“…Inflammation is characterized by the infiltration of neutrophils, macrophages, and lymphocytes in the airways and lung parenchyma (Hogg et al, 2004;Brusselle et al, 2011;Faner et al, 2013). These inflammatory cells secrete a variety of proteinases, such as, neutrophils elastase (Hunninghake and Crystal, 1983;Ghosh et al, 2019), granulase (Ngan et al, 2009;Kim et al, 2013), matrix metalloproteinase (Ghosh et al, 2019;Jeon et al, 2019), and perforin (Morissette et al, 2007;Zhang et al, 2014), which break down the extracellular matrix, such as collagen and elastin, causing structural damage to the alveoli and small airways, thus leading to emphysema.…”