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P141.WHAT  MOLECULAR CHANGES OCCUR  DURING
               PULMONARY  AGING IN INDIVIDUALS  WITH CHRONIC

               OBSTRUCTIVE PULMONARY DISEASE (COPD)?


               A.SAYHI1,2, Y.ABDELHEDI1, A.YAHYAOUI1, K.MAHMOUDI1, M. ABDESSALEM1, N.LAZREG1,
               F.GUEZGUEZ1,2, I.GHANNOUCHI1,2, S.ROUATBI1,2

               1LABORATORY OF PHYSIOLOGY AND FUNCTIONAL EXPLORATIONS, FARHAT HACHED HOSPITAL,
               SOUSSE 2RESEARCH LABORATORY, LR12SP09



               INTRODUCTION : The lungs naturally undergo physiological degeneration with
               age. However, some diseases are associated with accelerated pathological aging,
               such as chronic obstructive pulmonary disease (COPD). The aim of the study was
               to  assess the association  between  molecular markers of oxidative stress  and
               respiratory function parameters in elderly individuals and those with COPD.
               METHODS : This was an experimental  study  involving 27 subjects, divided  into
               three groups: 7 healthy young adults (G1), 10 healthy elderly subjects (G2), and 10
               patients with COPD (G3). All participants completed a medical questionnaire and
               underwent spirometry tests with a Bronchodilator responsiveness test (BRT) using
               short-acting  bronchodilators. They  also  collected  induced  sputum for genetic
               analysis using the RT-PCR technique.

               RESULTS  : The mean  age  of the patients was 60.42 ± 16.13 years with a male
               predominance.  Patients in  G1 and  G2 had normal spirometric data.  The mRNA
               expression of Peroxiredoxin 1 (PRDX1)  and Glutathion  ePeroxidase 1 (GPX1) was
               significantly and  positively  correlated  with  the post-bronchodilator  forced
               expiratory volume in 1 second (FEV1)/forced  vital capacity (FVC) ratio, but
               negatively correlated with the degree of smoking history (pack-years). A positive
               correlation  was  observed  between the mRNA  levels of PRDX1 and post-
               bronchodilator FEV1  percentage change.  On the other  hand, mRNA  levels of
               Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1 β (PGC1β) were
               negatively correlated with post-bronchodilator FEV1 percentage change and post-
               bronchodilator FEV1/FVC ratio  and positively  correlated  with the degree of
               smoking history (pack-years).

               CONCLUSION : COPD is marked by an accelerated lung aging process that can
               impact both  respiratory and  non-respiratory  functions, including mitochondrial
               biogenesis.















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