Antioxidants and Chronic Obstructive Pulmonary Disease
Open accessAbstract
Antioxidants represent an attractive therapeutic avenue for individuals with chronic obstructive pulmonary disease (COPD). Cigarette smoke, the major cause of COPD, contains very high concentrations of gaseous and soluble oxidants that can directly induce cell injury and death. Furthermore, particulate matter in cigarette smoke activates lung macrophages that subsequently attract neutrophils. Both neutrophils and macrophages from the lungs of cigarette smokers continuously release large amounts of superoxide and hydrogen peroxide through the nicotinamide adenine dinucleotide phosphate (NADPH) oxidase complex. Once individuals with COPD stop smoking, the neutrophilic inflammation in the airways and lung parenchyma persists, as do the markers of oxidative stress. Several animal models of cigarette smoke-induced injury have provided evidence that various antioxidants may prevent inflammation and morphological changes associated with COPD however, evidence of benefit in patients is less abundant. Although oxidants can inactivate alpha-1 antitrypsin and other protective proteins, damage lung tissue, and increase mucus production, they also are essential for killing pathogens and resolving inflammation. This review will examine the pre-clinical and clinical evidence of a role for antioxidants in the therapy of patients with COPD.
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Agonists of Nrf2 significantly enhance antioxidant synthesis.
“Agonists of Nrf2 significantly enhance antioxidant synthesis (Vézina and Cantin 2018).”
From Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging (2023) · cites this paper as Vézina and Cantin 2018
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Flagged first, then by citations
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- Authors
- Vézina, F.-A., & Cantin, A. M.
- Affiliations
- Université de Sherbrooke (CA)
- Corresponding author
- Cantin, André M.
- ORCID
- Cantin, André M.
- Venue
- Chronic Obstructive Pulmonary Diseases: Journal of the COPD Foundation
- Publisher
- COPD Foundation
- Published
- 2018
- Volume
- 5
- Issue
- 4
- Pages
- 277-288
- ISSN
- 2372-952X (ISSN-L)
- PMC
- PMC6361482
- OpenAlex
- W2897163268
- Cited by
- 34
- References
- 88
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 3 · 2023: 8 · 2022: 3 · 2021: 7 · 2020: 4 · 2019: 3
- FWCI
- 2.64
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Chronic Obstructive Pulmonary Diseases Journal of the COPD Foundation (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Biochemistry › Antioxidant Activity and Oxidative Stress
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Keywords
- antioxidants, chronic obstructive pulmonary disease, cigarette smoke, oxidative stress, NADPH oxidase, superoxide, hydrogen peroxide, neutrophilic inflammation, macrophages, alpha-1-antitrypsin, mucus production, smoking cessation
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