“…The recent exhaustive studies using variety of pre-clinical models that includes human lung structural cells or tissues have clearly demonstrated that tobacco-smoke impaired-autophagy mediates accumulation of aggresome-bodies, which is primarily a cytoplasmic organelle comprised of aggregated (misfolded or damaged) proteins that initiates chronic inflammatory-apoptotic responses leading to senescence and emphysema progression (Fig. 1a) [10, 11, 17, 18, 20, 22, 25, 29, 30]. The pathogenic role of autophagy-impairment in COPD-emphysema is supported by findings from multiple studies demonstrating the accumulation of ubiquitinated proteins and p62 (an impaired-autophagy marker) that accelerates cellular senescence and COPD-emphysema pathogenesis [10, 11, 17, 18, 20, 22, 25, 29, 30].…”