“…pneumoniae, following its passive transfer into the circulation through the gaps that result from direct yet modest injury to the respiratory epithelial cells, is delivered to the distant vessels and organs, where it activates various inflammatory substances which then elicit vasculitis. These inflammatory substances include interleukin-8, tumor necrosis factor-, macrophage inflammatory peptide-1 [Hardy et al, 2001], intercellular adhesion molecule-1 [Krunkosky et al, 2007], and regulated upon activation, normal T cells expression and secreted [Dakhama et al, 2003], among others. Tumor necrosis factor-has been observed to be induced by M. pneumoniae in vitro from an early period of investigation [Arai et al, 1990;Kita et al, 1992].…”