Evidence map›Paper›PMID 19026684›Full record

ReviewPharmacology & therapeutics2009

Attacking the multi-tiered proteolytic pathology of COPD: new insights from basic and translational studies.

Uros V Djekic, Amit Gaggar, Nathaniel M Weathington

Abstract readReview
In one paragraph

Review in Pharmacology & therapeutics, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.4field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Promotion of a Protease-Antiprotease Imbalance in the Airways through Chronic Vaping.American journal of respiratory and critical care medicine · 2019
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Neutrophil Fates in Bronchiectasis and Alpha-1 Antitrypsin Deficiency.Annals of the American Thoracic Society · 2016
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Neutrophils: potential therapeutic targets in tularemia?Frontiers in cellular and infection microbiology · 2013
    Review
  18. Article
  19. Article
  20. Beyond corticosteroids: future prospects in the management of inflammation in COPD.European respiratory review : an official journal of the European Respiratory Society · 2011
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Uros V DjekicUniversity of Alabama at Birmingham, Department of Physiology and Biophysics, United States.
Amit Gaggar
Nathaniel M Weathington
University of Alabama at Birmingham · US

Funding

A Novel Proteolytic System of Pulmonary InflammationR01HL102371 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GAGGAR, AMIT · 2010 to 2021
$3.3M
NHLBI NIH HHS R01 HL102371PHS HHS T32A107493
6 · The paper itself

Abstract

Protease activity in inflammation is complex. Proteases released by cells in response to infection, cytokines, or environmental triggers like cigarette smoking cause breakdown of the extracellular matrix (ECM). In chronic inflammatory diseases like chronic obstructive pulmonary disease (COPD), current findings indicate that pathology and morbidity are driven by dysregulation of protease activity, either through hyperactivity of proteases or deficiency or dysfunction their antiprotease regulators. Animal studies demonstrate the accuracy of this hypothesis through genetic and pharmacologic tools. New work shows that ECM destruction generates peptide fragments active on leukocytes via neutrophil or macrophage chemotaxis towards collagen and elastin derived peptides respectively. Such fragments now have been isolated and characterized in vivo in each case. Collectively, this describes a biochemical circuit in which protease activity leads to activation of local immunocytes, which in turn release cytokines and more proteases, leading to further leukocyte infiltration and cyclical disease progression that is chronic. This circuit concept is well known, and is intrinsic to the protease-antiprotease hypothesis; recently analytic techniques have become sensitive enough to establish fundamental mechanisms of this hypothesis, and basic and clinical data now implicate protease activity and peptide signaling as pathologically significant pharmacologic targets. This review discusses targeting protease activity for chronic inflammatory disease with special attention to COPD, covering important basic and clinical findings in the field; novel therapeutic strategies in animal or human studies; and a perspective on the successes and failures of agents with a focus on clinical potential in human disease.

Indexed as

AnimalsChemotaxisClinical Trials as TopicDisease Models, AnimalDrug Delivery SystemsExtracellular MatrixHumansPeptide HydrolasesProtease InhibitorsPulmonary Disease, Chronic ObstructivePeptide HydrolasesProtease Inhibitors

Identifiers

PMID19026684
PMCPMC4465592
OpenAlexW1970234910

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.