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Complex chronic comorbidities of COPD
Open accessAbstract
Chronic obstructive pulmonary disease (COPD) is defined by fixed airflow limitation associated with an abnormal pulmonary and systemic inflammatory response of the lungs to cigarette smoke. The systemic inflammation induced by smoking may also cause chronic heart failure, metabolic syndrome and other chronic diseases, which may contribute to the clinical manifestations and natural history of COPD. Thus COPD can no longer be considered a disease only of the lungs, as it is often associated with a wide variety of systemic consequences. A better understanding of the origin and consequences of systemic inflammation, and of potential therapies, will most likely lead to better care of patients with COPD. Medical textbooks and clinical guidelines still largely ignore the fact that COPD seldom occurs in isolation. As the diagnosis and assessment of severity of COPD may be greatly affected by the presence of comorbid conditions, the current authors believe that lung function measurement, noninvasive assessment of cardiovascular and metabolic functions, and circulating inflammatory markers (e.g. C-reactive protein) might help to better characterise these patients. Similarly, preventive and therapeutic interventions should address the patient in their complexity.
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BackgroundShould pulse oximetry be included in GPs’ assessment of patients with obstructive lung disease?
Dalbak, L. G., Straand, J., & Melbye, H. (2015) · Scandinavian Journal of Primary Health Care · doi:10.3109/02813432.2015.1117283 · Cited by 17
Woźniak, K., Śleszycka, J., Safianowska, A., Wiechno, W., & Domagala-Kulawik, J. J. (2012) · Archives of Medical Science · doi:10.5114/aoms.2012.29525 · Cited by 17
Bronchoabsorption; a novel bronchoscopic technique to improve biomarker sampling of the airway
Leaker, B. R., Nicholson, G., Ali, F., Daudi, N., O’Connor, B., & Barnes, P. J. (2015) · Respiratory Research · doi:10.1186/s12931-015-0268-5 · Cited by 17
“Systemic inflammation could be an effect of the inflammation COPD mediators cause in the airways or a separate component of the disease which is independent of the processes occurring in the lungs [32, 33].”
BackgroundPrevalence of pulmonary hypertension in COPD patients living at high altitude
Aguirre-Franco, C., Torres-Duque, C. A., Salazar, G., Casas, A., Jaramillo, C., & González-García, M. (2022) · Pulmonology · doi:10.1016/j.pulmoe.2021.12.006 · Cited by 16
Alonso, J. L. I., Ramos, P. D. L., & Glez-Moro, J. M. R. (2012) · Archivos de Bronconeumología · doi:10.1016/j.arbr.2012.05.002 · Cited by 16
The relationship between metabolic syndrome and chronic obstructive pulmonary disease
Ghatas, T. S. (2017) · Egyptian Journal of Bronchology · doi:10.4103/1687-8426.198983 · Cited by 16
Small airway remodeling in diabetic and smoking chronic obstructive pulmonary disease patients
Wu, N., Wu, Z., Sun, J., Yan, M., Wang, B., Du, X., & Liu, Y. (2020) · Aging · doi:10.18632/aging.103112 · Cited by 16
Bailey, W. C., Sciurba, F. C., Hanania, N. A., Donohue, J. F., Ferguson, G. T., Zibrak, J. D., Sharafkhaneh, A., Marcus, P., Rosa, K., Piault, E. C., et al. (2009) · Primary Care Respiratory Journal · doi:10.4104/pcrj.2009.00032 · Cited by 16
Mahishale, V. K., Mahishale, A. V., Patil, B., Avuthu, S., & Eti, A. (2015) · Nigerian Medical Journal · doi:10.4103/0300-1652.150699 · Cited by 16
Tunsupon, P., Lal, A. A., Khamis, M. A., & Mador, M. J. (2017) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0000000000000236 · Cited by 16
“com (2) metabolic disease (diabetes, hyperlipidemia); (3) behavioral health problems (depression, anxiety, schizophrenia, bipolar disorder, posttraumatic stress disorder); (4) orthopedic problems (osteoarthritis, spinal stenosis); and (5) other diseases (peripheral vascular disease, neurologic disease, hepatic or rena…”
BackgroundZhang, Y., Xin, Q., Wu, Z. S., Wang, C., Wang, Y., Wu, Q., & Niu, R. L. (2018) · Medical Science Monitor · doi:10.12659/msm.908702 · Cited by 16
“Previous studies showed that CRP is a non-specific inflammatory marker that is elevated in coronary artery disease and obstructive lung disease [67,68].”
