2005
DOI: 10.1186/1465-9921-6-151
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MMP-9, TIMP-1 and inflammatory cells in sputum from COPD patients during exacerbation

Abstract: Background: Irreversible airflow obstruction in Chronic Obstructive Pulmonary Disease (COPD) is thought to result from airway remodelling associated with aberrant inflammation. Patients who experience frequent episodes of acute deterioration in symptoms and lung function, termed exacerbations, experience a faster decline in their lung function, and thus over time greater disease severity However the mechanisms by which these episodes may contribute to decreased lung function are poorly understood.

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Cited by 154 publications
(130 citation statements)
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“…MMP-9 levels are increased in sputum (26) and bronchoalveolar lavage fluid (27) of asthmatic individuals and increase further in status asthmaticus (28). Furthermore, MMP-9 is also increased in other inflammatory obstructive lung diseases, such as in chronic obstructive pulmonary disease patients during exacerbations (29).…”
mentioning
confidence: 85%
“…MMP-9 levels are increased in sputum (26) and bronchoalveolar lavage fluid (27) of asthmatic individuals and increase further in status asthmaticus (28). Furthermore, MMP-9 is also increased in other inflammatory obstructive lung diseases, such as in chronic obstructive pulmonary disease patients during exacerbations (29).…”
mentioning
confidence: 85%
“…Notably, a recent study on smokers with and without COPD reveals that immunoreactivity for MMP-2 protein in peripheral lung tissue correlates with disease severity in patients with COPD rather than to cigarette smoking per se [18], which is fully in line with the current findings. Moreover, COPD patients display higher MMP-9 protein levels in the airways during exacerbations than during the stable phase of their disease [5] and ex-smokers with COPD colonised with bacteria display higher MMP-9 protein levels in the peripheral airways than noncolonised ex-smokers with COPD [19]. These observations, together with the observations in the current study, are all compatible with the idea that there is no pronounced impact on gelatinase mobilisation that occurs immediately after tobacco exposure in naïve airways and that such an impact requires repeated exposure to tobacco smoke over time as the pulmonary disease progresses, possibly also affected by co-factors such as infectious agents.…”
Section: Discussionmentioning
confidence: 99%
“…Thus, an upregulation of MMP-9 and MMP-2 has been demonstrated in the lungs of patients with manifest chronic obstructive pulmonary disease (COPD), and an upregulation of MMP-9 has been detected in the lungs of patients with emphysema [3]. This upregulation of MMP may lead to an imbalance in the gelatinase homeostasis, especially if occurring in combination with a downregulation of TIMPs [4,5]. However, the course and order of proteolytic events preceding manifest COPD in tobacco smokers remain largely unknown.…”
mentioning
confidence: 99%
“…21 In addition, similar studies have observed that markers of the host response to tobacco smoke may be important predictors of COPD exacerbations and symptoms. [22][23][24] Inhaled corticosteroids that modify these markers of inflammation have been demonstrated to reduce the risk of COPD exacerbation. 25 Interestingly, among patients with severe COPD, inflammation has been demonstrated to persist years after smoking cessation, 26,27 and there are few data about whether modification in the rate of airflow obstruction is similar to those individuals with mild to moderate disease.…”
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confidence: 99%