|
|
||||||||
1 National Heart and Lung Institute, ImperialCollege, London, UK, 2 Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA, 3 Dept of Respiratory Diseases, Ghent University Hospital, Ghent, Belgium
CORRESPONDENCE: P.J. Barnes, National Heart and Lung Institute, Imperial College School of Medicine, Dovehouse St, London, SW3 6LY, UK. Fax: 44 2073515675. E-mail: p.j.barnes@imperial.ac.uk
Keywords: chemokine, cytokine, emphysema, macrophage, oxidative stress, protease
Received: April 10, 2003
Accepted June 12, 2003
The meeting "COPD: the important questions" held in Malta in November 2002 was sponsored by AstraZeneca.
Abstract
Chronic obstructive pulmonary disease is a leading cause of death and disability, but has only recently been extensively explored from a cellular and molecular perspective.
There is a chronic inflammation that leads to fixed narrowing of small airways and alveolar wall destruction (emphysema). This is characterised by increased numbers of alveolar macrophages, neutrophils and cytotoxic T-lymphocytes, and the release of multiple inflammatory mediators (lipids, chemokines, cytokines, growth factors). A high level of oxidative stress may amplify this inflammation. There is also increased elastolysis and evidence for involvement of several elastolytic enzymes, including serine proteases, cathepsins and matrix metalloproteinases.
The inflammation and proteolysis in chronic obstructive pulmonary disease is an amplification of the normal inflammatory response to cigarette smoke. This inflammation, in marked contrast to asthma, appears to be resistant to corticosteroids, prompting a search for novel anti-inflammatory therapies that may prevent the relentless progression of the disease.
This article has been cited by other articles:
![]() |
G. T. Motz, B. L. Eppert, G. Sun, S. C. Wesselkamper, M. J. Linke, R. Deka, and M. T. Borchers Persistence of Lung CD8 T Cell Oligoclonal Expansions upon Smoking Cessation in a Mouse Model of Cigarette Smoke-Induced Emphysema J. Immunol., December 1, 2008; 181(11): 8036 - 8043. [Abstract] [Full Text] [PDF] |
||||
![]() |
E J Hothersall, R Chaudhuri, C McSharry, I Donnelly, J Lafferty, A D McMahon, C J Weir, J Meiklejohn, N Sattar, I McInnes, et al. Effects of atorvastatin added to inhaled corticosteroids on lung function and sputum cell counts in atopic asthma Thorax, December 1, 2008; 63(12): 1070 - 1075. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y. Igarashi, E. Heureux, K. S. Doctor, P. Talwar, S. Gramatikova, K. Gramatikoff, Y. Zhang, M. Blinov, S. S. Ibragimova, S. Boyd, et al. PMAP: databases for analyzing proteolytic events and pathways Nucleic Acids Res., October 8, 2008; (2008) gkn683v1. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Almolki, A. Guenegou, S. Golda, L. Boyer, M. Benallaoua, N. Amara, R. Bachoual, C. Martin, F. Rannou, S. Lanone, et al. Heme Oxygenase-1 Prevents Airway Mucus Hypersecretion Induced by Cigarette Smoke in Rodents and Humans Am. J. Pathol., October 1, 2008; 173(4): 981 - 992. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y. Takeda, P. He, I. Tachibana, B. Zhou, K. Miyado, H. Kaneko, M. Suzuki, S. Minami, T. Iwasaki, S. Goya, et al. Double Deficiency of Tetraspanins CD9 and CD81 Alters Cell Motility and Protease Production of Macrophages and Causes Chronic Obstructive Pulmonary Disease-like Phenotype in Mice J. Biol. Chem., September 19, 2008; 283(38): 26089 - 26097. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. I. Rennard and J. Vestbo The Many "Small COPDs": COPD Should Be an Orphan Disease Chest, September 1, 2008; 134(3): 623 - 627. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. H. van Houwelingen, N. M. Weathington, V. Verweij, J. E. Blalock, F. P. Nijkamp, and G. Folkerts Induction of lung emphysema is prevented by L-arginine-threonine-arginine FASEB J, September 1, 2008; 22(9): 3403 - 3408. