“…These reported findings, unlike ours, were highly significant for the COPD patients, since their study was designed specifically to recruit COPD patients with different stages of the disease (moderate to very severe COPD), who were diagnosed via clinical history, physical examination, and spirometry. In a recent study on buccal cells, da Silva et al [26] reported the presence of apoptosis and necrosis among clinically diagnosed COPD patients. In our study, we used a convenience sample of self-reported COPD participants, recruited through an on-going lung cancer study, as part of the smoker control group.…”