TY - JOUR T1 - Pathophysiology of Chronic Bronchial Infection in Bronchiectasis JO - Archivos de Bronconeumología T2 - AU - Solarat,Belén AU - Perea,Lidia AU - Faner,Rosa AU - de La Rosa,David AU - Martínez-García,Miguel Ángel AU - Sibila,Oriol SN - 03002896 M3 - 10.1016/j.arbres.2022.09.004 DO - 10.1016/j.arbres.2022.09.004 UR - https://www.archbronconeumol.org/en-pathophysiology-chronic-bronchial-infection-in-articulo-S0300289622005257 AB - Bronchiectasis is a complex and heterogeneous disease. Its pathophysiology is poorly understood, but chronic bronchial infection plays an important role in its natural history, and is associated with poor quality of life, more exacerbations and increased mortality. Pseudomonas aeruginosa, Haemophilus influenzae and Staphylococcus aureus are the most common bacteria related to chronic bronchial infection. Non-tuberculous mycobacteria, fungi and respiratory viruses are also present during clinical stability, and may increase the risk of acute exacerbation. Chronic inflammation is present in bronchiectasis, especially neutrophilic inflammation. However, macrophages and eosinophils also play a key role in the disease. Finally, airway epithelium has innate mechanisms such as mucociliary clearance and antibacterial molecules like mucins and antimicrobial peptides that protect the airways from pathogens. This review addresses how the persistence of microorganisms in the airways and the imbalance of the immune system contribute to the development of chronic bronchial infection in bronchiectasis. ER -