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Yang, M. A. Nugent, and M. P. Panchenko EGF antagonizes TGF-{beta}-induced tropoelastin expression in lung fibroblasts via stabilization of Smad corepressor TGIF Am J Physiol Lung Cell Mol Physiol, July 1, 2008; 295(1): L143 - L151. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. F. Chung and I. M. Adcock Multifaceted mechanisms in COPD: inflammation, immunity, and tissue repair and destruction Eur. Respir. J., June 1, 2008; 31(6): 1334 - 1356. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. R. Celli Update on the Management of COPD Chest, June 1, 2008; 133(6): 1451 - 1462. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. J. Moghaddam, C. G. Clement, M. M. De la Garza, X. Zou, E. L. Travis, H. W. J. Young, C. M. Evans, M. J. Tuvim, and B. F. Dickey Haemophilus influenzae Lysate Induces Aspects of the Chronic Obstructive Pulmonary Disease Phenotype Am. J. Respir. Cell Mol. Biol., June 1, 2008; 38(6): 629 - 638. [Abstract] [Full Text] [PDF] |
||||
![]() |
Z. Ammous, N. R. Hackett, M. W. Butler, T. Raman, I. Dolgalev, T. P. O'Connor, B.-G. Harvey, and R. G. Crystal Variability in Small Airway Epithelial Gene Expression Among Normal Smokers Chest, June 1, 2008; 133(6): 1344 - 1353. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. Ji, C. M. Lee, L. W. Gonzales, Y. Yang, M. O. Aksoy, P. Wang, E. Brailoiu, N. Dun, M. T. Hurford, and S. G. Kelsen Human type II pneumocyte chemotactic responses to CXCR3 activation are mediated by splice variant A Am J Physiol Lung Cell Mol Physiol, June 1, 2008; 294(6): L1187 - L1196. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. G. Kelsen, X. Duan, R. Ji, O. Perez, C. Liu, and S. Merali Cigarette Smoke Induces an Unfolded Protein Response in the Human Lung: A Proteomic Approach Am. J. Respir. Cell Mol. Biol., May 1, 2008; 38(5): 541 - 550. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Mahabir, Q. Wei, S. L. Barrera, Y. Q. Dong, C. J. Etzel, M. R. Spitz, and M. R. Forman Dietary magnesium and DNA repair capacity as risk factors for lung cancer Carcinogenesis, May 1, 2008; 29(5): 949 - 956. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Rajendrasozhan, S.-R. Yang, V. L. Kinnula, and I. Rahman SIRT1, an Antiinflammatory and Antiaging Protein, Is Decreased in Lungs of Patients with Chronic Obstructive Pulmonary Disease Am. J. Respir. Crit. Care Med., April 15, 2008; 177(8): 861 - 870. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Slevogt, L. Maqami, K. Vardarowa, W. Beermann, A. C. Hocke, J. Eitel, B. Schmeck, A. Weimann, B. Opitz, S. Hippenstiel, et al. Differential regulation of Moraxella catarrhalis-induced interleukin-8 response by protein kinase C isoforms Eur. Respir. J., April 1, 2008; 31(4): 725 - 735. [Abstract] [Full Text] [PDF] |
||||
![]() |
J.-W. Park, H. P. Kim, S.-J. Lee, X. Wang, Y. Wang, E. Ifedigbo, S. C. Watkins, M. Ohba, S. W. Ryter, Y. M. Vyas, et al. Protein Kinase C{alpha} and {zeta} Differentially Regulate Death-Inducing Signaling Complex Formation in Cigarette Smoke Extract-Induced Apoptosis J. Immunol., April 1, 2008; 180(7): 4668 - 4678. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Churg, M. Cosio, and J. L. Wright Mechanisms of cigarette smoke-induced COPD: insights from animal models Am J Physiol Lung Cell Mol Physiol, April 1, 2008; 294(4): L612 - L631. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Fuschillo, A. De Felice, and G. Balzano Mucosal inflammation in idiopathic bronchiectasis: cellular and molecular mechanisms Eur. Respir. J., February 1, 2008; 31(2): 396 - 406. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Mori, T. Nose, K. Ishitani, S. Kasagi, S. Souma, T. Akiyoshi, Y. Kodama, T. Mori, M. Kondo, S. Sasaki, et al. Phosphodiesterase 4 inhibitor GPD-1116 markedly attenuates the development of cigarette smoke-induced emphysema in senescence-accelerated mice P1 strain Am J Physiol Lung Cell Mol Physiol, February 1, 2008; 294(2): L196 - L204. