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Revisited role for mucus hypersecretion in the pathogenesis of COPD

I. Cerveri, V. Brusasco
European Respiratory Review 2010 19: 109-112; DOI: 10.1183/09059180.00002710
I. Cerveri
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V. Brusasco
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  • FIGURE 1.
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    FIGURE 1.

    Pathological changes of the central airways in chronic obstructive pulmonary disease. a) A central bronchus from the lung of a cigarette smoker with normal pulmonary function. Only small amounts of bronchial smooth muscle are present and the epithelial glands are small. b) In contrast, a subject with chronic bronchitis has bronchial smooth muscle that appears as a thick bundle and enlarged bronchial glands. c) The enlarged bronchial glands at a higher magnification. A chronic inflammatory process involving polymorphonuclear leukocytes (arrowhead) and mononuclear cells, including plasma cells (arrows) can also be seen. Reproduced from [11], with permission from the publisher.

  • FIGURE 2.
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    FIGURE 2.

    Incidence of chronic obstructive pulmonary disease according to the history of chronic cough/phlegm. The statistically significant incidence rate ratio (persistence versus absence) was 4.04 (95% CI 2.29–7.11). ECRHS: European Community Respiratory Health Survey. Reproduced from [23] with permission from the publisher.

  • FIGURE 3.
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    FIGURE 3.

    Kaplan–Meier survival plot of 101 cases of severe (Global Initiative for Chronic Obstructive Lung Disease (GOLD) stage 3) and very severe (GOLD stage 4) chronic obstructive pulmonary disease following lung volume reduction surgery. The median survival was shortened in the quartile with the most severe occlusion by mucous exudate on the fully expanded lumen (HR 3.28, 95% CI 1.55–6.92; p = 0.002) after adjustment for several factors. ––––: quartile 1 (smallest); ········: quartile 2; ·-·-·-: quartile 3; - - - -: quartile 4 (largest). Reproduced from [25] with permission from the publisher.

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Revisited role for mucus hypersecretion in the pathogenesis of COPD
I. Cerveri, V. Brusasco
European Respiratory Review Jun 2010, 19 (116) 109-112; DOI: 10.1183/09059180.00002710

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Revisited role for mucus hypersecretion in the pathogenesis of COPD
I. Cerveri, V. Brusasco
European Respiratory Review Jun 2010, 19 (116) 109-112; DOI: 10.1183/09059180.00002710
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  • Article
    • Abstract
    • COPD AS A HETEROGENEOUS DISEASE
    • THE CURRENT PATHOGENETIC THEORY AND ITS LIMITS
    • “THE BRITISH HYPOTHESIS” AND CHRONIC MUCUS HYPERSECRETION
    • CONCLUSIONS
    • Statement of interest
    • Provenance
    • References
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