PMID- 32800189 OWN - NLM STAT- MEDLINE DCOM- 20201110 LR - 20201110 IS - 1557-8216 (Electronic) IS - 0272-5231 (Linking) VI - 41 IP - 3 DP - 2020 Sep TI - Alpha-1 Antitrypsin Deficiency Associated COPD. PG - 339-345 LID - S0272-5231(20)30029-0 [pii] LID - 10.1016/j.ccm.2020.05.003 [doi] AB - Alpha-1 antitrypsin deficiency (AATD) was the first genetic risk factor for chronic obstructive pulmonary disease (COPD) described. In the more than 50 years since its description, the disease continues to provide insights into more common forms of COPD. Although AATD is caused by a single genetic variant, the clinical manifestations of disease include panacinar emphysema, airway hyperresponsiveness, and bronchiectasis. With improved molecular understanding of the mechanisms of disease pathogenesis and progression, new therapies in addition to intravenous augmentation therapy are on the horizon. CI - Copyright (c) 2020 Elsevier Inc. All rights reserved. FAU - Strange, Charlie AU - Strange C AD - Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, Medical University of South Carolina, 96 Jonathan Lucas Street, MSC630, Charleston, SC 29425, USA. Electronic address: strangec@musc.edu. LA - eng PT - Journal Article PT - Review PL - United States TA - Clin Chest Med JT - Clinics in chest medicine JID - 7907612 SB - IM MH - Humans MH - Pulmonary Disease, Chronic Obstructive/*etiology/pathology MH - alpha 1-Antitrypsin Deficiency/*complications/pathology OTO - NOTNLM OT - Alpha-1 OT - Antiprotease OT - Antitrypsin OT - Emphysema OT - Genetic OT - Protease COIS- Conflict of interest Dr C. Strange is a medical director of AlphaNet, a not-for-profit disease management company for AATD. Dr C. Strange consults on AATD with AstraZeneca, CSL Behring, Dicerna, Grifols, and Vertex. He has grants paid to the Medical University of South Carolina from Adverum, CSA Medical, CSL Behring, Grifols, MatRx, Novartis, Nuvaira, Pulmonx, Takeda, and Vertex. EDAT- 2020/08/18 06:00 MHDA- 2020/11/11 06:00 CRDT- 2020/08/18 06:00 PHST- 2020/08/18 06:00 [entrez] PHST- 2020/08/18 06:00 [pubmed] PHST- 2020/11/11 06:00 [medline] AID - S0272-5231(20)30029-0 [pii] AID - 10.1016/j.ccm.2020.05.003 [doi] PST - ppublish SO - Clin Chest Med. 2020 Sep;41(3):339-345. doi: 10.1016/j.ccm.2020.05.003. +Error%3A+CEFetchPApplication%3A%3Aproxy_stream()%3A+%0A%3Chtml%3E%3Chead%3E%0A%3Cmeta+http-equiv%3D%22content-type%22+content%3D%22text%2Fhtml%3Bcharset%3Dutf-8%22%3E%0A%3Ctitle%3E503+Server+Error%3C%2Ftitle%3E%0A%3C%2Fhead%3E%0A%3Cbody+text%3D%23000000+bgcolor%3D%23ffffff%3E%0A%3Ch1%3EError%3A+Server+Error%3C%2Fh1%3E%0A%3Ch2%3EThe+service+you+requested+is+not+available+at+this+time.%3Cp%3EService+error+-27.%3C%2Fh2%3E%0A%3Ch2%3E%3C%2Fh2%3E%0A%3C%2Fbody%3E%3C%2Fhtml%3E