Evidence map›Paper›PMID 41044227›Full record

ArticlePediatric research2026

Ureaplasma parvum and Ureaplasma urealyticum induce distinct types of inflammation in neonates and human epithelial cell models.

Hongzhen Zhu, Pol Oliveras-Julià, Gea F Hasperhoven, Luca L van Leeuwen, Ad C J M de Bruijn, Marijn C Verwijs, Annemarie M C van Rossum, René F Kornelisse, Kim Stol, Wendy W J Unger

Erratum issuedAbstract read
In one paragraph

Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Hongzhen ZhuDepartment of Pediatrics, Laboratory of Pediatrics, Erasmus MC University Medical Center - Sophia Children's Hospital, Rotterdam, The Netherlands.
Pol Oliveras-JuliàDepartment of Pediatrics, Laboratory of Pediatrics, Erasmus MC University Medical Center - Sophia Children's Hospital, Rotterdam, The Netherlands.
Gea F HasperhovenDepartment of Pediatrics, Laboratory of Pediatrics, Erasmus MC University Medical Center - Sophia Children's Hospital, Rotterdam, The Netherlands.
Luca L van LeeuwenDepartment of Pediatrics, Laboratory of Pediatrics, Erasmus MC University Medical Center - Sophia Children's Hospital, Rotterdam, The Netherlands.
Ad C J M de BruijnDepartment of Pediatrics, Laboratory of Pediatrics, Erasmus MC University Medical Center - Sophia Children's Hospital, Rotterdam, The Netherlands.
Marijn C VerwijsDepartment of Pediatrics, Laboratory of Pediatrics, Erasmus MC University Medical Center - Sophia Children's Hospital, Rotterdam, The Netherlands.
Annemarie M C van RossumDepartment of Pediatrics, Division of Pediatric Infectious Diseases and Immunology, Erasmus MC University Medical Center - Sophia Children's Hospital, Rotterdam, The Netherlands.
René F KornelisseDepartment of Neonatal and Pediatric Intensive Care, Division of Neonatology, Erasmus MC University Medical Center - Sophia Children's Hospital, Rotterdam, The Netherlands.
Kim StolDepartment of Pediatrics, Laboratory of Pediatrics, Erasmus MC University Medical Center - Sophia Children's Hospital, Rotterdam, The Netherlands. k.stol@erasmusmc.nl.
Wendy W J UngerDepartment of Pediatrics, Laboratory of Pediatrics, Erasmus MC University Medical Center - Sophia Children's Hospital, Rotterdam, The Netherlands. w.unger@erasmusmc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDevelopment of bronchopulmonary dysplasia (BPD) in premature neonates is associated with infection and inflammation. Both Ureaplasma parvum and Ureaplasma urealyticum are associated with BPD. We examined whether there is a difference in pathogenicity between the two species

methodsTracheal aspirates of 25 preterm neonates were analyzed for bacterial presence and inflammatory mediators. Alveolar epithelial cells were infected with U. parvum and U. urealyticum strains to assess inflammatory mediators, cell death and oxidative stress.

resultsU. parvum was detected in 2/25 and U. urealyticum in another 3/25 neonates. E. coli was co-detected in 3/5 Ureaplasma-positive samples. U. parvum-positive samples contained high IL-6, IL-8 and CXCL5. U. urealyticum-positive samples also contained high IL-6 and IL-8, but low CXCL5, and high CXCL1 and CCL2. Five-to-ten-fold higher IL-6 and two-fold higher IL-8 levels were detected in U. parvum-infected cell cultures than U. urealyticum, whereas apoptotic cell death was detected in U. urealyticum-infected cultures. Infection with both species induced ROS.

conclusionBoth Ureaplasma species may contribute to inflammation and cell damage, via oxidative stress, as observed in BPD, yet through different mechanisms. U. parvum infection induces a strong pro-inflammatory mediator response in alveolar epithelial cells while U. urealyticum infection results in cell death. IMPACT: U. urealyticum and U. parvum can contribute to the inflammation and cell damage seen in chronic lung disease through the secretion of inflammatory mediators. The two species differ in their mechanism of action: U. parvum infection induces a strong pro-inflammatory mediator response in alveolar epithelial cells while U. urealyticum infection results in epithelial cell death. Our data provide new insights into the role of Ureaplasma in the development of chronic lung disease in premature infants.

Indexed as

Epithelial CellsInflammationUreaplasmaUreaplasma InfectionsUreaplasma urealyticumBronchopulmonary DysplasiaCell DeathHumansInfant, NewbornInfant, PrematureInflammation MediatorsInterleukin-6Interleukin-8Oxidative StressInflammation MediatorsInterleukin-6Interleukin-8

Identifiers

PMID41044227
PMCPMC13524813

What OpenQuestion holds

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Registered trials

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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.