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. C. Sieck, T. A. White, M. A. Thompson, C. M. Pabelick, M. E. Wylam, and Y. S. Prakash Regulation of store-operated Ca2+ entry by CD38 in human airway smooth muscle Am J Physiol Lung Cell Mol Physiol, February 1, 2008; 294(2): L378 - L385. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. Doz, N. Noulin, E. Boichot, I. Guenon, L. Fick, M. Le Bert, V. Lagente, B. Ryffel, B. Schnyder, V. F. J. Quesniaux, et al. Cigarette Smoke-Induced Pulmonary Inflammation Is TLR4/MyD88 and IL-1R1/MyD88 Signaling Dependent J. Immunol., January 15, 2008; 180(2): 1169 - 1178. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. D. Sin, S. B.-Z. Cohen, A. Day, H. Coxson, and P. D. Pare Understanding the Biological Differences in Susceptibility to Chronic Obstructive Pulmonary Disease between Men and Women Proceedings of the ATS, December 1, 2007; 4(8): 671 - 674. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. van der Toorn, M. P. Smit-de Vries, D.-J. Slebos, H. G. de Bruin, N. Abello, A. J. M. van Oosterhout, R. Bischoff, and H. F. Kauffman Cigarette smoke irreversibly modifies glutathione in airway epithelial cells Am J Physiol Lung Cell Mol Physiol, November 1, 2007; 293(5): L1156 - L1162. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Agusti Systemic Effects of Chronic Obstructive Pulmonary Disease: What We Know and What We Don't Know (but Should) Proceedings of the ATS, October 1, 2007; 4(7): 522 - 525. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. Roche Where current pharmacological therapies fall short in COPD: symptom control is not enough Eur. Respir. Rev., September 1, 2007; 16(105): 98 - 104. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Churg, X. Wang, R. D. Wang, S. C. Meixner, E. L. G. Pryzdial, and J. L. Wright {alpha}1-Antitrypsin Suppresses TNF-{alpha} and MMP-12 Production by Cigarette Smoke-Stimulated Macrophages Am. J. Respir. Cell Mol. Biol., August 1, 2007; 37(2): 144 - 151. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Ben-Zaken Cohen, P. D. Pare, S. F. P. Man, and D. D. Sin The Growing Burden of Chronic Obstructive Pulmonary Disease and Lung Cancer in Women: Examining Sex Differences in Cigarette Smoke Metabolism Am. J. Respir. Crit. Care Med., July 15, 2007; 176(2): 113 - 120. [Abstract] [Full Text] [PDF] |
||||
![]() |
V. Pinto-Plata, J. Toso, K. Lee, D. Park, J. Bilello, H. Mullerova, M. M De Souza, R. Vessey, and B. Celli Profiling serum biomarkers in patients with COPD: associations with clinical parameters Thorax, July 1, 2007; 62(7): 595 - 601. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. A. Stringer, M. Tobias, H. C. O'Neill, and C. C. Franklin Cigarette smoke extract-induced suppression of caspase-3-like activity impairs human neutrophil phagocytosis Am J Physiol Lung Cell Mol Physiol, June 1, 2007; 292(6): L1572 - L1579. [Abstract] [Full Text] [PDF] |
||||
![]() |
I. K. Demedts, K. R. Bracke, G. Van Pottelberge, D. Testelmans, G. M. Verleden, F. E. Vermassen, G. F. Joos, and G. G. Brusselle Accumulation of Dendritic Cells and Increased CCL20 Levels in the Airways of Patients with Chronic Obstructive Pulmonary Disease Am. J. Respir. Crit. Care Med., May 15, 2007; 175(10): 998 - 1005. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. van der Toorn, D.-J. Slebos, H. G. de Bruin, H. G. Leuvenink, S. J. L. Bakker, R. O. B. Gans, G. H. Koeter, A. J. M. van Oosterhout, and H. F. Kauffman Cigarette smoke-induced blockade of the mitochondrial respiratory chain switches lung epithelial cell apoptosis into necrosis Am J Physiol Lung Cell Mol Physiol, May 1, 2007; 292(5): L1211 - L1218. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Ito, G. Caramori, and I. M. Adcock Therapeutic Potential of Phosphatidylinositol 3-Kinase Inhibitors in Inflammatory Respiratory Disease J. Pharmacol. Exp. Ther., April 1, 2007; 321(1): 1 - 8. [Abstract] [Full Text] [PDF] |
