“…COPD is the third leading cause of death worldwide,and immunotherapy has been a focus of research.For instance,the macrolide drug erythromycin,inhibits dendritic cell-mediated CD4+T cell polarization to Th17 cells in vivo and in vitro through the CD40/CD40L pathway,partially limiting the in ammatory responses of emphysema 31 .Rapamycin,a novel macrolide immunosuppressant,inhibits mTOR-induced CD8+T cells in the lung tissue of a mouse emphysema model exposed to chronic cigarette smoke 32 .Although immunotherapy for COPD has demonstrated the effective inhibitory effect of macrolides on T cells,the current treatment options are less effective.The signaling pathways involved in T cell regulation under chronic cigarette smoke exposure have yet to be fully elucidated.Considering the pathogenesis of T cells and as blocking the immune responses of T cells can effectively control the progression of COPD,we analyzed the microarray data of COPD from the GEO database to obtain DEGs and modules most relevant to the COPD disease phenotype.ScRNA-seq analysis acquired DEGs of T cells between normal and COPD groups.The GO,GSEA and KEGG analyses of DEGs and DEGs of T cells showed that different signaling pathways are involved.FOXO1 and DDX17 were identi ed by the intersection of DEGs,genes of the red module and DEGs of T cells.The relative mRNA and protein expression levels of FOXO1 and DDX17 were veri ed by RT-qPCR and Western Blot in emphysema mouse lung tissue. FOXO1 a member of the Forkead transcription factor family,regulates cell stability,and the cell cycle and coordinates the response to various environmental changes 33,34 .There is evidence suggesting that FOXO1 protein expression levels are increased in the quadriceps muscle of COPD patients with muscle atrophy [35][36][37][38] .The mRNA expression levels of SIRT1 and FOXO1 in the peripheral blood of patients with COPD have been positively correlated with physical exercise 39 .However,there are also results that are inconsisitent with current studies.For example,AMPK compromised epithelial cell apoptosis induced by cigarette smoke extract exposure through FOXO1-induced ORP150 40 .FOXO1 expression is downregulated in the miRNA-mRNA signaling pathway in the blood of COPD patients 41 .The inconsistency of the above results may be due to differences in the severity of COPD in patients,individual animals and experimental conditions.DDX17,a member of the DEAD-box RNA helicases(DDX) family,plays a crucial role in the pathophysiological changes and metabolism of RNA 42 .Studies have shown that DDX17 regulates autophagy and actin cytoskeleton remodeling in lung adenocarcinoma through MAGEA6 and MYL9 signaling 43 .DDX17 accelerates lung cancer progression by promoting reduced apoptosis 44 .At present,research on DDX17 has focused on cancer,and there have been relatively few studies of on-tumor diseases,especially chronic obstructive pulmonary disease 45,46 .…”