Table 1.
Process | Description | Biomarker | References |
---|---|---|---|
Marker of oxidative stress | Inflammation process in lung cells; eosinophils, neutrophils, and macrophages produce reactive oxygen species | H2O2 | [19,22,23] |
Increase of free radicals, which react to cell membrane phospholipid, generating 8-isoprostane | 8-isoprostane | [19,20] | |
Oxidation of cell membrane phospholipids produces a chain reaction, the targets of which are polyunsaturated fatty acids, resulting in the formation of unstable lipid hydroperoxides and secondary carbonyl compounds, such as aldehydic products | Malondialdehyde | [19] | |
CO, a marker of oxidative stress, is produced by the stress protein hemoglobin oxygenase | CO | [21] | |
Inflammation of airways | Immune response against infection produces an inflammation process in cells, which generate more NO than in a healthy person | Alveolar NO | [19] |
Cytokines * and chemokines are involved in many aspects of the disease process in chronic obstructive pulmonary disease (COPD), including recruitment of neutrophils, macrophages, T cells, and B cells | Cytokines * and chemokines | [19] | |
Leukotrienes are muscle constrictors, such as in lung muscle | Leukotriene B4 and prostaglandins | [19] | |
CO is a marker of inflammation | CO | [21] |
* Cytokines are agents responsible for cellular communication.