2013
DOI: 10.1164/rccm.201208-1449oc
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A Dynamic Bronchial Airway Gene Expression Signature of Chronic Obstructive Pulmonary Disease and Lung Function Impairment

Abstract: Our findings demonstrate a molecular field of injury throughout the bronchial airway of active and former smokers with COPD that may be driven in part by ATF4 and is modifiable with therapy. Bronchial airway epithelium may ultimately serve as a relatively accessible tissue in which to measure biomarkers of disease activity for guiding clinical management of COPD.

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Cited by 143 publications
(163 citation statements)
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References 33 publications
(43 reference statements)
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“…Evidence has implicated these pathways in the responses to oxidative stress imposed by cigarette smoke, but this requires further exploration [25][26][27][28]. Although ATF4 signalling is activated in the airways of many patients with chronic obstructive pulmonary disease [44], a direct mechanistic link with disease pathogenesis remains elusive.…”
Section: Upr Sensorsmentioning
confidence: 99%
“…Evidence has implicated these pathways in the responses to oxidative stress imposed by cigarette smoke, but this requires further exploration [25][26][27][28]. Although ATF4 signalling is activated in the airways of many patients with chronic obstructive pulmonary disease [44], a direct mechanistic link with disease pathogenesis remains elusive.…”
Section: Upr Sensorsmentioning
confidence: 99%
“…Validation of human gene expression was performed in patient samples derived from the GLUCOLD study cohort measured by Affymetrix Human Gene ST array and Affymetrix miRNA 2.0 array (GSE36221) [12][13][14].…”
Section: Human Patient Samplesmentioning
confidence: 99%
“…A similar field of injury has recently been demonstrated for COPD (34), suggesting a potential method by which it may be possible to readily characterize the molecular heterogeneity of COPD in patients with impaired lung function. Early studies of airway gene expression in COPD focused specific pathways believed to be involved in COPD pathogenesis.…”
Section: Airway Gene Expression Reflects Genomic Alterations Within Tmentioning
confidence: 71%
“…Early studies of airway gene expression in COPD focused specific pathways believed to be involved in COPD pathogenesis. Tilley and colleagues (35) (Figure 1) that mirrors distal disease-associated changes in independent small airway and lung tissue datasets (34). Genes increased in this bronchial airway signature of COPD appear to be regulated in part by activating transcription factor 4 (ATF4), a key mediator of the unfolded protein response (34).…”
Section: Airway Gene Expression Reflects Genomic Alterations Within Tmentioning
confidence: 98%
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