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  1. Article ; Online: Enfermedad pulmonar obstructiva crónica.

    García Castillo, Elena / Vargas, Gianna / García Guerra, José Alfonso / López-Giraldo, Alejandra / Alonso Pérez, Tamara

    Open respiratory archives

    2022  Volume 4, Issue 2, Page(s) 100171

    Abstract: Chronic Obstructive Pulmonary Disease (COPD) is related to smoking as the main etiological agent although there are other risk factors that can interact influencing the development of the disease. The definition of COPD is based on three points: the ... ...

    Title translation Chronic Obstructive Pulmonary Disease.
    Abstract Chronic Obstructive Pulmonary Disease (COPD) is related to smoking as the main etiological agent although there are other risk factors that can interact influencing the development of the disease. The definition of COPD is based on three points: the presence of persistent respiratory symptoms, exposure to risk agents, and a non-reversible obstructive spirometric ratio. Forced spirometry with a bronchodilator test is necessary to confirm the diagnosis of COPD, however, attempts are being made to develop alternative methods for screening given the current significant underdiagnosis of this pathology.In order to advance in a more personalized medicine for the patient, classification tools have been adopted such as clinical phenotypes and treatable traits, allowing treatments to be adapted according to the characteristics of the patients. Non-pharmacological treatment (smoking cessation, vaccination, physical exercise...) are essential for the management of the disease, as well as pharmacological treatment based on clinical phenotypes. Eosinophils have become a key marker when establishing treatment with inhaled glucocorticoids.In the follow-up of the disease, it is very relevant to evaluate the degree of control being a fundamental element the absence of exacerbations given their implications in mortality, morbidity and quality of life of patients. More studies are needed to better define the phenotypes of exacerbations and their biomarkers.
    Language Spanish
    Publishing date 2022-03-02
    Publishing country Spain
    Document type English Abstract ; Journal Article
    ISSN 2659-6636
    ISSN (online) 2659-6636
    DOI 10.1016/j.opresp.2022.100171
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Diffuse Idiopathic Pulmonary Neuroendocrine Cell Hyperplasia Causing Chronic Cough.

    Martin-Deleon, Roberto / Llabrés de Prada, Marta / López-Giraldo, Alejandra

    Archivos de bronconeumologia

    2018  Volume 54, Issue 11, Page(s) 577

    Title translation Hiperplasia difusa idiopática de células neuroendocrinas como causa de tos crónica.
    MeSH term(s) Aged ; Chronic Disease ; Cough/etiology ; Female ; Humans ; Hyperplasia ; Lung Neoplasms/complications ; Lung Neoplasms/diagnosis ; Neuroendocrine Cells/pathology ; Neuroendocrine Tumors/complications ; Neuroendocrine Tumors/diagnosis
    Language Spanish
    Publishing date 2018-06-05
    Document type Case Reports ; Journal Article
    ZDB-ID 733126-5
    ISSN 1579-2129 ; 0300-2896
    ISSN (online) 1579-2129
    ISSN 0300-2896
    DOI 10.1016/j.arbres.2018.04.019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Molecular Interactions of SARS-CoV-2 in Lung Tissue of Patients with Chronic Obstructive Pulmonary Disease.

    Agusti, Alvar / Sibila, Oriol / Casas-Recasens, Sandra / Mendoza, Nuria / Perea, Lidia / Lopez-Giraldo, Alejandra / Faner, Rosa

    Annals of the American Thoracic Society

    2021  Volume 18, Issue 11, Page(s) 1922–1924

    MeSH term(s) COVID-19 ; Humans ; Lung ; Pulmonary Disease, Chronic Obstructive ; SARS-CoV-2
    Language English
    Publishing date 2021-05-05
    Publishing country United States
    Document type Letter
    ZDB-ID 2717461-X
    ISSN 2325-6621 ; 1943-5665 ; 2325-6621
    ISSN (online) 2325-6621 ; 1943-5665
    ISSN 2325-6621
    DOI 10.1513/AnnalsATS.202006-619RL
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Enfermedad pulmonar obstructiva crónica: la década prodigiosa. Implicaciones para su diagnóstico, prevención y tratamiento.

    López-Giraldo, Alejandra / Rodríguez-Roisin, Robert / Agustí, Alvar

    Medicina clinica

    2015  Volume 144, Issue 11, Page(s) 507–513

    Abstract: Chronic obstructive pulmonary disease (COPD) is a complex and heterogeneous illness, which causes an important socio-economic burden. The last decade has witnessed significant advances in the understanding and knowledge of COPD with a paradigm shift in ... ...

