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Serum Urokinase Plasminogen Activator as a Novel Biological Marker for COPD- A Review

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Chronic Obstructive Pulmonary Disease (COPD), a progressive disease of the airways is associated with chronic inflammationof respiratory passages that leads to irreversible lung dysfunction and distinct morphological changes. The progressive increasein airflow limitation that is seen in COPD is associated with systemic inflammation with the development of extra-pulmonarycomplications like muscle atrophy, cachexia and osteoporosis. Several biomarkers like C-Reactive Protein (CRP), fbrinogen andInterleukin have been used as an adjunct tool to diagnose COPD. Soluble Urokinase Plasminogen Activator Receptor (suPAR) hasbeen used as a diagnostic marker for congestive heart failure, sepsis, adult respiratory distress syndrome and acute exacerbationCOPD. The present narrative review gives a brief overview on clinical signifcance of suPAR in the diagnosis and prognosis ofCOPD. The articles quoted in this review were taken from search engines like PubMed Central, Crossref, Web of Science andGoogle Scholar for articles published from 1991 to 2016, by using domain words like “COPD”, “suPAR”, “inflammation” and“prognosis”. The relevant references cited in these articles were also reviewed.

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