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Cited by 435

The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.

C-reactive protein in patients with COPD, control smokers and non-smokers

Open access
Pinto-Plata, V M·2005·Thorax

Abstract

BACKGROUND: Patients with chronic obstructive pulmonary disease (COPD) have raised serum levels of C reactive protein (CRP). This may be related directly to COPD and its associated systemic inflammation or secondary to other factors such as concomitant ischaemic heart disease (IHD) or smoking status. The aim of this study was to evaluate IHD and smoking as potential causes of raised CRP levels in COPD and to test the association between inhaled corticosteroid (ICS) use and serum CRP levels. METHODS: Cross sectional analyses comparing cohorts of 88 patients with COPD, 33 smokers (S), and 38 non-smoker (NS) controls were performed. Clinical assessments included a complete medical history, pulmonary function, 6 minute walk test (6MWT), cardiopulmonary exercise test, and high sensitivity serum CRP measurements. RESULTS: Serum CRP levels were significantly higher in patients with COPD (5.03 (1.51) mg/l) than in controls (adjusted odds ratio 9.51; 95% confidence interval 2.97 to 30.45) but were similar in the two control groups (S: 2.02 (1.04) mg/l; NS: 2.24 (1.04) mg/l). There was no clinical or exercise evidence of unstable IHD in any of the subjects. CRP levels were lower in COPD patients treated with ICS than in those not treated (3.7 (3.0) mg/l v 6.3 (3.6) mg/l); this association was confirmed in an adjusted regression model (p<0.05). CONCLUSION: CRP levels are raised in COPD patients without clinically relevant IHD and independent of cigarette smoking, and reduced in patients with COPD using ICS. CRP may be a systemic marker of the inflammatory process that occurs in patients with COPD.

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Metadata

Authors
Pinto-Plata, V. M.
Venue
Thorax
Publisher
BMJ
Published
2005-10-21
Volume
61
Issue
1
Pages
23-28
ISSN
0040-6376 (ISSN-L)
OpenAlex
W2191391362
Cited by
435
References
34
FWCI
20.96
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: C-reactive protein in patients with COPD, control smokers and non-smokers. https://app.cochat.ai/papers/10.1136/thx.2005.042200
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Pinto-Plata, V. M. (2005). C-reactive protein in patients with COPD, control smokers and non-smokers. Thorax. https://doi.org/10.1136/thx.2005.042200

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