PATHOGENESIS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Chronic obstructive pulmonary disease (COPD) is an obstructive pulmonary disorder which is characterized by limitation of expiratory airflow that is not fully reversible. The airflow limitation is usually progressive and is associated with an abnormal inflammatory response of the lungs to noxious pa...

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Main Authors: Snezana Cekic, Boris Djindjic, Milos Filipovic
Format: Article
Language:English
Published: University in Nis, Faculty of Medicine 2006-01-01
Series:Acta Medica Medianae
Subjects:
Online Access:http://publisher.medfak.ni.ac.rs/2006-html/1-broj/Patogeneza%20hronicne...pdf
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author Snezana Cekic
Boris Djindjic
Milos Filipovic
author_facet Snezana Cekic
Boris Djindjic
Milos Filipovic
author_sort Snezana Cekic
collection DOAJ
description Chronic obstructive pulmonary disease (COPD) is an obstructive pulmonary disorder which is characterized by limitation of expiratory airflow that is not fully reversible. The airflow limitation is usually progressive and is associated with an abnormal inflammatory response of the lungs to noxious particles or gases, primarily caused by cigarette smoking. The inflammatory process associated with COPD is characterized by increased number of activated alveolar macrophages, neutrophils, CD8+ cytotoxic T lymphocytes, B lymphocytes and CD4+ T lymphocytes, and the release of numerous inflammatory mediators (leukotrienes, cytokines, growth factors, chemokines, oxidants and proteases). Chronic inflammation causes remodeling of the small airways with the luminal obstruction due to increased mucus production and thickened walls due to edema and collagen formation that cause fibrosis and narrowing of small airways. Persistent inflammation also leads to destruction of lung tissue, loss of alveolar attachment to the small airways, and decreased lung elastic recoil. Although COPD affects the lungs, it also produces significant systemic consequences.
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spelling doaj.art-f2e46077da174e3ea41f2f615626b12e2022-12-22T03:20:26ZengUniversity in Nis, Faculty of MedicineActa Medica Medianae0365-44782006-01-014517381PATHOGENESIS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASESnezana CekicBoris DjindjicMilos FilipovicChronic obstructive pulmonary disease (COPD) is an obstructive pulmonary disorder which is characterized by limitation of expiratory airflow that is not fully reversible. The airflow limitation is usually progressive and is associated with an abnormal inflammatory response of the lungs to noxious particles or gases, primarily caused by cigarette smoking. The inflammatory process associated with COPD is characterized by increased number of activated alveolar macrophages, neutrophils, CD8+ cytotoxic T lymphocytes, B lymphocytes and CD4+ T lymphocytes, and the release of numerous inflammatory mediators (leukotrienes, cytokines, growth factors, chemokines, oxidants and proteases). Chronic inflammation causes remodeling of the small airways with the luminal obstruction due to increased mucus production and thickened walls due to edema and collagen formation that cause fibrosis and narrowing of small airways. Persistent inflammation also leads to destruction of lung tissue, loss of alveolar attachment to the small airways, and decreased lung elastic recoil. Although COPD affects the lungs, it also produces significant systemic consequences.http://publisher.medfak.ni.ac.rs/2006-html/1-broj/Patogeneza%20hronicne...pdfbronchitisemphysemacigarette smokingproteasematrix metalloproteinasesoxidative stressalveolar macrophageneutrophilcytokinemucociliary
spellingShingle Snezana Cekic
Boris Djindjic
Milos Filipovic
PATHOGENESIS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Acta Medica Medianae
bronchitis
emphysema
cigarette smoking
protease
matrix metalloproteinases
oxidative stress
alveolar macrophage
neutrophil
cytokine
mucociliary
title PATHOGENESIS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE
title_full PATHOGENESIS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE
title_fullStr PATHOGENESIS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE
title_full_unstemmed PATHOGENESIS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE
title_short PATHOGENESIS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE
title_sort pathogenesis of chronic obstructive pulmonary disease
topic bronchitis
emphysema
cigarette smoking
protease
matrix metalloproteinases
oxidative stress
alveolar macrophage
neutrophil
cytokine
mucociliary
url http://publisher.medfak.ni.ac.rs/2006-html/1-broj/Patogeneza%20hronicne...pdf
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AT borisdjindjic pathogenesisofchronicobstructivepulmonarydisease
AT milosfilipovic pathogenesisofchronicobstructivepulmonarydisease