Multidisciplinary Respiratory Medicine,
Год журнала:
2024,
Номер
19(Vol. 19 (2024))
Опубликована: Ноя. 12, 2024
Background:
Chronic
obstructive
pulmonary
disease
(COPD)
interferes
with
everyday
functioning
but
its
impact
on
the
loneliness
and
meaning
in
life
of
patients
is
unclear.
Objectives:
to
determine
whether
COPD
severity
levels
correlate
sense
dimensions
life.
Methods:
144
during
a
period
absence
an
infectious
exacerbation
were
examined.
The
number
exacerbations
over
past
year,
Modified
Medical
Research
Council
(mMRC)
dyspnea
score,
Assessment
Test
(CAT)
score
determined
as
well
feelings
using
De
Jong
Gierveld
Loneliness
Scale
(DJGLS)
Life
Attitude
Profile-Revised
(LAP-R)
questionnaire.
Results:
age,
mMRC
CAT
scores,
pack/years,
year
correlated
positively
feeling
loneliness.
These
variables
(except
for
age)
negatively
LAP-R
scales
apart
from
Existential
Vacuum,
which
positively.
subjects
group
D
(the
most
seriously
ill
people)
had
highest
level
loneliness,
while
it
was
lowest
A
least
people).
No
statistical
difference
observed
between
groups
B
C.
Conclusions:
With
increase
values
selected
parameters
determining
decreases
intensifies.
European Journal of Internal Medicine,
Год журнала:
2021,
Номер
85, С. 14 - 22
Опубликована: Фев. 7, 2021
Long-acting
muscarinic
antagonists
(LAMAs)
have
a
recognised
role
in
the
management
of
chronic
obstructive
pulmonary
disease.
In
asthma,
(both
short-
and
long-acting)
were
historically
considered
less
effective
than
β2-agonists;
only
relatively
recently
studies
been
conducted
to
evaluate
efficacy
LAMAs,
as
add-on
either
inhaled
corticosteroid
(ICS)
monotherapy
or
ICS/long-acting
β2-agonist
(LABA)
combinations.
These
led
approval
first
LAMA,
tiotropium,
an
therapy
patients
with
poorly
controlled
asthma.
Subsequently,
number
single-inhaler
ICS/LABA/LAMA
triple
therapies
approved
are
clinical
development
for
There
is
now
substantial
evidence
safety
LAMAs
asthma
that
uncontrolled
despite
treatment
ICS/LABA
combination.
This
regimen
recommended
by
GINA
optimisation
step
severe
before
any
biologic
systemic
initiated.This
narrative
review
summarises
potential
mechanisms
action
together
initial
supporting
this
use.
We
also
discuss
tiotropium
data
evaluating
various
therapies,
considering
other
uses
therapy.
International Journal of COPD,
Год журнала:
2025,
Номер
Volume 20, С. 245 - 257
Опубликована: Фев. 1, 2025
Objective:
Observational
studies
have
indicated
that
immune
cells
and
circulating
inflammatory
proteins
may
play
a
dual
role
in
the
progression
of
COPD;
however,
precise
mechanisms
remain
uncertain.
The
objective
this
study
was
to
ascertain
causal
relationship
between
COPD
quantify
potential
as
mediators.
Methods:
A
two-sample
Mendelian
randomisation
analysis
conducted
involving
731
cells,
91
COPD,
utilising
summary-level
data
from
genome-wide
association
studies.
relationships
were
sequentially
analysed
by
multivariate
validated
using
Bayesian
weighted
randomisation.
Subsequently,
sensitivity
analyses
conducted,
employing
Cochran's
Q
test
assess
heterogeneity,
MR-PRESSO
MR-Egger
tests
pleiotropy,
reverse
MR
Steiger
directionality
rule
out
causality.
Lastly,
two-step
approach
employed
proportion
mediate
cell-mediated
effects
COPD.
Results:
combination
inverse
variance
weighting
method
algorithm
identified
30
found
be
causally
associated
with
well
eight
By
analysis,
six
cell
phenotypes
on
CXCL10
having
highest
percentage
mediation
at
14.49%,
followed
IL20RA
11.47%.
Conclusion:
This
provides
comprehensive
investigation
an
estimation
effect
These
findings
facilitate
identification
individuals
high
risk
offer
novel
insights
for
early
prevention
clinical
intervention.
Keywords:
randomization,
proteins,
Journal of Experimental Pharmacology,
Год журнала:
2021,
Номер
Volume 13, С. 291 - 302
Опубликована: Март 1, 2021
Introduction:
Phosphodiesterases
(PDEs)
are
isoenzymes
ubiquitously
expressed
in
the
lungs
where
they
catalyse
cyclic
adenosine
monophosphate
(cAMP)
and
guanosine
(GMP),
which
fundamental
second
messengers
asthma,
thereby
regulating
intracellular
concentrations
of
these
nucleotides,
their
signaling
pathways
and,
consequently,
myriad
biological
responses.
The
superfamily
PDEs
is
composed
11
families
with
a
distinct
substrate
specificity,
molecular
structure
subcellular
localization.
Experimental
studies
indicate
possible
role
asthma
mainly
for
PDE3,
PDE4,
PDE5
PDE7.
Consequently,
drugs
that
inhibit
may
offer
novel
therapeutic
options
treatment
this
disease.
Areas
Covered:
In
article,
we
describe
progress
made
recent
years
regarding
possibility
using
PDE
inhibitors
asthma.
Expert
Opinion:
Many
data
potential
benefits
as
an
add-on
especially
severe
due
to
bronchodilator
and/or
anti-inflammatory
activity,
but
no
compound
has
yet
reached
market
because
limited
tolerability.
Therefore,
there
growing
interest
developing
new
improved
safety
profile.
particular,
research
focused
on
development
capable
interacting
simultaneously
different
PDEs,
or
be
administered
by
inhalation.
CHF
6001
RPL554
only
molecules
currently
under
clinical
several
agents
interesting
pharmacological
profiles.
It
will
stimulating
assess
impact
such
individual
treatable
traits
specially
designed
studies.
Keywords:
phosphodiesterases,
phosphodiesterase
inhibitors,
bifunctional
drugs,
approach
Journal of Immunology Research,
Год журнала:
2022,
Номер
2022, С. 1 - 9
Опубликована: Июнь 22, 2022
This
work
was
to
explore
the
changes
of
T
lymphocyte
subsets
in
peripheral
blood
patients
with
acute
exacerbation
chronic
obstructive
pulmonary
disease
(COPD)
(AECOPD)
and
role
cellular
immunity
mediated
process.
Eighty-six
AECOPD
who
visited
Qingdao
Hiser
Medical
Center
from
June
2020
December
2021
30
healthy
people
(controls)
underwent
health
examination
same
period
were
selected.
The
differences
function
(PF),
arterial
gas
(ABG),
routine
inflammatory
indexes,
compared
between
two
groups,
correlation
each
index
analyzed.
There
clear
PF,
ABG,
PB
inflammation
indexes
controls
(P
<0.05).
Compared
controls,
CD4+
CD4+/CD8+
ratio
group
obviously
decreased,
CD8+
level
clearly
increased
<0.05);
Th1
cell
Tc1
significantly
increased,
while
Th2
Tc2
decreased
However,
positively
correlated
lung
negatively
neutrophils/lymphocytes
high-sensitivity
C-reactive
protein
<0.05)
Hs-CRP
In
summary,
lymphocytes
involved
occurrence
AECOPD,
decrease
increase
may
promote
deterioration
COPD.