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The Immunomodulatory Effects of Macrolides—A Systematic Review of the Underlying Mechanisms

Overview of attention for article published in Frontiers in immunology, March 2018
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (94th percentile)
  • High Attention Score compared to outputs of the same age and source (98th percentile)

Mentioned by

news
2 news outlets
twitter
54 X users
facebook
1 Facebook page
wikipedia
1 Wikipedia page

Citations

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216 Dimensions

Readers on

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256 Mendeley
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Title
The Immunomodulatory Effects of Macrolides—A Systematic Review of the Underlying Mechanisms
Published in
Frontiers in immunology, March 2018
DOI 10.3389/fimmu.2018.00302
Pubmed ID
Authors

Petra Zimmermann, Victoria C. Ziesenitz, Nigel Curtis, Nicole Ritz

Abstract

The mechanisms underlying the non-antimicrobial immunomodulatory properties of macrolides are not well understood. To systematically review the evidence for the immunomodulatory properties of macrolides in humans and to describe the underlying mechanism and extent of their influence on the innate and adaptive immune system. A systematic literature search was done in MEDLINE using the OVID interface from 1946 to December 2016 according to the preferred reporting items for systematic reviews and meta-analysis (PRISMA). Original articles investigating the influence of four macrolides (azithromycin, clarithromycin, erythromycin, and roxithromycin) on immunological markers in humans were included. We identified 22 randomized, controlled trials, 16 prospective cohort studies, and 8 case-control studies investigating 47 different immunological markers (186 measurements) in 1,834 participants. The most frequently reported outcomes were a decrease in the number of neutrophils, and the concentrations of neutrophil elastase, interleukin (IL)-8, IL-6, IL-1beta, tumor necrosis factor (TNF)-alpha, eosinophilic cationic protein, and matrix metalloproteinase 9. Inhibition of neutrophil function was reported more frequently than eosinophil function. A decrease in T helper (Th) 2 cells cytokines (IL-4, IL-5, IL-6) was reported more frequently than a decrease in Th1 cytokines (IL-2, INF-gamma). Macrolides influence a broad range of immunological mechanisms resulting in immunomodulatory effects. To optimize the treatment of chronic inflammatory diseases by macrolides, further studies are necessary, particularly comparing different macrolides and dose effect relationships.

X Demographics

X Demographics

The data shown below were collected from the profiles of 54 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 256 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 256 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 29 11%
Researcher 29 11%
Student > Bachelor 29 11%
Student > Master 26 10%
Other 19 7%
Other 46 18%
Unknown 78 30%
Readers by discipline Count As %
Medicine and Dentistry 81 32%
Pharmacology, Toxicology and Pharmaceutical Science 31 12%
Biochemistry, Genetics and Molecular Biology 27 11%
Immunology and Microbiology 12 5%
Agricultural and Biological Sciences 9 4%
Other 17 7%
Unknown 79 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 55. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 October 2023.
All research outputs
#786,614
of 25,658,139 outputs
Outputs from Frontiers in immunology
#691
of 32,130 outputs
Outputs of similar age
#17,813
of 352,663 outputs
Outputs of similar age from Frontiers in immunology
#13
of 702 outputs
Altmetric has tracked 25,658,139 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 96th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 32,130 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.4. This one has done particularly well, scoring higher than 97% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 352,663 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 94% of its contemporaries.
We're also able to compare this research output to 702 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 98% of its contemporaries.