There is this interesting phenomenon that in some regions, Twitter activity is not particularly high (e.g. Germany), so according to an analysis I read a while ago, a few hundred tweets within a few hours are enough to get a topic trending in the region.
So there is this effect where a small group of activists (20-30) can easily coordinate to launch a 100 tweets. They then reach out to online media outlets, which in turn report that a topic is trending, so it is officially 'news', and thus the cycle begins.
In particular, journalists are disproportionally over-represented on twitter and thus seem to (somewhat self-importantly) overvalue it as a discussion medium. At least where I am from, it is almost exclusively activists, journalists and politicians in their own Twitter bubble talking to each other and reporting about what they say about each other.
So as they believe in its importance, it becomes important, and thus opens avenues to manipulation by pr agencies or state actors or political splintergroups.