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Cited by 599

The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.

Multifaceted mechanisms in COPD: inflammation, immunity, and tissue repair and destruction

Open access
Chung, K. F., Adcock, I. M.·2008·European Respiratory Journal

Abstract

Chronic obstructive pulmonary disease is a leading global cause of morbidity and mortality that is characterised by inexorable deterioration of small airways obstruction with emphysema associated with cellular inflammation and structural remodelling. Other features include apoptosis as well as proliferation of cells, and both tissue repair and lack of tissue repair. Metalloprotease release, together with that of apoptotic factors, may underlie the emphysema, and, conversely, fibrosis of the small airways may be accounted for by the effects of growth factor activation. In advanced disease, influential factors include the development of autoimmunity, with activation of dendritic cells and T-helper cells of both type 1 and 2, and the senescence response. An inability of macrophages to ingest apoptosed cells and bacteria may exacerbate inflammatory responses. Systemic inflammation with concomitant cardiovascular disease and metabolic syndrome may reflect the effect of cigarette smoke on nonpulmonary cells. Corticosteroid resistance may be secondary to oxidative stress mechanisms, such as inactivation of histone deacetylases. The mechanisms of chronic obstructive pulmonary disease may be heterogeneous, according to severity, and clinical phenotypes need to be correlated with cellular and pathological processes. Treatments may be targeted to patients with specific mechanisms.

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Crossref · 10.1183/09031936.00018908

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Metadata

Authors
Chung, K. F., & Adcock, I. M.
Venue
European Respiratory Journal
Published
2008-05-30
Volume
31
Issue
6
Pages
1334-1356
ISSN
  • 0903-1936 (ISSN-L)
  • 1399-3003
OpenAlex
W2157409103
Cited by
599
References
13
FWCI
29.22
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Multifaceted mechanisms in COPD: inflammation, immunity, and tissue repair and destruction. https://app.cochat.ai/papers/10.1183/09031936.00018908
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Chung, K. F., & Adcock, I. M. (2008). Multifaceted mechanisms in COPD: inflammation, immunity, and tissue repair and destruction. European Respiratory Journal. https://doi.org/10.1183/09031936.00018908

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

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.