||||
![]() |
D.-J. Slebos, S. W. Ryter, M. van der Toorn, F. Liu, F. Guo, C. J. Baty, J. M. Karlsson, S. C. Watkins, H. P. Kim, X. Wang, et al. Mitochondrial Localization and Function of Heme Oxygenase-1 in Cigarette Smoke-Induced Cell Death Am. J. Respir. Cell Mol. Biol., April 1, 2007; 36(4): 409 - 417. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Churg, H. Tai, T. Coulthard, R. Wang, and J. L. Wright Cigarette Smoke Drives Small Airway Remodeling by Induction of Growth Factors in the Airway Wall Am. J. Respir. Crit. Care Med., December 15, 2006; 174(12): 1327 - 1334. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Fehrenbach Animal models of pulmonary emphysema: a stereologist's perspective Eur. Respir. Rev., December 1, 2006; 15(101): 136 - 147. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. Rytila, M. Plataki, F. Bucchieri, M. Uddin, G. Nong, V. L. Kinnula, and R. Djukanovic Airway neutrophilia in COPD is not associated with increased neutrophil survival Eur. Respir. J., December 1, 2006; 28(6): 1163 - 1169. [Abstract] [Full Text] [PDF] |
||||
![]() |
G M Turino Emphysema in COPD: consequences and causes. Thorax, December 1, 2006; 61(12): 1031 - 1036. [Full Text] [PDF] |
||||
![]() |
P Boschetto, S Quintavalle, E Zeni, S Leprotti, A Potena, L Ballerin, A Papi, G Palladini, M Luisetti, L Annovazzi, et al. Association between markers of emphysema and more severe chronic obstructive pulmonary disease Thorax, December 1, 2006; 61(12): 1037 - 1042. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Gebel, B. Gerstmayer, P. Kuhl, J. Borlak, K. Meurrens, and T. Muller The Kinetics of Transcriptomic Changes Induced by Cigarette Smoke in Rat Lungs Reveals a Specific Program of Defense, Inflammation, and Circadian Clock Gene Expression Toxicol. Sci., October 1, 2006; 93(2): 422 - 431. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. R. Bracke, A. I. D'hulst, T. Maes, K. B. Moerloose, I. K. Demedts, S. Lebecque, G. F. Joos, and G. G. Brusselle Cigarette Smoke-Induced Pulmonary Inflammation and Emphysema Are Attenuated in CCR6-Deficient Mice J. Immunol., October 1, 2006; 177(7): 4350 - 4359. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. D. Sin and S. F. P. Man Pharmacotherapy for Mortality Reduction in Chronic Obstructive Pulmonary Disease Proceedings of the ATS, September 1, 2006; 3(7): 624 - 629. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Zandvoort, D. S. Postma, M. R. Jonker, J. A. Noordhoek, J. T. W. M. Vos, Y. M. van der Geld, and W. Timens Altered expression of the Smad signalling pathway: implications for COPD pathogenesis Eur. Respir. J., September 1, 2006; 28(3): 533 - 541. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. I. Zervou, E. G. Tzortzaki, D. Makris, M. Gaga, E. Zervas, E. Economidou, M. Tsoumakidou, N. Tzanakis, J. Milic-Emili, and N. M. Siafakas Differences in microsatellite DNA level between asthma and chronic obstructive pulmonary disease Eur. Respir. J., September 1, 2006; 28(3): 472 - 478. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. J. Barnes Against the dutch hypothesis: asthma and chronic obstructive pulmonary disease are distinct diseases. Am. J. Respir. Crit. Care Med., August 1, 2006; 174(3): 240 - 243. [Full Text] [PDF] |
||||
![]() |
