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The Heterogeneity of Inflammatory Response and Emphysema in Chronic Obstructive Pulmonary Disease

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单位: [1]Department of Immunology, School of Basic Medical Sciences, Capital Medical University, Beijing, China, [2]Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, China, [3]Institute of Clinical Medical Sciences, China-Japan Friendship Hospital, Beijing, China
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关键词: heterogeneity eosinophils emphysema chronic obstructive pulmonary disease inflammation

摘要:
Chronic obstructive pulmonary disease (COPD) is a heterogeneous disease characterized by chronic inflammation, emphysema, airway remodeling, and altered lung function. Despite the canonical classification of COPD as a neutrophilic disease, blood and airway eosinophilia are found in COPD patients. Identifying the tools to assess eosinophilic airway inflammation in COPD models during stable disease and exacerbations will enable the development of novel anti-eosinophilic treatments. We developed different animal models to mimic the pathological features of COPD. Our results show that eosinophils accumulated in the lungs of pancreatic porcine elastase-treated mice, with emphysema arising from the alveolar septa. A lipopolysaccharide challenge significantly increased IL-17 levels and induced a swift change from a type-2 response to an IL-17-driven inflammatory response. However, lipopolysaccharides can exacerbate cigarette smoking-induced airway inflammation dominated by neutrophil infiltration and airway remodeling in COPD models. Our results suggest that eosinophils may be associated with emphysema arising from the alveolar septa, which may be different from the small airway disease-associated emphysema that is dominated by neutrophilic inflammation in cigarette smoke-induced models. The characterization of heterogeneity seen in the COPD-associated inflammatory signature could pave the way for personalized medicine to identify new and effective therapeutic approaches for COPD.

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出版当年[2020]版:
大类 | 3 区 医学
小类 | 2 区 生理学
最新[2025]版:
大类 | 3 区 医学
小类 | 2 区 生理学
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出版当年[2019]版:
Q1 PHYSIOLOGY
最新[2023]版:
Q2 PHYSIOLOGY

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2019版] 出版当年五年平均[2015-2019] 出版前一年[2018版] 出版后一年[2020版]

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第一作者单位: [1]Department of Immunology, School of Basic Medical Sciences, Capital Medical University, Beijing, China, [2]Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, China,
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通讯机构: [1]Department of Immunology, School of Basic Medical Sciences, Capital Medical University, Beijing, China, [2]Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, China,
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