mycoplasma pneumoniaePneumonia, MycoplasmaTranscriptomeAdolescentAnti-Bacterial AgentsChildChild, PreschoolFemaleGene Expression ProfilingHumansInfantMalePneumonia, ViralAnti-Bacterial Agents

Identifiers

PMID39809748
PMCPMC11733158

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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.