The Current Molecular and Cellular Landscape of Chronic Obstructive Pulmonary Disease (COPD): A Review of Therapies and Efforts towards Personalized Treatment

Author:

Farrell Luke A.1,O’Rourke Matthew B.1,Padula Matthew P.2ORCID,Souza-Fonseca-Guimaraes Fernando3ORCID,Caramori Gaetano4ORCID,Wark Peter A. B.5,Dharmage Shymali C.6ORCID,Hansbro Phillip M.1ORCID

Affiliation:

1. School of Life Sciences, Faculty of Science, University of Technology Sydney, Centre for Inflammation, Ultimo, NSW 2007, Australia

2. School of Life Sciences, Faculty of Science, University of Technology Sydney, Ultimo, NSW 2007, Australia

3. Frazer Institute, Faculty of Medicine, The University of Queensland, Woolloongabba, QLD 4102, Australia

4. Pulmonology, Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy

5. School of Translational Medicine, Monash University, Melbourne, VIC 3000, Australia

6. Centre for Epidemiology and Biostatistics, School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3000, Australia

Abstract

Chronic obstructive pulmonary disease (COPD) ranks as the third leading cause of global illness and mortality. It is commonly triggered by exposure to respiratory irritants like cigarette smoke or biofuel pollutants. This multifaceted condition manifests through an array of symptoms and lung irregularities, characterized by chronic inflammation and reduced lung function. Present therapies primarily rely on maintenance medications to alleviate symptoms, but fall short in impeding disease advancement. COPD’s diverse nature, influenced by various phenotypes, complicates diagnosis, necessitating precise molecular characterization. Omics-driven methodologies, including biomarker identification and therapeutic target exploration, offer a promising avenue for addressing COPD’s complexity. This analysis underscores the critical necessity of improving molecular profiling to deepen our comprehension of COPD and identify potential therapeutic targets. Moreover, it advocates for tailoring treatment strategies to individual phenotypes. Through comprehensive exploration-based molecular characterization and the adoption of personalized methodologies, innovative treatments may emerge that are capable of altering the trajectory of COPD, instilling optimism for efficacious disease-modifying interventions.

Publisher

MDPI AG

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