BackgroundEffect of lipoteichoic acid on IL-2 and IL-5 release from T lymphocytes in asthma and COPD
Mat, Z., Grensemann, B., Yakin, Y., Knobloch, J., & Koch, A. (2012) · International Immunopharmacology · doi:10.1016/j.intimp.2012.04.005 · Cited by 13
“In both diseases systemic inflammation might trigger comorbidities such as cachexia, lung carcinoma and chronic heart failure [1,8,9].”
BackgroundTreating the Systemic Effects of Chronic Obstructive Pulmonary Disease
Vogelmeier, C. F., & Wouters, E. F. �. (2011) · Proceedings of the American Thoracic Society · doi:10.1513/pats.201102-020rm · Cited by 15
“Namely, that physical inactivity and obesity, which can be found in a high percentage of patients with COPD (29), may induce systemic inflammation (30, 31).”
BackgroundAlonso, J. L. I., Ramos, P. D. L., & Glez-Moro, J. M. R. (2012) · Archivos de Bronconeumología · doi:10.1016/j.arbres.2012.02.007 · Cited by 15
Rémy, G., Dubois‐Deruy, E., Alard, J., Kervoaze, G., Chwastyniak, M., Baron, M., Beury, D., Siegwald, L., Caboche, S., Hot, D., et al. (2020) · Nutrients · doi:10.3390/nu12030827 · Cited by 16
“In the present study, we established a model of chronic co-exposure to cigarette smoke in obese and lean mice and evaluated the consequence at different organ level (lung, adipose tissues, gut, and heart), aiming at better deciphering the comorbidities [43] associated to unhealthy lifestyle in order to propose innovat…”
Yong, S. H., Leem, A. Y., Kim, Y. S., Park, M. S., Chang, J., Kim, S. U., & Jung, J. Y. (2020) · International Journal of COPD · doi:10.2147/copd.s242863 · Cited by 15
Limsuwat, C., Mankongpaisarnrung, C., Dumrongmongcolgul, N., & NUGENT, K. M. (2014) · Quality Management in Health Care · doi:10.1097/qmh.0000000000000024 · Cited by 15
Association between arterial stiffness and pulmonary function in hypertensive patients
Masugata, H., Senda, S., Okada, H., Murao, K., Inukai, M., Himoto, T., Hosomi, N., Murakami, K., Noma, T., Kohno, M., et al. (2011) · Hypertension Research · doi:10.1038/hr.2011.199 · Cited by 16
Norris, V., & Ambery, C. L. (2013) · Pulmonary Pharmacology & Therapeutics · doi:10.1016/j.pupt.2013.03.009 · Cited by 15
Health and social impacts of COPD and the problem of under-diagnosis
Carlone, S., Balbi, B., Bezzi, M., Brunori, M., Calabro, S., Barbaro, M. P. F., Micheletto, C., Privitera, S., Torchio, R., Schino, P., et al. (2014) · Multidisciplinary Respiratory Medicine · doi:10.1186/2049-6958-9-63 · Cited by 15
“or more [39].”
The metabolic syndrome in patients with chronic obstructive pulmonary disease
Amin, N. M., Mohamed, R. S. E., Mageed, N. I. A. E., & Wahab, M. H. A. E. (2016) · Egyptian Journal of Chest Diseases and Tuberculosis · doi:10.1016/j.ejcdt.2016.03.008 · Cited by 15
Aryal, S., Diaz‐Guzman, E., & Mannino, D. M. (2012) · Italian Journal of Medicine · doi:10.1016/j.itjm.2012.02.006 · Cited by 14
“Systemic inflammation in COPD is known to contribute significantly to the development of cardiovascular diseases, particularly atherosclerosis via endothelial dysfunction [27].”
BackgroundInfluentialThe treatment burden of long-term home noninvasive ventilation
Spurr, L. (2021) · Breathe · doi:10.1183/20734735.0291-2020 · Cited by 14
“Most individuals for whom domiciliary NIV is indicated have complex conditions and multimorbidity [14, 15], and are therefore highly likely to have other recommended or prescribed treatments.”
BackgroundLandi, F., Pistelli, R., Abbatecola, A. M., Barillaro, C., Brandi, V., & Lattanzio, F. (2011) · Current Opinion in Pulmonary Medicine · doi:10.1097/01.mcp.0000410745.75216.99 · Cited by 15
Ambrosino, N., & Paggiaro, P. (2012) · Expert Review of Respiratory Medicine · doi:10.1586/ers.12.2 · Cited by 14
Dar, S. A., Bhat, B. A., Shah, N. N., & Imtiyaz, S. (2018) · Journal of Neurosciences in Rural Practice · doi:10.4103/jnrp.jnrp_244_18 · Cited by 15
“[16,17] Depression is a highly prevalent comorbidity in patients with COPD and its other associated negative aspects in the course of the disease.”
