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(Chest. 2001;120:258-270.)
© 2001 American College of Chest Physicians

Alternative Mechanisms for Long-Acting ß2-Adrenergic Agonists in COPD*

Malcolm Johnson, PhD and Stephen Rennard, MD, FCCP

* From GlaxoSmithKline Research and Development (Dr. Johnson), Uxbridge, Middlesex, UK; and University of Nebraska Medical Center (Dr. Rennard), Omaha, NB.

Correspondence to: Malcolm Johnson, PhD, GlaxoSmithKline Research and Development, Stockley Park West, Uxbridge, Middlesex UB11 1BT, United Kingdom; e-mail: mj0859{at}glaxowellcome.co.uk

ß2-Adrenergic agonists are commonly used as bronchodilators to treat patients with COPD. In addition to prolonged bronchodilation, long-acting ß2-agonists (LABAs) exert other effects that may be of clinical relevance. These include inhibition of airway smooth-muscle cell proliferation and inflammatory mediator release, as well as nonsmooth-muscle effects, such as stimulation of mucociliary transport, cytoprotection of the respiratory mucosa, and attenuation of neutrophil recruitment and activation. This review details the possible alternative mechanisms of action of the LABAs, salmeterol and formoterol, in COPD.

Key Words: COPD • formoterol • long-acting ß2-adrenergic agonists • salmeterol




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