2012
DOI: 10.1183/09031936.00192611
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Extracellular matrix composition in COPD

Abstract: Extracellular matrix (ECM) composition has an important role in determining airway structure. We postulated that ECM lung composition of chronic obstructive pulmonary disease (COPD) patients differs from that observed in smoking and nonsmoking subjects without airflow obstruction.We determined the fractional areas of elastic fibres, type-I, -III and -IV collagen, versican, decorin, biglycan, lumican, fibronectin and tenascin in different compartments of the large and small airways and lung parenchyma in 26 COP… Show more

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Cited by 114 publications
(139 citation statements)
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References 45 publications
(50 reference statements)
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“…These data suggest that glycoproteins, released from fibroblasts, may play an important role in TGF-b1-mediated myofibroblast differentiation, resulting in a feed-forward loop. Increased peribronchial deposition of collagen, a-SMA, TNC, and FN in patients with emphysema suggests a similar mechanism of aberrant repair after epithelial injury, with resultant airway remodeling and airflow obstruction in COPD (79,80). However, our current understanding of the role of specific glycoproteins in the matrix remodeling associated with emphysema is limited.…”
Section: Elastinmentioning
confidence: 95%
See 1 more Smart Citation
“…These data suggest that glycoproteins, released from fibroblasts, may play an important role in TGF-b1-mediated myofibroblast differentiation, resulting in a feed-forward loop. Increased peribronchial deposition of collagen, a-SMA, TNC, and FN in patients with emphysema suggests a similar mechanism of aberrant repair after epithelial injury, with resultant airway remodeling and airflow obstruction in COPD (79,80). However, our current understanding of the role of specific glycoproteins in the matrix remodeling associated with emphysema is limited.…”
Section: Elastinmentioning
confidence: 95%
“…The antifibrotic effects of decorin have been attributed to inhibition of TGF-b1 activity through binding of the patent peptide to leucine-rich repeats in the core protein (92,93). There is no difference in peribronchial or parenchymal deposition of decorin in mild/moderate COPD compared with normal lungs; however, decreased expression of peribronchiolar decorin has been shown in patients with severe emphysema (79,94). In addition, TGF-b1 has been shown to down-regulate decorin expression in fibroblasts from patients with severe emphysema compared with fibroblasts from patients with mild emphysema (95).…”
Section: Proteoglycansmentioning
confidence: 99%
“…In disease, these rates likely vary, although data are sparse in humans. Pathologic fragmentation and degradation of ECM also contribute to tissue stiffness; recent data suggest damage to elastin fibers with increased fractional area of fibronectin and tenascin in chronic obstructive pulmonary disease (COPD) airways, which will alter stiffness of the ECM (27). Similarly, robust collagen deposition in fibrotic disorders such as idiopathic pulmonary fibrosis (IPF) is associated with marked increases in lung stiffness (4).…”
Section: Modulation Of Ecm Stiffnessmentioning
confidence: 99%
“…They are increased in respiratory diseases such as asthma and COPD, and their presence is associated with structural remodeling and/or inflammation in the airways (5,38). However, the reasons why they accumulate remain unclear.…”
mentioning
confidence: 99%