title: Airway and Extracellular Matrix Mechanics in COPD.
abstract: Chronic obstructive pulmonary disease (COPD) is one of the most common lung diseases worldwide, and is characterized by airflow obstruction that is not fully reversible with treatment. Even though airflow obstruction is caused by airway smooth muscle contraction, the extent of airway narrowing depends on a range of other structural and functional determinants that impact on active and passive tissue mechanics. Cells and extracellular matrix in the airway and parenchymal compartments respond both passively and actively to the mechanical stimulation induced by smooth muscle contraction. In this review, we summarize the factors that regulate airway narrowing and provide insight into the relative contributions of different constituents of the extracellular matrix and their biomechanical impact on airway obstruction. We then review the changes in extracellular matrix composition in the airway and parenchymal compartments at different stages of COPD, and finally discuss how these changes impact airway narrowing and the development of airway hyperresponsiveness. Finally, we position these data in the context of therapeutic research focused on defective tissue repair. As a conclusion, we propose that future works should primarily target mild or early COPD, prior to the widespread structural changes in the alveolar compartment that are more characteristic of severe COPD.
authors.affiliation: Department of Molecular Pharmacology, University of Groningen Groningen, Netherlands ; Groningen Research Institute for Asthma and COPD, University of Groningen Netherlands ; Laboratoire Interdisciplinaire de Physique (LIPhy), Université Grenoble Alpes Grenoble, France ; Centre National de la Recherche Scientifique, LIPhy Grenoble, France.
authors.forename: Cécile M
authors.initials: CM
authors.lastname: Bidan
authors.affiliation: Department of Molecular Pharmacology, University of Groningen Groningen, Netherlands ; Groningen Research Institute for Asthma and COPD, University of Groningen Netherlands.
authors.forename: Annemiek C
authors.initials: AC
authors.lastname: Veldsink
authors.affiliation: Department of Molecular Pharmacology, University of Groningen Groningen, Netherlands ; Groningen Research Institute for Asthma and COPD, University of Groningen Netherlands.
authors.forename: Herman
authors.initials: H
authors.lastname: Meurs
authors.affiliation: Department of Molecular Pharmacology, University of Groningen Groningen, Netherlands ; Groningen Research Institute for Asthma and COPD, University of Groningen Netherlands.
authors.forename: Reinoud
authors.initials: R
authors.lastname: Gosens
keywords: COPD; airway obstruction; collagen; elastin; emphysema; extracellular matrix proteins; mechanics; proteoglycans