Assessment and Treatment of Respiratory Disorders

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Molecular and Translational Medicine".

Deadline for manuscript submissions: 31 March 2025 | Viewed by 1993

Special Issue Editor

Special Issue Information

Dear Colleagues,

Respiratory problems are a great inconvenience to our society. Lifestyle has been modified in recent years, with a decrease in smoking, an increase in physical activity levels, better nutrition, among others. The respiratory system of the human body is made up of a set of elements that work in a coordinated manner in order to perform a vital function of the human being: breathing. At the socio-healthcare level, respiratory problems are one of the main causes of work absenteeism and health economic expenditure, as well as one of the main problems that causes a worsening of people's quality of life. We need high-quality research that addresses new clinical trends regarding the treatment (both pharmacological and non-pharmacological) and the evaluation of patients with respiratory disorders.

This Special Issue aims to encourage researchers in this field to submit their research papers and review papers addressing the evaluation and treatment of various respiratory pathologies (COPD, asthma, persistent COVID, respiratory failure, lung cancer, cystic fibrosis, etc.).

Dr. Ferran Cuenca-Martínez
Guest Editor

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Keywords

  • mechanism
  • therapy
  • drugs
  • lung cancer
  • cystic fibrosis

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Published Papers (2 papers)

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Research

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10 pages, 2657 KiB  
Article
Identifying Molecular Pathophysiology and Potential Therapeutic Options in Iatrogenic Tracheal Stenosis
by Russell Seth Martins, Joanna Weber, Bryan Johnson, Jeffrey Luo, Kostantinos Poulikidis, Mohammed Jawad Latif, Syed Shahzad Razi, Al Haitham Al Shetawi, Robert S. Lebovics and Faiz Y. Bhora
Biomedicines 2024, 12(6), 1323; https://doi.org/10.3390/biomedicines12061323 - 14 Jun 2024
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Abstract
Introduction: While most patients with iatrogenic tracheal stenosis (ITS) respond to endoscopic ablative procedures, approximately 15% experience a recalcitrant, recurring disease course that is resistant to conventional management. We aimed to explore genetic profiles of patients with recalcitrant ITS to understand underlying pathophysiology [...] Read more.
Introduction: While most patients with iatrogenic tracheal stenosis (ITS) respond to endoscopic ablative procedures, approximately 15% experience a recalcitrant, recurring disease course that is resistant to conventional management. We aimed to explore genetic profiles of patients with recalcitrant ITS to understand underlying pathophysiology and identify novel therapeutic options. Methods: We collected 11 samples of granulation tissue from patients with ITS and performed RNA sequencing. We identified the top 10 most highly up- and down-regulated genes and cellular processes that these genes corresponded to. For the most highly dysregulated genes, we identified potential therapeutic options that favorably regulate their expression. Results: The dysregulations in gene expression corresponded to hyperkeratinization (upregulation of genes involved in keratin production and keratinocyte differentiation) and cellular proliferation (downregulation of cell cycle regulating and pro-apoptotic genes). Genes involved in retinoic acid (RA) metabolism and signaling were dysregulated in a pattern suggesting local cellular RA deficiency. Consequently, RA also emerged as the most promising potential therapeutic option for ITS, as it favorably regulated seven of the ten most highly dysregulated genes. Conclusion: This is the first study to characterize the role of hyperkeratinization and dysregulations in RA metabolism and signaling in the disease pathophysiology. Given the ability of RA to favorably regulate key genes involved in ITS, future studies must explore its efficacy as a potential therapeutic option for patients with recalcitrant ITS. Full article
(This article belongs to the Special Issue Assessment and Treatment of Respiratory Disorders)
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Review

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20 pages, 1806 KiB  
Review
Mitigating Increased Cardiovascular Risk in Patients with Obstructive Sleep Apnea Using GLP-1 Receptor Agonists and SGLT2 Inhibitors: Hype or Hope?
by Paschalis Karakasis, Marios Sagris, Dimitrios Patoulias, Theocharis Koufakis, Panagiotis Theofilis, Aleksandra Klisic, Nikolaos Fragakis, Mohamed El Tanani and Manfredi Rizzo
Biomedicines 2024, 12(11), 2503; https://doi.org/10.3390/biomedicines12112503 - 1 Nov 2024
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Abstract
Obstructive sleep apnea (OSA) is a prevalent condition associated with increased cardiovascular risk, particularly in individuals with comorbid obesity and type 2 diabetes (T2D). Despite the widespread use of continuous positive airway pressure (CPAP) for OSA management, adherence remains suboptimal, and CPAP has [...] Read more.
Obstructive sleep apnea (OSA) is a prevalent condition associated with increased cardiovascular risk, particularly in individuals with comorbid obesity and type 2 diabetes (T2D). Despite the widespread use of continuous positive airway pressure (CPAP) for OSA management, adherence remains suboptimal, and CPAP has not consistently demonstrated reductions in surrogate cardiovascular events. Recently, attention has focused on glucagon-like peptide-1 receptor agonists (GLP-1RAs) and sodium-glucose cotransporter-2 (SGLT2) inhibitors as potential therapeutic agents for mitigating cardiovascular risk in OSA patients. These agents, originally developed for T2D management, have demonstrated pleiotropic effects, including significant weight loss, blood pressure reduction, and amelioration of endothelial dysfunction and arterial stiffness, along with anti-inflammatory benefits, which may be particularly beneficial in OSA. Emerging clinical evidence suggests that GLP-1RAs and SGLT2 inhibitors can reduce OSA severity and improve daytime sleepiness, potentially reversing the adverse cardiovascular effects observed in OSA. This review explores the pathophysiological mechanisms linking OSA with cardiovascular disease and evaluates the potential therapeutic roles of GLP-1RAs and SGLT2 inhibitors in addressing cardiovascular risk in OSA patients. Further research, including long-term clinical trials, is necessary to establish the effectiveness of these therapies in reducing cardiovascular events and improving patients’ reported outcomes in this population. Full article
(This article belongs to the Special Issue Assessment and Treatment of Respiratory Disorders)
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