Liang Qianqian, Wang Yide, Li Zheng
Fourth Clinical Medical College of Xinjiang Medical University, Urumqi, 830000, Xinjiang, China.
Xinjiang National Clinical Research Base of Traditional Chinese Medicine, Urumqi, 830000, Xinjiang, China.
Mol Med. 2025 Apr 7;31(1):129. doi: 10.1186/s10020-025-01191-9.
Chronic Obstructive Pulmonary Disease (COPD) is a complex and diverse respiratory disorder, characterized by ongoing respiratory symptoms and restricted airflow. The major clinical manifestations typically encompass chronic cough, sputum production, and wheezing. The main pathological characteristics involve infiltration of inflammatory cells, overproduction of mucus, and damage to the alveolar walls. The underlying causes of COPD are complex and remain incompletely elucidated, thought to originate from the combined effect of various factors. Lipids, as hydrophobic molecules, fulfill three fundamental functions: energy storage, membrane biosynthesis, and signal transduction. Lipid metabolism is intricately intertwined with various metabolic pathways and plays a pivotal role in the complex pathogenesis of COPD. Delving into lipid metabolism, as well as the particular modifications and roles of lipid molecules in cells, is of paramount importance in the context of COPD. This review primarily aims to elucidate the role of fatty acid metabolism in the onset and progression of COPD. Additionally, it examines the potential of lipid metabolism reprogramming as a promising therapeutic approach, illuminating new paths for the management and treatment of this disabling respiratory condition.
慢性阻塞性肺疾病(COPD)是一种复杂多样的呼吸系统疾病,其特征为持续的呼吸道症状和气流受限。主要临床表现通常包括慢性咳嗽、咳痰和喘息。主要病理特征包括炎症细胞浸润、黏液过度分泌以及肺泡壁损伤。COPD的潜在病因复杂,尚未完全阐明,被认为是多种因素共同作用的结果。脂质作为疏水分子,具有三项基本功能:能量储存、膜生物合成和信号转导。脂质代谢与各种代谢途径错综复杂地交织在一起,在COPD复杂的发病机制中起关键作用。深入研究脂质代谢以及脂质分子在细胞中的特定修饰和作用,在COPD背景下至关重要。本综述主要旨在阐明脂肪酸代谢在COPD发病和进展中的作用。此外,它还探讨了脂质代谢重编程作为一种有前景的治疗方法的潜力,为这种致残性呼吸道疾病的管理和治疗开辟新途径。