T. K. Baginski, K. Dabbagh, C. Satjawatcharaphong, and D. C. Swinney Cigarette Smoke Synergistically Enhances Respiratory Mucin Induction by Proinflammatory Stimuli Am. J. Respir. Cell Mol. Biol., August 1, 2006; 35(2): 165 - 174. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Shifren and R. P. Mecham The stumbling block in lung repair of emphysema: elastic fiber assembly. Proceedings of the ATS, July 1, 2006; 3(5): 428 - 433. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. I. D'hulst, K. R. Bracke, T. Maes, J. L. De Bleecker, R. A. Pauwels, G. F. Joos, and G. G. Brusselle Role of tumour necrosis factor-{alpha} receptor p75 in cigarette smoke-induced pulmonary inflammation and emphysema Eur. Respir. J., July 1, 2006; 28(1): 102 - 112. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Zandvoort, Y. M. van der Geld, M. R. Jonker, J. A. Noordhoek, J. T. W. M. Vos, J. Wesseling, H. F. Kauffman, W. Timens, and D. S. Postma High ICAM-1 gene expression in pulmonary fibroblasts of COPD patients: a reflection of an enhanced immunological function Eur. Respir. J., July 1, 2006; 28(1): 113 - 122. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. J. Barnes, B. Chowdhury, S. A. Kharitonov, H. Magnussen, C. P. Page, D. Postma, and M. Saetta Pulmonary Biomarkers in Chronic Obstructive Pulmonary Disease Am. J. Respir. Crit. Care Med., July 1, 2006; 174(1): 6 - 14. [Abstract] [Full Text] [PDF] |
||||
![]() |
S.-R. Yang, A. S. Chida, M. R. Bauter, N. Shafiq, K. Seweryniak, S. B. Maggirwar, I. Kilty, and I. Rahman Cigarette smoke induces proinflammatory cytokine release by activation of NF-{kappa}B and posttranslational modifications of histone deacetylase in macrophages Am J Physiol Lung Cell Mol Physiol, July 1, 2006; 291(1): L46 - L57. [Abstract] [Full Text] [PDF] |
||||
![]() |
O. Leclerc, V. Lagente, J-M. Planquois, C. Berthelier, M. Artola, T. Eichholtz, C. P. Bertrand, and F. Schmidlin Involvement of MMP-12 and phosphodiesterase type 4 in cigarette smoke-induced inflammation in mice Eur. Respir. J., June 1, 2006; 27(6): 1102 - 1109. [Abstract] [Full Text] [PDF] |
||||
![]() |
M A Dentener, R Louis, R H E Cloots, M Henket, and E F M Wouters Differences in local versus systemic TNF{alpha} production in COPD: inhibitory effect of hyaluronan on LPS induced blood cell TNF{alpha} release Thorax, June 1, 2006; 61(6): 478 - 484. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. P. de Torres, E. Cordoba-Lanus, C. Lopez-Aguilar, M. Muros de Fuentes, A. Montejo de Garcini, A. Aguirre-Jaime, B. R. Celli, and C. Casanova C-reactive protein levels and clinically important predictive outcomes in stable COPD patients Eur. Respir. J., May 1, 2006; 27(5): 902 - 907. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. O. Aksoy, Y. Yang, R. Ji, P. J. Reddy, S. Shahabuddin, J. Litvin, T. J. Rogers, and S. G. Kelsen CXCR3 surface expression in human airway epithelial cells: cell cycle dependence and effect on cell proliferation Am J Physiol Lung Cell Mol Physiol, May 1, 2006; 290(5): L909 - L918. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. A. Marwick, C. S. Stevenson, J. Giddings, W. MacNee, K. Butler, I. Rahman, and P. A. Kirkham Cigarette smoke disrupts VEGF165-VEGFR-2 receptor signaling complex in rat lungs and patients with COPD: morphological impact of VEGFR-2 inhibition Am J Physiol Lung Cell Mol Physiol, May 1, 2006; 290(5): L897 - L908. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. Vlahos, S. Bozinovski, J. E. Jones, J. Powell, J. Gras, A. Lilja, M. J. Hansen, R. C. Gualano, L. Irving, and G. P. Anderson Differential protease, innate immunity, and NF-{kappa}B induction profiles during lung inflammation induced by subchronic cigarette smoke exposure in mice Am J Physiol Lung Cell Mol Physiol, May 1, 2006; 290(5): L931 - L945. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Slevogt, B. Schmeck, C. Jonatat, J. Zahlten, W. Beermann, V. van Laak, B. Opitz, S. Dietel, P. D. N'Guessan, S. Hippenstiel, et al. Moraxella catarrhalis induces inflammatory response of bronchial epithelial cells via MAPK and NF-{kappa}B activation and histone deacetylase activity reduction Am J Physiol Lung Cell Mol Physiol, May 1, 2006; 290(5): L818 - L826. [Abstract] [Full Text] [PDF] |
||||