A Brief Review of Chronic Obstructive Pulmonary Disease

A recent study, based on a combination of multidetector computed tomography scanning of an intact specimen with microcomputed tomography and histological analysis of lung tissue samples, reported that the number of terminal bronchioles were reduced from approximately 44,500/lung pair in control (don...

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Main Author: James C Hogg
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2012/496563
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author James C Hogg
author_facet James C Hogg
author_sort James C Hogg
collection DOAJ
description A recent study, based on a combination of multidetector computed tomography scanning of an intact specimen with microcomputed tomography and histological analysis of lung tissue samples, reported that the number of terminal bronchioles were reduced from approximately 44,500/lung pair in control (donor) lungs to approximately 4800/lung pair in lungs donated by individuals with very severe (Global initiative for chronic Obstructive Lung Disease stage 4) chronic obstructive pulmonary disease (COPD) treated by lung transplantation. The present short review discusses the hypothesis that a rapid rate of terminal bronchiolar destruction causes the rapid decline in lung function leading to advanced COPD. With respect to why the terminal bronchioles are targeted for destruction, the postulated mechanisms of this destruction and the possibility that new treatments are able to either prevent or reverse the underlying cause of airway obstruction in COPD are addressed.
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spelling doaj-art-985be87f5c1641ed819e36ab970db10f2025-02-03T05:49:33ZengWileyCanadian Respiratory Journal1198-22412012-01-0119638138410.1155/2012/496563A Brief Review of Chronic Obstructive Pulmonary DiseaseJames C Hogg0University of British Columbia Research Laboratories, St Paul’s Hospital, Vancouver, British Columbia, CanadaA recent study, based on a combination of multidetector computed tomography scanning of an intact specimen with microcomputed tomography and histological analysis of lung tissue samples, reported that the number of terminal bronchioles were reduced from approximately 44,500/lung pair in control (donor) lungs to approximately 4800/lung pair in lungs donated by individuals with very severe (Global initiative for chronic Obstructive Lung Disease stage 4) chronic obstructive pulmonary disease (COPD) treated by lung transplantation. The present short review discusses the hypothesis that a rapid rate of terminal bronchiolar destruction causes the rapid decline in lung function leading to advanced COPD. With respect to why the terminal bronchioles are targeted for destruction, the postulated mechanisms of this destruction and the possibility that new treatments are able to either prevent or reverse the underlying cause of airway obstruction in COPD are addressed.http://dx.doi.org/10.1155/2012/496563
spellingShingle James C Hogg
A Brief Review of Chronic Obstructive Pulmonary Disease
Canadian Respiratory Journal
title A Brief Review of Chronic Obstructive Pulmonary Disease
title_full A Brief Review of Chronic Obstructive Pulmonary Disease
title_fullStr A Brief Review of Chronic Obstructive Pulmonary Disease
title_full_unstemmed A Brief Review of Chronic Obstructive Pulmonary Disease
title_short A Brief Review of Chronic Obstructive Pulmonary Disease
title_sort brief review of chronic obstructive pulmonary disease
url http://dx.doi.org/10.1155/2012/496563
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