Tuberc Respir Dis > Volume 69(5); 2010 > Article
Tuberculosis and Respiratory Diseases 2010;69(5):323-330.
DOI: https://doi.org/10.4046/trd.2010.69.5.323    Published online November 1, 2010.
New Paradigms in the Pathogenesis of Chronic Obstructive Pulmonary Disease.
Hui Jung Kim
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Sanbon Medical Center, Wonkwang University School of Medicine, Gunpo, Korea. hikim61@hotmail.com
Abstract
A key mechanism in the pathogenesis of chronic obstructive pulmonary disease is thought to be an abnormal inflammatory response in the lungs to the inhalation of toxic particles and gases, derived from tobacco smoke, air pollution, and/or occupational exposures. This review highlights the potential participation of several alternative pathogenetic processes, particularly involving the potential participation of biological and pathobiological processes related to aging, including oxidative stress and enhanced expression of markers of senescence/aging in emphysematous lungs, and the potential for enhanced tissue destruction involving alveolar cell apoptosis.
Key Words: Aging, Oxidative stress, Emphysema, Apoptosis


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