    Title translation Chronic obstructive pulmonary disease: The golden decade. Implications for the diagnosis, prevention and treatment of chronic obstructive pulmonary disease.
    Abstract Chronic obstructive pulmonary disease (COPD) is a complex and heterogeneous illness, which causes an important socio-economic burden. The last decade has witnessed significant advances in the understanding and knowledge of COPD with a paradigm shift in both the assessment and management of the disease. The article here reviews these changes with a particular focus on the last revision (2013) of the Global Strategy for the Diagnosis, Management, and Prevention of chronic obstructive pulmonary disease.
    MeSH term(s) Air Pollutants/adverse effects ; Anti-Inflammatory Agents/therapeutic use ; Bronchodilator Agents/therapeutic use ; Combined Modality Therapy ; Disease Management ; Disease Progression ; Exercise ; Humans ; Lung Transplantation ; Oxygen Inhalation Therapy ; Pneumonectomy/methods ; Practice Guidelines as Topic ; Pulmonary Disease, Chronic Obstructive/classification ; Pulmonary Disease, Chronic Obstructive/diagnosis ; Pulmonary Disease, Chronic Obstructive/epidemiology ; Pulmonary Disease, Chronic Obstructive/therapy ; Respiration, Artificial ; Severity of Illness Index ; Spirometry ; Surveys and Questionnaires ; Tobacco Smoke Pollution/adverse effects ; Tobacco Smoke Pollution/prevention & control ; United States
    Chemical Substances Air Pollutants ; Anti-Inflammatory Agents ; Bronchodilator Agents ; Tobacco Smoke Pollution
    Language Spanish
    Publishing date 2015-06-08
    Publishing country Spain
    Document type English Abstract ; Journal Article ; Review
    ZDB-ID 411607-0
    ISSN 1578-8989 ; 0025-7753
    ISSN (online) 1578-8989
    ISSN 0025-7753
    DOI 10.1016/j.medcli.2014.03.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Lung DNA Methylation in Chronic Obstructive Pulmonary Disease: Relationship with Smoking Status and Airflow Limitation Severity.

    Casas-Recasens, Sandra / Noell, Guillaume / Mendoza, Nuria / Lopez-Giraldo, Alejandra / Garcia, Tamara / Guirao, Angela / Agusti, Alvar / Faner, Rosa

    American journal of respiratory and critical care medicine

    2020  Volume 203, Issue 1, Page(s) 129–134

    MeSH term(s) Aged ; DNA Methylation ; Female ; Forced Expiratory Volume/genetics ; Forced Expiratory Volume/physiology ; Gene Expression Regulation ; Humans ; Lung/physiopathology ; Male ; Middle Aged ; Pulmonary Disease, Chronic Obstructive/genetics ; Pulmonary Disease, Chronic Obstructive/physiopathology ; Smoking/genetics ; Smoking/physiopathology
    Language English
    Publishing date 2020-08-21
    Publishing country United States
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 1180953-x
    ISSN 1535-4970 ; 0003-0805 ; 1073-449X
    ISSN (online) 1535-4970
    ISSN 0003-0805 ; 1073-449X
    DOI 10.1164/rccm.201912-2420LE
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Telomere Length but Not Mitochondrial DNA Copy Number Is Altered in Both Young and Old COPD.

    Casas-Recasens, Sandra / Mendoza, Nuria / López-Giraldo, Alejandra / Garcia, Tamara / Cosio, Borja G / Pascual-Guardia, Sergi / Acosta-Castro, Ady / Borras-Santos, Alicia / Gea, Joaquim / Garrabou, Gloria / Agusti, Alvar / Faner, Rosa

    Frontiers in medicine

    2021  Volume 8, Page(s) 761767

    Abstract: Accelerated ageing is implicated in the pathogenesis of respiratory diseases as chronic obstructive pulmonary disease (COPD), but recent evidence indicates that the COPD can have roots early in life. Here we hypothesise that the accelerated ageing ... ...

