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慢性阻塞性肺疾病与衰老的特征

Chronic obstructive pulmonary disease and the hallmarks of aging.

作者信息

Kukrety Shweta P, Parekh Jai D, Bailey Kristina L

机构信息

Department of Internal Medicine, Creighton University, Omaha, NE, USA.

Department of Internal Medicine, University of Nebraska Medical Center; Research Service, Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha, NE, USA.

出版信息

Lung India. 2018 Jul-Aug;35(4):321-327. doi: 10.4103/lungindia.lungindia_266_17.

Abstract

Aging is characterized by progressive deterioration of physiological integrity, decline in homeostasis, and degeneration of the tissues that occurs after the reproductive phase of life is complete, leading to impaired function. This deterioration is an important risk factor for chronic lung pathologies such as chronic obstructive pulmonary disease (COPD). COPD is a disease that develops gradually. Emphysematous changes in the lung take years to develop after exposure to cigarette smoke; hence, the vast majority of patients are elderly. There has been a dramatic increase in the life expectancy of the general population, resulting in an increased burden of chronic lung diseases. There is growing evidence that molecular mechanisms involved in aging may also play a role in COPD pathogenesis. Recently, the nine hallmarks of aging were identified. In this article, we will review the nine hallmarks of aging and how each hallmark contributes to the pathogenesis of COPD.

摘要

衰老的特征是生理完整性逐渐恶化、体内平衡下降以及在生命的生殖阶段结束后发生的组织退化,从而导致功能受损。这种退化是慢性肺部疾病如慢性阻塞性肺疾病(COPD)的重要危险因素。COPD是一种逐渐发展的疾病。肺部的肺气肿变化在接触香烟烟雾后需要数年时间才能形成;因此,绝大多数患者是老年人。普通人群的预期寿命有了显著提高,导致慢性肺部疾病的负担增加。越来越多的证据表明,衰老所涉及的分子机制可能也在COPD发病机制中起作用。最近,确定了衰老的九个标志。在本文中,我们将综述衰老的九个标志以及每个标志如何促成COPD的发病机制。

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