Pérez-Rial Sandra, Girón-Martínez Álvaro, Peces-Barba Germán
Laboratorio de Neumología, Instituto de Investigación Sanitaria-Fundación Jiménez Díaz-CIBERES-UAM, Madrid, España.
Laboratorio de Neumología, Instituto de Investigación Sanitaria-Fundación Jiménez Díaz-CIBERES-UAM, Madrid, España.
Arch Bronconeumol. 2015 Mar;51(3):121-7. doi: 10.1016/j.arbres.2014.06.016. Epub 2014 Sep 5.
Animal models of disease have always been welcomed by the scientific community because they provide an approach to the investigation of certain aspects of the disease in question. Animal models of COPD cannot reproduce the heterogeneity of the disease and usually only manage to represent the disease in its milder stages. Moreover, airflow obstruction, the variable that determines patient diagnosis, not always taken into account in the models. For this reason, models have focused on the development of emphysema, easily detectable by lung morphometry, and have disregarded other components of the disease, such as airway injury or associated vascular changes. Continuous, long-term exposure to cigarette smoke is considered the main risk factor for this disease, justifying the fact that the cigarette smoke exposure model is the most widely used. Some variations on this basic model, related to exposure time, the association of other inducers or inhibitors, exacerbations or the use of transgenic animals to facilitate the identification of pathogenic pathways have been developed. Some variations or heterogeneity of this disease, then, can be reproduced and models can be designed for resolving researchers' questions on disease identification or treatment responses.
疾病动物模型一直受到科学界的欢迎,因为它们为研究相关疾病的某些方面提供了一种方法。慢性阻塞性肺疾病(COPD)动物模型无法再现该疾病的异质性,通常只能呈现疾病的较轻阶段。此外,气流阻塞这一决定患者诊断的变量在模型中并不总是被考虑在内。因此,模型主要聚焦于肺气肿的发展,肺气肿可通过肺形态测量法轻松检测到,而忽略了疾病的其他组成部分,如气道损伤或相关的血管变化。长期持续接触香烟烟雾被认为是该疾病的主要危险因素,这使得香烟烟雾暴露模型成为使用最广泛的模型这一事实变得合理。人们已经开发了该基本模型的一些变体,这些变体与暴露时间、其他诱导剂或抑制剂的联合使用、病情加重情况或使用转基因动物以促进致病途径的识别有关。那么,这种疾病的一些变体或异质性是可以再现的,并且可以设计模型来解决研究人员关于疾病识别或治疗反应的问题。