Resumen
La enfermedad pulmonar obstructiva crónica (EPOC) es una enfermedad común, prevenible y tratable que presenta una fisiopatología compleja y un proceso inmunopatológico aún más complicado. El objetivo de esta revisión fue analizar los aspectos inmunopatológicos de la EPOC, para lo cual se llevó a una cabo una pesquisa bibliográfica de los documentos más relevantes indexados en la base de datos PubMed durante los últimos 10 años. Diversos aspectos pudieron concluirse: en la inmunopatología de la EPOC existen cambios inflamatorios, inmunológicos y no inmunológicos con un desequilibrio en el estrés oxidativo, así como alteraciones en la relación proteasas/antiproteasas debidas a efectos genéticos, epigenéticos, ambientales directos e indirectos. La EPOC produce daño tisular irreversible e inflamación crónica con alteración de la reparación tisular que induce obstrucción crónica de la vía aérea, bronquitis, enfisema y daño sistémico. Las comorbilidades resultantes más comunes son enfermedad cardiovascular, síndrome metabólico, osteoporosis, depresión, disfunción músculo esquelética, incremento de la edad biológica, cáncer pulmonar y otros tipos de neoplasias. En la concepción de la EPOC es indispensable reconocer que es una enfermedad no transmisible y prevenible.
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