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Naslov:Emphysema and extrapulmonary tissue loss in COPD: a multi-organ loss of tissue phenotype
Avtorji:ID Celli, Bartolome R. (Avtor)
ID Locantore, Nicholas (Avtor)
ID Tal-Singer, Ruth (Avtor)
ID Riley, John (Avtor)
ID Vestbo, Jørgen (Avtor)
ID Yates, Julie C. (Avtor)
ID Miller, Bruce E. (Avtor)
ID Silverman, Edwin K (Avtor)
ID Owen, Caroline A. (Avtor)
ID Divo, Miguel (Avtor)
ID Košnik, Mitja (Z enoto povezano ime)
ID Košnik, Mitja (Sodelavec pri raziskavi)
Datoteke:URL URL - Izvorni URL, za dostop obiščite http://erj.ersjournals.com/content/51/2/1702146
 
Jezik:Angleški jezik
Tipologija:1.01 - Izvirni znanstveni članek
Organizacija:Logo UKPBAG - Univerzitetna klinika za pljučne bolezni in alergijo Golnik
Povzetek:We tested whether emphysema progression accompanies enhanced tissue loss in other body compartments in 1817 patients from the ECLIPSE chronic obstructive pulmonary disease (COPD) cohort. Clinical and selected systemic biomarker measurements were compared in subjects grouped by quantitative tomography scan emphysema quartiles using the percentage of low attenuation area (LAA%). Lowest and highest quartile patients had amino-acid metabolomic profiles. We related LAA% to 3 years decline in lung function (forced expiratory volume in 1 s (FEV1)), body mass index (BMI), fat-free mass index (FFMI) and exacerbations, hospitalisations and mortality rates. Participants with more baseline emphysema had lower FEV1, BMI and FFMI, worse functional capacity, and less cardiovascular disease but more osteoporosis. Systemic C-reactive protein and interleukin-6 levels were similar among groups, but club cell protein 16 was higher and interleukin-8, surfactant protein D and soluble receptor for advanced glycation end product were lower with more emphysema. Metabolomics differed between extreme emphysema quartiles. Patients with more emphysema had accelerated FEV1, BMI and FFMI decline and more exacerbations, hospitalisations and mortality. COPD patients with more emphysema undergo excessive loss of pulmonary and extrapulmonary tissue, which is probably related to abnormal tissue maintenance. Because of worse clinical outcomes, we propose this subgroup be named the multi-organ loss of tissue (MOLT) COPD phenotype.
Ključne besede:COPD, chronic obstructive pulmonary disease, emphysema
Status publikacije:Objavljeno
Verzija publikacije:Objavljena publikacija
Kraj izida:Velika Britanija
Založnik:European Respiratory Society
Leto izida:2018
Št. strani:str. 1-10
Številčenje:Vol. 51, iss. 2
PID:20.500.12556/DiRROS-12903 Novo okno
UDK:616.2
ISSN pri članku:1399-3003
DOI:10.1183/13993003.02146-2017 Novo okno
COBISS.SI-ID:2048254321 Novo okno
Avtorske pravice:©ERS 2018
Opomba:Soavtorji: Nicholas Locantore, Ruth Tal-Singer, John Riley, Bruce Miller, Jørgen Vestbo, Julie C. Yates, Edwin K. Silverman, Caroline A. Owen, Miguel Divo, Victor Pinto-Plata, Emiel F. M. Wouters, Rosa Faner and Alvar Agusti, on behalf of the ECLIPSE Study Investigators; Nasl. z nasl. zaslona; Opis vira z dne 7. 3. 2018;
Datum objave v DiRROS:14.12.2020
Število ogledov:1143
Število prenosov:350
Metapodatki:XML RDF-CHPDL DC-XML DC-RDF
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Gradivo je del revije

Naslov:European respiratory journal
Skrajšan naslov:Eur. respir. j.
Založnik:European Respiratory Society
ISSN:1399-3003
COBISS.SI-ID:521261849 Novo okno

Sekundarni jezik

Jezik:Ni določen
Ključne besede:KOPB, kronična obstruktivna pljučna bolezen, emfizem


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