“…There are currently no specific COPD treatments, and smoking cessation remains the most effective therapeutic intervention (Scanlon et al, ). Several studies in humans and animals demonstrated that, once COPD is initiated, the pulmonary inflammatory response continues (De Cunto et al, ; Gamble et al, ; Lapperre et al, ; Scanlon et al, ; Willemse, ten Hacken, Rutgers, Postma, & Timens, ), leading to a progressive loss of alveolar wall that cannot be reversed. Abnormal amounts of sphingomyelinase have been found in smokers with emphysema and the increased ceramide levels in alveolar septal cells and macrophages well correlated to lung destruction and dysfunction (Petrache et al, ; Petrache et al, ; Telenga et al, ).…”