Geroprotectors as a therapeutic strategy for COPD - where are we now?

Clin Interv Aging. 2017 Oct 24:12:1811-1817. doi: 10.2147/CIA.S142483. eCollection 2017.

Abstract

Although current therapies in chronic obstructive pulmonary disease (COPD) improve the quality of life, they do not satisfactorily reduce disease progression or mortality. There are still many gaps in knowledge about the cellular, molecular, and genetic mechanisms contributing to pathobiology of this disease. However, increasing evidence suggests that accelerated aging, chronic systemic inflammation, and oxidative stress play major roles in pathogenesis in COPD, thus opening new opportunities in therapy. Therefore, the aim of our review was to describe and discuss some of the most widely used therapeutics that affect the root cause of aging and oxidative stress (metformin, melatonin, sirolimus, statins, vitamin D, and testosterone) in context of COPD therapy.

Keywords: COPD; melatonin; metformin; statins; testosterone; vitamin D.

Publication types

  • Review

MeSH terms

  • Aging / physiology*
  • Disease Progression
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use
  • Inflammation / physiopathology*
  • Melatonin / therapeutic use
  • Metformin / therapeutic use
  • Oxidative Stress / physiology*
  • Pulmonary Disease, Chronic Obstructive / drug therapy*
  • Pulmonary Disease, Chronic Obstructive / physiopathology*
  • Quality of Life
  • Sirolimus / therapeutic use
  • Testosterone / therapeutic use
  • Vitamin D / therapeutic use

Substances

  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Vitamin D
  • Testosterone
  • Metformin
  • Melatonin
  • Sirolimus