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Review
. 2020 Sep;41(3):307-314.
doi: 10.1016/j.ccm.2020.05.001.

Chronic Obstructive Pulmonary Disease Pathogenesis

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Review

Chronic Obstructive Pulmonary Disease Pathogenesis

Alvar Agusti et al. Clin Chest Med. 2020 Sep.

Abstract

Chronic obstructive pulmonary disease (COPD) has been traditionally considered a self-inflicted disease caused by tobacco smoking. Current available evidence, however, indicates that the pathogenesis of COPD needs to consider the dynamic and cumulative nature of a series of environment (including smoking plus other exposures)-host interactions that eventually determine lung development, maintenance, repair, and aging. By doing so, these factors modulate the trajectory of lung function of the individual through life and the odds of developing COPD through different routes, which likely represent different forms of the disease that require different preventive and therapeutic strategies.

Keywords: Airway diseases; Chronic bronchitis; Chronic obstructive pulmonary disease; Emphysema; Smoking.

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Conflict of interest statement

Disclosure Supported, in part, by FIS (PI17/00369, PI18/01008)CIBERES and SEPAR. RF is a recipient of a Miguel Servet Research Contract supported by FEDER funds (CP16/00039).

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