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Related Concept Videos

Chronic Obstructive Pulmonary Disease-II: Pathophysiology01:20

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Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
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Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies01:27

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Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
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Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers01:19

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Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
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Natriuretic Peptides (BNP)
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Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.01:25

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Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
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Primary Symptoms of COPD:
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Chronic Obstructive Pulmonary Disease-I: Introduction01:20

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Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
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COPD: Pathogenesis and Clinical Features01:20

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Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
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Biomarkers in COPD-Associated PH/CCP: Circulating Molecules and Cell-Intrinsic Marker.

Juan Wang1, Yankun Zhang1, Huimin Liu1

  • 1Department of Respiratory and Critical Care, Tianjin Medical University General Hospital, Tianjin, 300052, People's Republic of China.

International Journal of Chronic Obstructive Pulmonary Disease
|August 21, 2025
PubMed
Summary

Biomarkers like NT-proBNP and growth factors aid in diagnosing pulmonary hypertension in COPD patients. Forkhead box M1 (FOXM1) shows promise as a future screening tool for this condition.

Keywords:
CCPCOPDFOXM1PHbiomarkerschronic cor pulmonalegrowth factorsinflammatory cytokinespulmonary hypertension

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Area of Science:

  • Pulmonary Medicine
  • Vascular Biology
  • Molecular Mechanisms

Background:

  • Chronic obstructive pulmonary disease (COPD) is a progressive lung disease.
  • COPD can lead to pulmonary hypertension (PH) and chronic cor pulmonale (CCP), significantly increasing morbidity and mortality.
  • Vascular remodeling, driven by inflammatory mediators and growth factors under hypoxia, is a key mechanism in COPD-related PH.

Purpose of the Study:

  • To investigate the molecular mechanisms of vascular remodeling in COPD-related PH.
  • To evaluate neurohumoral factors (NT-proBNP), inflammatory mediators, growth factors, and FOXM1 as diagnostic markers for COPD with PH and CCP.

Main Methods:

  • Evaluation of circulating biomarkers including NT-proBNP, inflammatory mediators, and growth factors via blood sampling.
  • Assessment of intracellular molecular marker FOXM1 through tissue or enriched cell detection.

Main Results:

  • Circulating biomarkers offer non-invasive, convenient, sensitive, and specific methods for disease screening.
  • FOXM1 serves as a histopathological marker and a potential target for liquid biopsy.

Conclusions:

  • Biomarkers like NT-proBNP, inflammatory mediators, and growth factors are valuable for early screening and diagnosis of PH in COPD patients.
  • FOXM1 presents a promising avenue for future screening strategies, potentially improving patient outcomes and quality of life.