“…COPD is an incurable lung disease characterized by defective tissue repair, resulting in small airways fibrosis or emphysema (Singh et al, 2011;Brandsma et al, 2015). MMPs are a family of zinc-dependent proteins that mediate a variety of biological functions, including cell migration, cellular invasion, cytokine activation, and tissue damage repair (Clapper et al, 2011). MMP-9 is produced by many inflammatory cell types and epithelial cells, including alveolar macrophages, neutrophils, and macrophages.…”