Question:
What are inflammatory cells seen in COPD?
Author: H KAnswer:
Neutrophils (potent chemokines IL8 and LTB4 attract neutrophils, increased in sputum and BAL fluid not airway walls, correlate with COPD severity, secrete proteinases (elastase and proteinase-3-A cause of mucus hypersecretion) Macrophages (activated by cigarette smoking, increased in sputum, BAL and lungs, release pro-inflammatory cytokines and proteinases) T cells (increased in airway walls, shift in balance of CD4/CD8 towards CD8, found in large and small airways and parenchyma and arteries, correlated with airflow obstruction
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