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肺气肿:对疾病发病机制和治疗方法的当前认识

Pulmonary Emphysema: Current Understanding of Disease Pathogenesis and Therapeutic Approaches.

作者信息

Bentaher Abderrazzak, Glehen Olivier, Degobert Ghania

机构信息

Inflammation and Immunity of the Respiratory Epithelium, INSERM, Claude Bernard Lyon 1 University, UR3738, South Medical University Hospital, 165 Chemin du Petit Revoyet, 69395 Oullins-Pierre-Benite, France.

Claude Bernard Lyon 1 University, CICLY-UR3738, South Medical University Hospital, 165 Chemin du Grand Revoyet, 69395 Pierre-Benite, France.

出版信息

Biomedicines. 2025 Aug 30;13(9):2120. doi: 10.3390/biomedicines13092120.

DOI:10.3390/biomedicines13092120
PMID:41007683
Abstract

Pulmonary emphysema, the main component of chronic obstructive pulmonary disease, is a chronic lung inflammatory disease characterized by the loss of lung elasticity and impaired gas exchange due in large part to the destruction of alveolar walls. Cigarette smoking represents the most frequent etiologic factor, but other factors involving environmental pollution and respiratory infections contribute to disease pathogenesis and worsening. In this review, we provide a review about emphysema covering risk factors; underlying mechanisms of disease pathogenesis; experimental models that mimic, as closely as possible, human disease features; and available therapeutics. Lastly, exploratory therapeutic approaches aimed at improving patient health through evidence-based and personalized medicine are presented as well.

摘要

肺气肿是慢性阻塞性肺疾病的主要组成部分,是一种慢性肺部炎症性疾病,其特征是肺弹性丧失和气体交换受损,这在很大程度上归因于肺泡壁的破坏。吸烟是最常见的病因,但其他涉及环境污染和呼吸道感染的因素也会导致疾病的发病机制和病情恶化。在本综述中,我们对肺气肿进行了综述,内容涵盖危险因素、疾病发病机制的潜在机制、尽可能模拟人类疾病特征的实验模型以及现有的治疗方法。最后,还介绍了旨在通过循证医学和个性化医疗改善患者健康的探索性治疗方法。

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本文引用的文献

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Research advances of extracellular vesicles in lung diseases.细胞外囊泡在肺部疾病中的研究进展
Cell Transplant. 2025 Jan-Dec;34:9636897251362031. doi: 10.1177/09636897251362031. Epub 2025 Aug 8.
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Hydrogel applications: a promising frontier in pneumonia therapy.水凝胶应用:肺炎治疗中一个充满前景的前沿领域。
Front Bioeng Biotechnol. 2025 Jun 20;13:1602259. doi: 10.3389/fbioe.2025.1602259. eCollection 2025.
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A Review of the Influence of Prebiotics, Probiotics, Synbiotics, and Postbiotics on the Human Gut Microbiome and Intestinal Integrity.
益生元、益生菌、合生元和后生元对人体肠道微生物群和肠道完整性影响的综述
J Clin Med. 2025 May 23;14(11):3673. doi: 10.3390/jcm14113673.
4
Inhaled PAMAM-based nano-formulation prolonged lung retention for alleviating pulmonary inflammation of COPD.吸入型基于聚酰胺-胺(PAMAM)的纳米制剂可延长肺部滞留时间,以减轻慢性阻塞性肺疾病(COPD)的肺部炎症。
Mater Today Bio. 2025 May 6;32:101845. doi: 10.1016/j.mtbio.2025.101845. eCollection 2025 Jun.
5
What's new in the 2025 GOLD report.《2025年慢性阻塞性肺疾病全球倡议(GOLD)报告》有哪些新内容。
J Bras Pneumol. 2025 Mar 31;51(1):e20240412. doi: 10.36416/1806-3756/e20240412.
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Trans-resveratrol-loaded nanostructured lipid carrier formulations for pulmonary drug delivery using medical nebulizers.使用医用雾化器的用于肺部给药的负载反式白藜芦醇的纳米结构脂质载体制剂
J Pharm Sci. 2025 May;114(5):103713. doi: 10.1016/j.xphs.2025.103713. Epub 2025 Feb 27.
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Lung volume reduction: surgery endobronchial valves.肺减容:手术及支气管内瓣膜
Breathe (Sheff). 2024 Dec 10;20(3):240107. doi: 10.1183/20734735.0107-2024. eCollection 2024 Oct.
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The Role of the Extracellular Matrix in the Pathogenesis and Treatment of Pulmonary Emphysema.细胞外基质在肺气肿发病机制和治疗中的作用。
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Polymers (Basel). 2024 Sep 3;16(17):2503. doi: 10.3390/polym16172503.
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