Evidence map›Paper›PMID 41350628›Full record

SynthesisBMC infectious diseases2025

Pathogenic mechanisms and resistance profiles of microbial pulmonary infections in lung cancer: a systematic review.

Milad Sheervalilou, Mostafa Ghanei, Masoud Arabfard

Abstract readSystematic Review
In one paragraph

Synthesis in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

3 authors.

Milad SheervalilouChemical Injuries Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Mostafa GhaneiChemical Injuries Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Masoud ArabfardArtificial Intelligence in Health Research Center, Biomedicine Technologies Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran. arabfard@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary infections caused by microorganisms in lung cancer patients contribute to disease progression and treatment challenges. This systematic review aims to explore the clinical and pathophysiological characteristics of microbial pulmonary infections in lung cancer.

methodsA systematic literature search was conducted across Embase, PubMed/MEDLINE, Scopus, and Web of Science, covering studies published between January 1, 2015 and February 1, 2025, without restrictions on population or language. We included original studies reporting findings in human, animal, cell, or in silico models that examined non-viral microbial pulmonary infections in the context of lung cancer, with a focus on pathogen profiles, antimicrobial resistance, and associated molecular mechanisms. Evidence synthesis was narrative.

resultsA total of 8,879 records were identified, with 37 studies included comprising 14 human, 14 in vitro, 8 in vivo and one in silico studies. Of the 14 human studies, 8 studies reported microbial strain prevalence in 2,598 lung cancer patients. The most common pathogens included Klebsiella pneumoniae (21.1%), Pseudomonas aeruginosa (17.0%), Staphylococcus spp. (16.1%), Streptococcus spp. (14.1%), Candida spp. (12.4%), Haemophilus influenzae (7.9%), Enterobacter spp. (7.7%), and Aspergillus spp. (3.1%). Antibiotic sensitivity varied, with K. pneumoniae showing complete sensitivity to tigecycline and S. pneumoniae exhibiting low clindamycin sensitivity (~6%). Mechanistic studies identified key molecular pathways, including PD-1/PD-L1, NF-κB, and TLR4/MyD88, linking microbial pulmonary infections to lung cancer progression.

conclusionPulmonary infections play a significant role in lung cancer pathogenesis, particularly infections caused by K. pneumoniae and P. aeruginosa, potentially by triggering immune evasion and inflammatory signaling pathways.

Indexed as

BacteriaDrug Resistance, BacterialLung NeoplasmsRespiratory Tract InfectionsAnimalsAnti-Bacterial AgentsHumansAnti-Bacterial AgentsAntimicrobial resistanceHost microbial interactionsLung cancerPathogenesisPneumoniaRespiratory tract infections

Identifiers

PMID41350628
PMCPMC12797698

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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 Socratic graph.