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Cited by 313

The DOI matches its Crossref record; 97 of the 97 references it cites were found in a registry or an index.

Inflammatory endotypes in COPD

Barnes, Peter J.·2019·Allergy

Abstract

Chronic obstructive pulmonary disease (COPD) is a major global health problem that is poorly treated by current therapies as it has proved difficult to treat the underlying inflammation, which is largely corticosteroid‐resistant in most patients. Although rare genetic endotypes of COPD have been recognized, despite the clinical heterogeneity of COPD, it has proved difficult to identify distinct inflammatory endotypes. Most patients have increased neutrophils and macrophages in sputum, reflecting the increased secretion of neutrophil and monocyte chemotactic mediators in the lungs. However, some patients also have increased eosinophils in sputum and this may be reflected by increased blood eosinophils. Increased blood and sputum eosinophils are associated with more frequent exacerbations and predict a good response to corticosteroids in reducing and treating acute exacerbations. Eosinophilic COPD may represent an overlap with asthma but the mechanism of eosinophilia is uncertain as, although an increase in sputum IL‐5 has been detected, anti‐IL‐5 therapies are not effective in preventing exacerbations. More research is needed to link inflammatory endotypes to clinical manifestations and outcomes in COPD and in particular to predict response to precision medicines.

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Metadata

Authors
Barnes, P. J.
Venue
Allergy
Publisher
Wiley
Published
2019-03-31
Volume
74
Issue
7
Pages
1249-1256
ISSN
  • 0105-4538 (ISSN-L)
  • 1398-9995
OpenAlex
W2920252122
Cited by
313
References
97
FWCI
16.31
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Inflammatory endotypes in COPD. https://app.cochat.ai/papers/10.1111/all.13760
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Barnes, P. J. (2019). Inflammatory endotypes in COPD. Allergy. https://doi.org/10.1111/all.13760

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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