Critical assessment of the value of sputum neutrophils

被引:27
作者
Gupta, Vandana [1 ]
Singh, Dave [1 ]
机构
[1] Univ Manchester, Med Evaluat Unit, Univ Hosp S Manchester Fdn Trust, Manchester M23 9QZ, Lancs, England
关键词
OBSTRUCTIVE PULMONARY-DISEASE; INDUCED AIRWAY INFLAMMATION; NECROSIS-FACTOR-ALPHA; LUNG-FUNCTION; CIRCULATING NEUTROPHILS; BRONCHOALVEOLAR LAVAGE; BRONCHIAL BIOPSIES; HEALTHY-SUBJECTS; COPD PATIENTS; EXACERBATIONS;
D O I
10.3109/15412555.2013.766105
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
100201 [内科学];
摘要
Neutrophils are central to the pathogenesis of COPD, releasing a range of proinflammatory and tissue destructive mediators. Sputum neutrophil numbers are elevated in COPD patients compared to healthy controls. We critically appraise the potential of sputum neutrophils as a biomarker in COPD. We show that there is insufficient evidence to support the use of this biomarker to define a phenotype of patients with more severe disease characteristics or a different prognosis. However, sputum neutrophil measurements can be used to measure the effects of anti-inflammatory drugs for the treatment of COPD.
引用
收藏
页码:107 / 114
页数:8
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