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治疗慢性阻塞性肺疾病的分子方法:当前观点与未来方向

Molecular Approaches to Treating Chronic Obstructive Pulmonary Disease: Current Perspectives and Future Directions.

作者信息

Vu Sheryl-Phuc, Veit Kaleb, Sadikot Ruxana T

机构信息

Division of Pulmonary, Critical Care & Sleep, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE 68198, USA.

Department of Pathology and Microbiology, College of Medicine, University of Nebraska Medical Center, Omaha, NE 68198, USA.

出版信息

Int J Mol Sci. 2025 Feb 28;26(5):2184. doi: 10.3390/ijms26052184.

DOI:10.3390/ijms26052184
PMID:40076807
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11899978/
Abstract

Chronic obstructive pulmonary disease (COPD) is a clinical syndrome that presents as airflow limitation with poor reversibility accompanied by dynamic hyperinflation of the lung. It is a complex disease with chronic inflammatory airway changes caused by exposure to noxious particles or gases, such as cigarette smoke. The disease involves persistent inflammation and oxidative stress, perpetuated by frequent exacerbations. The prevalence of COPD is on the rise, with the prediction that it will be the leading cause of morbidity and mortality over the next decade. Despite the global burden of COPD and its associated morbidity and mortality, treatment remains limited. Although the understanding of the pathogenesis of COPD has increased over the last two decades, molecular approaches to develop new therapies for the treatment of COPD have lagged. Here, we review the molecular approaches that have the potential for developing novel therapies for COPD.

摘要

慢性阻塞性肺疾病(COPD)是一种临床综合征,表现为气流受限且可逆性差,并伴有肺动态过度充气。它是一种复杂的疾病,由接触有害颗粒或气体(如香烟烟雾)引起慢性炎症性气道改变。该疾病涉及持续的炎症和氧化应激,并因频繁发作而持续存在。COPD的患病率正在上升,预计在未来十年它将成为发病和死亡的主要原因。尽管COPD在全球范围内造成负担及其相关的发病率和死亡率,但治疗方法仍然有限。尽管在过去二十年中对COPD发病机制的认识有所增加,但开发治疗COPD新疗法的分子方法却滞后了。在此,我们综述了具有开发COPD新疗法潜力的分子方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b614/11899978/4372386f3185/ijms-26-02184-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b614/11899978/4372386f3185/ijms-26-02184-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b614/11899978/4372386f3185/ijms-26-02184-g001.jpg

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本文引用的文献

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The Emerging Role of Alarmin-Targeting Biologics in the Treatment of Patients With COPD.警报素靶向生物制剂在慢性阻塞性肺疾病患者治疗中的新作用
Chest. 2025 May;167(5):1346-1355. doi: 10.1016/j.chest.2024.09.049. Epub 2024 Dec 2.
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The need for inhaled phosphodiesterase inhibitors in chronic obstructive pulmonary disease.慢性阻塞性肺疾病中吸入性磷酸二酯酶抑制剂的需求
Expert Rev Clin Pharmacol. 2024 Dec;17(12):1149-1161. doi: 10.1080/17512433.2024.2438187. Epub 2024 Dec 5.
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Update on the pharmacological treatment of chronic obstructive pulmonary disease.
慢性阻塞性肺疾病的药物治疗进展。
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What every clinician should know about inflammation in COPD.每位临床医生都应了解的慢性阻塞性肺疾病中的炎症
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Nat Commun. 2024 Jul 9;15(1):5766. doi: 10.1038/s41467-024-50197-0.
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Dupilumab for COPD with Blood Eosinophil Evidence of Type 2 Inflammation.针对伴有血液嗜酸性粒细胞证据的 2 型炎症 COPD 患者的度普利尤单抗。
N Engl J Med. 2024 Jun 27;390(24):2274-2283. doi: 10.1056/NEJMoa2401304. Epub 2024 May 20.
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