Abstract:Chronic obstructive pulmonary disease (COPD) is multifactorial disease, which is characterized by airflow limitation and can be provoked by genetic factors, including carriage of the PiZ allele of the protease inhibitor (Pi) gene, encoding alpha-1 antitrypsin (A1AT). Both homozygous and heterozygous PiZ allele carriers can develop COPD. It was found recently that normal A1AT regulates cytokine levels, including IL-17, which is involved in COPD progression. The aim of this study was to determine whether homozyg… Show more
“…Chronic obstructive pulmonary disease (COPD) and liver illnesses such as fibrosis are common manifestations of alpha-1 antitrypsin deficiency, which are also prominent comorbidities characterizing severe COVID-19 cases. Moreover, COPD patients carrying one or two copies of the alpha-1 antitrypsin PiZ allele were reported to have higher interleukin-17 (IL-17) and decreased interferon-γ (IFN-γ) serum levels compared with those having wild-type (PiMM) alpha-1 antitrypsin 11 ; while IL-17 blockers were recently proposed as safe COVID-19 therapeutics deserving clinical trials. 12 Notably, alpha-1 antitrypsin was shown to have distinct endogenous anti-inflammatory properties, superior to those of corticosteroids, that may improve tissue well-being during inflammation while preventing undesired corticosteroid-mediated side effects.…”
Section: Discussionmentioning
confidence: 99%
“…Chronic obstructive pulmonary disease (COPD) and liver illnesses such as fibrosis are common manifestations of alpha‐1 antitrypsin deficiency, which are also prominent comorbidities characterizing severe COVID‐19 cases. Moreover, COPD patients carrying one or two copies of the alpha‐1 antitrypsin PiZ allele were reported to have higher interleukin‐17 (IL‐17) and decreased interferon‐γ (IFN‐γ) serum levels compared with those having wild‐type (PiMM) alpha‐1 antitrypsin 11 ; while IL‐17 blockers were recently proposed as safe COVID‐19 therapeutics deserving clinical trials 12 …”
This article was fast-tracked under a recently instituted interim policy in which editors may, at their discretion, accept coronavirus-related manuscripts submitted for the Review, Perspectives, and Hypotheses categories without additional review.
“…Chronic obstructive pulmonary disease (COPD) and liver illnesses such as fibrosis are common manifestations of alpha-1 antitrypsin deficiency, which are also prominent comorbidities characterizing severe COVID-19 cases. Moreover, COPD patients carrying one or two copies of the alpha-1 antitrypsin PiZ allele were reported to have higher interleukin-17 (IL-17) and decreased interferon-γ (IFN-γ) serum levels compared with those having wild-type (PiMM) alpha-1 antitrypsin 11 ; while IL-17 blockers were recently proposed as safe COVID-19 therapeutics deserving clinical trials. 12 Notably, alpha-1 antitrypsin was shown to have distinct endogenous anti-inflammatory properties, superior to those of corticosteroids, that may improve tissue well-being during inflammation while preventing undesired corticosteroid-mediated side effects.…”
Section: Discussionmentioning
confidence: 99%
“…Chronic obstructive pulmonary disease (COPD) and liver illnesses such as fibrosis are common manifestations of alpha‐1 antitrypsin deficiency, which are also prominent comorbidities characterizing severe COVID‐19 cases. Moreover, COPD patients carrying one or two copies of the alpha‐1 antitrypsin PiZ allele were reported to have higher interleukin‐17 (IL‐17) and decreased interferon‐γ (IFN‐γ) serum levels compared with those having wild‐type (PiMM) alpha‐1 antitrypsin 11 ; while IL‐17 blockers were recently proposed as safe COVID‐19 therapeutics deserving clinical trials 12 …”
This article was fast-tracked under a recently instituted interim policy in which editors may, at their discretion, accept coronavirus-related manuscripts submitted for the Review, Perspectives, and Hypotheses categories without additional review.
“…However, expression of some genes showed the opposite trend in other experiments. In some studies, IL-6 expression was found to be negatively correlated with SERPINA1 expression [34] . In other studies, expression of IL-6 and SERPINA1 was increased with disease progression [35] , [36] .…”
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