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Airways inflammation and treatment during acute exacerbations of COPD
| Content Provider | Semantic Scholar |
|---|---|
| Author | Bathoorn, Erik Kerstjens, Huib A. M. Postma, Dirkje S. Timens, Wim Nee, W. Mac |
| Copyright Year | 2008 |
| Abstract | INTRODUCTION Inflammation is a core feature of acute chronic obstructive pulmonary disease (COPD) exacerbations. It is important to focus on inflammation since it gives insight into the pathological changes causing an exacerbation, thereby possibly providing directions for future therapies which modify inflammation. OBJECTIVES To provide a cell-by-cell overview of the inflammatory processes during COPD exacerbations. To evaluate cell activation, and cytokine production, cellular interactions, damaging effects of inflammatory mediators to tissue, and the relation to symptoms at the onset of COPD exacerbations. To speculate on future therapeutic options to modify inflammation during COPD exacerbations. RESULTS During COPD exacerbations, there is increased airway wall inflammation, with pathophysiological influx of eosinophils, neutrophils, and lymphocytes. Although links have been suggested between the increase in eosinophils and lymphocytes and a viral etiology of the exacerbation, and between the increase in neutrophils and a bacterial aetiology, these increases in both inflammatory cell types are not limited to the respective aetiologies and the underlying mechanisms remain elusive. CONCLUSION Further research is required to fully understand the inflammatory mechanisms in the onset and development of COPD exacerbations. This might make inflammatory pathway-specific intervention possible, resulting in a more effective treatment of COPD exacerbations with fewer side effects. |
| Starting Page | 217 |
| Ending Page | 229 |
| Page Count | 13 |
| File Format | PDF HTM / HTML |
| PubMed reference number | 18686731 |
| Volume Number | 3 |
| Journal | International journal of chronic obstructive pulmonary disease |
| Alternate Webpage(s) | http://dissertations.ub.rug.nl/FILES/faculties/medicine/2007/d.bathoorn/c2.pdf |
| Alternate Webpage(s) | http://ftp.ncbi.nlm.nih.gov/pub/pmc/46/6e/COPD-3-217.PMC2629961.pdf |
| Alternate Webpage(s) | https://www.rug.nl/research/portal/files/2805047/c2.pdf |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Adrenal Cortex Hormones Bronchodilator Agents Cholecystitis Chronic Obstructive Airway Disease Infection Inflammation Inspiration function Leukemia, Myelocytic, Acute Lung Diseases, Obstructive Lung diseases Steroids Subtype (attribute) cell type cytokine eosinophil inflammatory response |
| Content Type | Text |
| Resource Type | Article |
