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All Journal Jurnal Respirasi (JR)
Adityo Wibowo
Department of Respiratory Medicine, Juntendo University, Tokyo, Japan.

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The Impact of Particulate Matter on the Respiratory System Yolanda Edith Pratiwi; Feni Fitriani Taufik; Januar Habibi; Adityo Wibowo
Jurnal Respirasi Vol. 9 No. 3 (2023): September 2023
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v9-I.3.2023.237-245

Abstract

Nowadays, around 50% of the world's population lives in cities and urban areas and is exposed to increasingly higher levels of air pollutants including gaseous pollutants and particulate matter (PM). The latter is a key indicator of air pollution transported into the air by a variety of natural processes and human activities. The particles' size has been directly related to their potential impact on health problems. Particles of concern include small particles with diameters of 2.5 to 10 μm (coarse particles) and smaller than 2.5 μm (fine particles). Exposure to air pollutants over a long period of time not only decompensates pre-existing diseases but also leads to pulmonary and respiratory health problems such as asthma, chronic obstructive pulmonary disease (COPD), and lung cancer even in rural areas. A thorough analysis has to be provided to address the implications for policymakers. Hence, more stringent strategies can be implemented to control air pollution and prevent its health effects.
Decoding the Mechanistic Interplay of JAK/STAT and MAPK Signaling in the Pathogenesis of COPD: Crosstalk Dynamics and Multi-Target Therapeutic Frontiers Rika Sari Dewi; Irandi Putra Pratomo; Melva Louisa; Ni Made Dwi Sandhiutami; Adityo Wibowo
Jurnal Respirasi Vol. 12 No. 2 (2026): May 2026
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v12-I.2.2026.182-192

Abstract

The JAK/STAT (Janus kinase/signal transducer and activator of transcription) signaling cascade constitutes an intracellular communication framework that is responsive to cytokines and growth factors, whereas the MAPK (Mitogen-activated protein kinase) pathway represents a signaling network activated by extrinsic stimuli such as stress, growth factors, or reactive oxygen species. This literature review synthesizes scholarly investigations concerning the roles of the JAK/STAT and MAPK signaling pathways in the progression of chronic obstructive pulmonary disease (COPD), with an emphasis on elucidating the molecular interactions and mechanisms to rectify deficiencies in the comprehension of their contributions to inflammation, immune modulation, and tissue remodeling. The objectives of this review were to assess pathway activation patterns, characterize the molecular structures, and compare the therapeutic strategies. A systematic analysis of multidisciplinary studies employing in vitro, in vivo, clinical, and bioinformatics approaches was conducted. The findings revealed consistent activation of STAT3 and p38 MAPK isoforms by cigarette smoke and inflammatory stimuli, with complex crosstalk shaping macrophage polarization and cytokine production (IL-6, TNF-α). Therapeutic interventions targeting JAK/STAT and MAPK signaling have the potential to reduce airway inflammation and remodeling, although clinical efficacy remains inconsistent due to corticosteroid resistance and activation of compensatory pathway. Pathway dysregulation correlates with accelerated COPD progression, particularly through epithelial–mesenchymal transition and extracellular matrix deposition. Key challenges include balancing pathway modulation to preserve lung homeostasis while avoiding immunosuppressive effects. This analysis highlights the need for precision targeting strategies to translate molecular insights into effective therapies, thus providing a framework for future research on COPD pathogenesis and targeted network modulation.