    Abstract Accelerated ageing is implicated in the pathogenesis of respiratory diseases as chronic obstructive pulmonary disease (COPD), but recent evidence indicates that the COPD can have roots early in life. Here we hypothesise that the accelerated ageing markers might have a role in the pathobiology of young COPD. The objective of this study was to compare two hallmarks of ageing, telomere length (TL), and mitochondrial DNA copy number (mtDNA-CN, as a surrogate marker of mitochondrial dysfunction) in young (≤ 50 years) and old (>50 years) smokers, with and without COPD. Both, TL and mtDNA-CN were measured in whole blood DNA by quantitative PCR [qPCR] in: (1) young ever smokers with (
    Language English
    Publishing date 2021-11-24
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2775999-4
    ISSN 2296-858X
    ISSN 2296-858X
    DOI 10.3389/fmed.2021.761767
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Network medicine, multimorbidity and the lung in the elderly.

    Faner, Rosa / Cruz, Tamara / López-Giraldo, Alejandra / Agustí, Alvar

    The European respiratory journal

    2014  Volume 44, Issue 3, Page(s) 775–788

    Abstract: Noncommunicable diseases, including cardiovascular, metabolic and respiratory diseases, among others, are the major medical challenge of the 21st century. Most noncommunicable diseases are related to the ageing process and often co-occur in the same ... ...

    Abstract Noncommunicable diseases, including cardiovascular, metabolic and respiratory diseases, among others, are the major medical challenge of the 21st century. Most noncommunicable diseases are related to the ageing process and often co-occur in the same individual. However, it is unclear whether the index disease is somehow influencing the development of the other ones (comorbidity) or whether all of them (including the index disease) simply represent the clinical expression of pathological ageing (multimorbidity). The pathobiology of ageing, chronic obstructive pulmonary disease (COPD) and concomitant disorders is complex. A new field of research, known as systems biology if applied to model systems or network medicine if applied to human beings, has emerged over the past decade or so, to address biological complexity in a holistic, integrated way. It offers, therefore, great potential to decipher the relationship between ageing, COPD and comorbidities/multimorbidities. In this State of the Art review we present the basic concepts of systems biology, use some examples to illustrate the potential of network medicine to address complex medical problems, and review some recent publications that show how a systems-based research strategy can contribute to improve our understanding of multimorbidity and age-related respiratory diseases.
    MeSH term(s) Aged ; Aging ; Comorbidity ; Geriatrics/methods ; Humans ; Lung/physiopathology ; Lung Diseases/complications ; Lung Diseases/therapy ; Models, Biological ; Respiration Disorders/complications ; Respiration Disorders/therapy ; Systems Biology
    Language English
    Publishing date 2014-09
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 639359-7
    ISSN 1399-3003 ; 0903-1936
    ISSN (online) 1399-3003
    ISSN 0903-1936
    DOI 10.1183/09031936.00078714
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Characterization, localization and comparison of c-Kit+ lung cells in never smokers and smokers with and without COPD.

    López-Giraldo, Alejandra / Cruz, Tamara / Molins, Laureano / Guirao, Ángela / Saco, Adela / Cuerpo, Sandra / Ramirez, Josep / Agustí, Álvar / Faner, Rosa

    BMC pulmonary medicine

    2018  Volume 18, Issue 1, Page(s) 123

    Abstract: Background: c-Kit + lung stem cells have been described in the human healthy lung. Their potential relation with smoking and/or chronic obstructive pulmonary disease (COPD) is unknown.: Methods: We characterized and compared c-Kit+ cells in lung ... ...

    Abstract Background: c-Kit + lung stem cells have been described in the human healthy lung. Their potential relation with smoking and/or chronic obstructive pulmonary disease (COPD) is unknown.
    Methods: We characterized and compared c-Kit+ cells in lung tissue of 12 never smokers (NS), 15 smokers with normal spirometry (S) and 44 COPD patients who required lung resectional surgery. Flow cytometry (FACS) was used to characterize c-Kit+ cells in fresh lung tissue disaggregates, and immunofluorescence (IF) for further characterization and to determine their location in OCT- embedded lung tissue.
    Results: We identified 4 c-Kit+ cell populations, with similar proportions in NS, S and COPD: (1) By FACS, c-Kit
    Conclusions: The adult human lung contains a mixture of c-Kit+ cells, unlikely to be lung stem cells, which are independent of smoking status and/or presence of COPD.
    MeSH term(s) Aged ; Female ; Flow Cytometry ; Humans ; Lung/cytology ; Lung/pathology ; Male ; Middle Aged ; Prospective Studies ; Proto-Oncogene Proteins c-kit/genetics ; Pulmonary Disease, Chronic Obstructive/genetics ; Smoking ; Stem Cells/cytology
    Chemical Substances Proto-Oncogene Proteins c-kit (EC 2.7.10.1)
    Language English
    Publishing date 2018-07-31
    Publishing country England
    Document type Journal Article ; Observational Study
    ZDB-ID 2059871-3
    ISSN 1471-2466 ; 1471-2466
    ISSN (online) 1471-2466
    ISSN 1471-2466
    DOI 10.1186/s12890-018-0688-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Distribution, temporal stability and association with all-cause mortality of the 2017 GOLD groups in the ECLIPSE cohort.

