Challenges of COPD Patients during the COVID-19 Pandemic

Coronavirus disease 2019 (COVID-19) is a severe systemic infection that is a major threat to healthcare systems worldwide. According to studies, chronic obstructive pulmonary disease (COPD) patients with COVID-19 usually have a high risk of developing severe symptoms and fatality, but limited resear...

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Main Authors: Sheng-Wen Sun, Chang Qi, Xian-Zhi Xiong
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Pathogens
Subjects:
Online Access:https://www.mdpi.com/2076-0817/11/12/1484
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author Sheng-Wen Sun
Chang Qi
Xian-Zhi Xiong
author_facet Sheng-Wen Sun
Chang Qi
Xian-Zhi Xiong
author_sort Sheng-Wen Sun
collection DOAJ
description Coronavirus disease 2019 (COVID-19) is a severe systemic infection that is a major threat to healthcare systems worldwide. According to studies, chronic obstructive pulmonary disease (COPD) patients with COVID-19 usually have a high risk of developing severe symptoms and fatality, but limited research has addressed the poor condition of COPD patients during the pandemic. This review focuses on the underlying risk factors including innate immune dysfunction, angiotensin converting enzyme 2 (ACE2) expression, smoking status, precocious differentiation of T lymphocytes and immunosenescence in COPD patients which might account for their poor outcomes during the COVID-19 crisis. Furthermore, we highlight the role of aging of the immune system, which may be the culprit of COVID-19. In brief, we list the challenges of COPD patients in this national pandemic, aiming to provide immune-related considerations to support critical processes in COPD patients during severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and inspire immune therapy for these patients.
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spelling doaj.art-a8659c3891254a0ea1b301868130d0be2023-11-24T17:13:30ZengMDPI AGPathogens2076-08172022-12-011112148410.3390/pathogens11121484Challenges of COPD Patients during the COVID-19 PandemicSheng-Wen Sun0Chang Qi1Xian-Zhi Xiong2Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, ChinaDepartment of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, ChinaDepartment of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, ChinaCoronavirus disease 2019 (COVID-19) is a severe systemic infection that is a major threat to healthcare systems worldwide. According to studies, chronic obstructive pulmonary disease (COPD) patients with COVID-19 usually have a high risk of developing severe symptoms and fatality, but limited research has addressed the poor condition of COPD patients during the pandemic. This review focuses on the underlying risk factors including innate immune dysfunction, angiotensin converting enzyme 2 (ACE2) expression, smoking status, precocious differentiation of T lymphocytes and immunosenescence in COPD patients which might account for their poor outcomes during the COVID-19 crisis. Furthermore, we highlight the role of aging of the immune system, which may be the culprit of COVID-19. In brief, we list the challenges of COPD patients in this national pandemic, aiming to provide immune-related considerations to support critical processes in COPD patients during severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and inspire immune therapy for these patients.https://www.mdpi.com/2076-0817/11/12/1484COVID-19COPDACE2precocious differentiation of T cellsimmunosenescence
spellingShingle Sheng-Wen Sun
Chang Qi
Xian-Zhi Xiong
Challenges of COPD Patients during the COVID-19 Pandemic
Pathogens
COVID-19
COPD
ACE2
precocious differentiation of T cells
immunosenescence
title Challenges of COPD Patients during the COVID-19 Pandemic
title_full Challenges of COPD Patients during the COVID-19 Pandemic
title_fullStr Challenges of COPD Patients during the COVID-19 Pandemic
title_full_unstemmed Challenges of COPD Patients during the COVID-19 Pandemic
title_short Challenges of COPD Patients during the COVID-19 Pandemic
title_sort challenges of copd patients during the covid 19 pandemic
topic COVID-19
COPD
ACE2
precocious differentiation of T cells
immunosenescence
url https://www.mdpi.com/2076-0817/11/12/1484
work_keys_str_mv AT shengwensun challengesofcopdpatientsduringthecovid19pandemic
AT changqi challengesofcopdpatientsduringthecovid19pandemic
AT xianzhixiong challengesofcopdpatientsduringthecovid19pandemic