Abstract
Purpose of review Providing an overview on Mycoplasma pneumoniae-related extra-pulmonary diseases (MpEPDs) in children, who represent the preferred target population by those complications, and discussing the main pathogenic mechanisms implicated or potentially involved. Recent findings Recent evidences supported the fact that M. pneumoniae is more than an extra-cellular pathogen colonizing epithelial cells of the respiratory tract. It is able to penetrate the cell membrane of host cells and to invade the respiratory mucosa, leading to pronounced inflammatory responses and also spreading outside the respiratory system, to some extent. Thus, direct and indirect (immune-mediated) mechanisms have been described in M. pneumoniae infections, but the latter ones have been mainly implicated in MpEPDs, as reviewed here. Recently, interesting insights have been provided, especially as concern neurologic complications, and new potential mechanisms of disease have been emerging for autoimmunity. Summary The awareness of the occurrence of MpEPDs, showing very variable clinical expressions, could promote a correct diagnosis and an appropriate treatment. The knowledge of disease mechanisms in MpEPDs is largely incomplete, but recent advances from clinical studies and murine models might promote and direct future research.
| Original language | English |
|---|---|
| Pages (from-to) | 380-387 |
| Number of pages | 8 |
| Journal | Current Opinion in Rheumatology |
| Volume | 30 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Jul 1 2018 |
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Keywords
- children
- M. pneumoniae
- M. pneumoniae -related extra-pulmonary diseases
- pathogenesis
ASJC Scopus subject areas
- Rheumatology
Cite this
Extra-pulmonary diseases related to mycoplasma pneumoniae in children : Recent insights into the pathogenesis. / Poddighe, DImitri.
In: Current Opinion in Rheumatology, Vol. 30, No. 4, 01.07.2018, p. 380-387.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Extra-pulmonary diseases related to mycoplasma pneumoniae in children
T2 - Recent insights into the pathogenesis
AU - Poddighe, DImitri
PY - 2018/7/1
Y1 - 2018/7/1
N2 - Purpose of review Providing an overview on Mycoplasma pneumoniae-related extra-pulmonary diseases (MpEPDs) in children, who represent the preferred target population by those complications, and discussing the main pathogenic mechanisms implicated or potentially involved. Recent findings Recent evidences supported the fact that M. pneumoniae is more than an extra-cellular pathogen colonizing epithelial cells of the respiratory tract. It is able to penetrate the cell membrane of host cells and to invade the respiratory mucosa, leading to pronounced inflammatory responses and also spreading outside the respiratory system, to some extent. Thus, direct and indirect (immune-mediated) mechanisms have been described in M. pneumoniae infections, but the latter ones have been mainly implicated in MpEPDs, as reviewed here. Recently, interesting insights have been provided, especially as concern neurologic complications, and new potential mechanisms of disease have been emerging for autoimmunity. Summary The awareness of the occurrence of MpEPDs, showing very variable clinical expressions, could promote a correct diagnosis and an appropriate treatment. The knowledge of disease mechanisms in MpEPDs is largely incomplete, but recent advances from clinical studies and murine models might promote and direct future research.
AB - Purpose of review Providing an overview on Mycoplasma pneumoniae-related extra-pulmonary diseases (MpEPDs) in children, who represent the preferred target population by those complications, and discussing the main pathogenic mechanisms implicated or potentially involved. Recent findings Recent evidences supported the fact that M. pneumoniae is more than an extra-cellular pathogen colonizing epithelial cells of the respiratory tract. It is able to penetrate the cell membrane of host cells and to invade the respiratory mucosa, leading to pronounced inflammatory responses and also spreading outside the respiratory system, to some extent. Thus, direct and indirect (immune-mediated) mechanisms have been described in M. pneumoniae infections, but the latter ones have been mainly implicated in MpEPDs, as reviewed here. Recently, interesting insights have been provided, especially as concern neurologic complications, and new potential mechanisms of disease have been emerging for autoimmunity. Summary The awareness of the occurrence of MpEPDs, showing very variable clinical expressions, could promote a correct diagnosis and an appropriate treatment. The knowledge of disease mechanisms in MpEPDs is largely incomplete, but recent advances from clinical studies and murine models might promote and direct future research.
KW - children
KW - M. pneumoniae
KW - M. pneumoniae -related extra-pulmonary diseases
KW - pathogenesis
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U2 - 10.1097/BOR.0000000000000494
DO - 10.1097/BOR.0000000000000494
M3 - Review article
VL - 30
SP - 380
EP - 387
JO - Current Opinion in Rheumatology
JF - Current Opinion in Rheumatology
SN - 1040-8711
IS - 4
ER -