Berkhof, Metzemaekers, L., Uil, S. M., Kerstjens, H. A. M., & van den Berg, J. W. (2014) · International Journal of COPD · doi:10.2147/copd.s66028 · Cited by 14
“including an increased prevalence of cardiovascular disease in comparison with the general population.(2) Nine percent to 41% of COPD patients have heart failure (HF).”
Anticholinergic Drugs for the Treatment of COPD Are Safe… Are They?
Rabe, K. F. (2010) · CHEST Journal · doi:10.1378/chest.09-2466 · Cited by 14
Systemic Inflammation in Chronic Obstructive Pulmonary Disease: May Diet Play a Therapeutic Role?
Toraldo, D. M., Nuccio, F. D., & Scoditti, E. (2011) · Journal of Allergy & Therapy · doi:10.4172/2155-6121.s2-005 · Cited by 16
“A question arises whether systemic inflammation is the result of a local inflammation spill-over of the lung to the systemic compartments or a systemic component of COPD, not necessarily related to the local inflammatory processes in the lung [6,7].”
BackgroundMulti Feature fusion for COPD Classification using Deep learning algorithms
Patel, P. J., Diwan, D., Patel, K. A., Ranga, S. V., Modi, N. J., & Dumasia, S. (2024) · Journal of Integrated Science and Technology · doi:10.62110/sciencein.jist.2024.v12.780 · Cited by 13
Tao, L., Zhang, Q., Liu, L., Wang, K., Liu, X., Li, J., & Zhao, P. (2024) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2024.119068 · Cited by 14
Esquivel-Campos, A. L., Pérez‐Ramos, J., Cisneros, J., Herrera, I., Rivera-Rosales, R. M., Montaño, M., & Ramos, C. (2014) · Toxicology Mechanisms and Methods · doi:10.3109/15376516.2014.956911 · Cited by 13
“Tobacco constitutes the foremost cause of chronic inflammation of the airways in smokers, which persists even after smoking cessation (Fabbri et al., 2008; GOLD, 2014; Vijayan, 2013).”
BackgroundYoshimi, K., Oh, S., Suzuki, K., Kodama, Y., Sekiya, M., Seyama, K., & Fukuchi, Y. (2016) · Annals of Thoracic and Cardiovascular Surgery · doi:10.5761/atcs.oa.15-00301 · Cited by 13
Metadata
- Authors
- Fabbri, L. M., Luppi, F., Beghé, B., & Rabe, K. F.
- Affiliations
- University of Modena and Reggio Emilia (IT)
- Venue
- European Respiratory Journal
- Publisher
- European Respiratory Society (ERS)
- Published
- 2007-12-31
- Volume
- 31
- Issue
- 1
- Pages
- 204-212
- ISSN
- 0903-1936 (ISSN-L)
- 1399-3003
- OpenAlex
- W2165340553
- Cited by
- 660
- References
- 139
- Citations by year
- 2026: 8 · 2025: 16 · 2024: 20 · 2023: 17 · 2022: 26 · 2021: 19 · 2020: 35 · 2019: 25 · 2018: 36 · 2017: 48 · 2016: 31 · 2015: 50 · 2014: 68 · 2013: 55 · 2012: 59
- FWCI
- 28.24
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- cc-by
- Locations
- European Respiratory Journal (publishedVersion)
- PubMed (publishedVersion)
- BOA (University of Milano-Bicocca) (submittedVersion)
- IRIS UNIMORE (University of Modena and Reggio Emilia) (submittedVersion, cc-by)
- INFM-OAR (INFN Catania) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Asthma and respiratory diseases
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
- Keywords
- chronic obstructive pulmonary disease, comorbidities, systemic inflammation, chronic heart failure, metabolic syndrome, cigarette smoking, C-reactive protein, inflammatory markers, COPD severity assessment, cardiovascular function, COPD management
- MeSH terms
- Chronic Disease, Health Status, Humans, Inflammation, Lung, Models, Biological, Prognosis, Risk Factors, Smoking, Pulmonary Medicine, Comorbidity, Guidelines as Topic, Pulmonary Disease, Chronic Obstructive, Overweight
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