    Faner, Rosa / Noell, Guillaume / Badia, Joan Ramon / López-Giraldo, Alejandra / Bakke, Per / Silverman, Edwin K / Tal-Singer, Ruth / Agustí, Alvar

    Respiratory medicine

    2018  Volume 141, Page(s) 14–19

    Abstract: Background: In 2017, the Global Initiative for Chronic Obstructive Lung Disease (GOLD) proposed a new classification of patients with chronic obstructive pulmonary disease (COPD).: Material and methods: We contrasted the distribution of COPD patients ...

    Abstract Background: In 2017, the Global Initiative for Chronic Obstructive Lung Disease (GOLD) proposed a new classification of patients with chronic obstructive pulmonary disease (COPD).
    Material and methods: We contrasted the distribution of COPD patients according to GOLD 2017 and 2011 classifications, the temporal stability of the 2017 groups during 3 years follow-up and their association with all-cause mortality in the ECLIPSE cohort.
    Results: We found that GOLD 2017: (1) switched a substantial proportion of GOLD 2011C and D patients to A and B groups at recruitment; (2) about half of A, B and D patients remained in the same group at the end of follow-up, whereas 74% of C patients (the smallest group of all) changed, either because exacerbation rate decreased or dyspnea increased; and, (3) all-cause mortality by group was not significantly different between GOLD 2011 and 2017. Of note, mortality in B (16%) and D patients (18%) was similar, both with similar severity of airflow limitation, the best individual mortality risk factor.
    Conclusions: These results illustrate the cross-sectional and longitudinal effects of excluding FEV1 from GOLD 2017, and highlight both the clinical relevance of symptom assessment in the management of COPD and the prognostic capacity of FEV1.
    MeSH term(s) Cause of Death/trends ; Cohort Studies ; Disease Progression ; Dyspnea/classification ; Dyspnea/physiopathology ; Follow-Up Studies ; Forced Expiratory Volume/physiology ; Humans ; Lung/pathology ; Lung/physiopathology ; Prognosis ; Pulmonary Disease, Chronic Obstructive/classification ; Pulmonary Disease, Chronic Obstructive/epidemiology ; Pulmonary Disease, Chronic Obstructive/mortality ; Pulmonary Disease, Chronic Obstructive/physiopathology ; Risk Factors ; Time Factors
    Language English
    Publishing date 2018-06-19
    Publishing country England
    Document type Clinical Trial ; Comparative Study ; Journal Article ; Multicenter Study ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 1003348-8
    ISSN 1532-3064 ; 0954-6111
    ISSN (online) 1532-3064
    ISSN 0954-6111
    DOI 10.1016/j.rmed.2018.06.015
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  10. Article ; Online: Add-on inhaled budesonide in the treatment of hospitalised patients with COVID-19: a randomised clinical trial.

    Agustí, Alvar / De Stefano, Gaston / Levi, Alberto / Muñoz, Xavier / Romero-Mesones, Christian / Sibila, Oriol / Lopez-Giraldo, Alejandra / Plaza Moral, Vicente / Curto, Elena / Echazarreta, Andrés L / Márquez, Silvana E / Pascual-Guàrdia, Sergi / Santos, Salud / Marin, Alicia / Valdés, Luis / Saldarini, Fernando / Salgado, Clara / Casanovas, Georgina / Varea, Sara /
    Ríos, José / Faner, Rosa

    The European respiratory journal

    2022  Volume 59, Issue 3

    MeSH term(s) Administration, Inhalation ; Bronchodilator Agents/therapeutic use ; Budesonide ; COVID-19 ; Double-Blind Method ; Glucocorticoids/therapeutic use ; Humans ; SARS-CoV-2
    Chemical Substances Bronchodilator Agents ; Glucocorticoids ; Budesonide (51333-22-3)
    Language English
    Publishing date 2022-03-10
    Publishing country England
    Document type Letter ; Randomized Controlled Trial
    ZDB-ID 639359-7
    ISSN 1399-3003 ; 0903-1936
    ISSN (online) 1399-3003
    ISSN 0903-1936
    DOI 10.1183/13993003.03036-2021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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