Table 2. Biological mechanisms accounting for the possible reduced sensitivity to corticosteroids in chronic obstructive pulmonary disease
Inflammation type
    Implication of neutrophils
    Signalling pathways
        Excessive activation of transcription factors: nuclear factor-κB and activator protein-1
        Increase in mitogen-activated protein kinase activity
Cooperation
    Impairment of β2-adrenoreceptor function
    Imbalance in corticosteroid receptors (decreased α/β ratio)
    Raised histone acetylation
        Reduced histone-deacetylase expression
        Inflammation and oxidative stress consequences