Pathophysiology of obstructive airways disease

Radiol Clin North Am. 1998 Jan;36(1):15-27. doi: 10.1016/s0033-8389(05)70005-1.

Abstract

Chronic obstructive pulmonary disease is a group of disorders that have in common abnormal airway structure that results in obstruction to airflow. In emphysema, obstruction is thought to be due to the loss of normal elastic tension in the lung parenchyma. Cigarette smoke is the most important cause of emphysema. Injurious agents, either in the gas or particulate phase, incite a proteolytic reaction in the lung. The type of emphysema and its topographic distribution in the lung stem from normal physiologic processes that concentrate the cigarette puff both within the lung and within the secondary pulmonary lobule.

Publication types

  • Review

MeSH terms

  • Elasticity
  • Endopeptidases / metabolism
  • Gases
  • Humans
  • Lung / enzymology
  • Lung / pathology
  • Lung / physiopathology
  • Lung Diseases, Obstructive / enzymology
  • Lung Diseases, Obstructive / pathology
  • Lung Diseases, Obstructive / physiopathology*
  • Plants, Toxic
  • Protease Inhibitors / metabolism
  • Pulmonary Alveoli / enzymology
  • Pulmonary Alveoli / pathology
  • Pulmonary Alveoli / physiopathology
  • Pulmonary Emphysema / etiology
  • Pulmonary Emphysema / pathology
  • Pulmonary Emphysema / physiopathology
  • Pulmonary Ventilation / physiology
  • Smoke / adverse effects
  • Smoking / adverse effects
  • Tobacco

Substances

  • Gases
  • Protease Inhibitors
  • Smoke
  • Endopeptidases