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Potential consequences of increased bombesin signaling in COPD include inflammation [210], bronchoconstriction [211], and altered lung injury repair [212]

Notably, pro-inflammatory cytokines are also secreted by visceral adipose tissue in obesity and, together with the inhibition of IRS-1 mediated by TNF-, inhibition of c-Jun N-terminal kinase (JNK) and NK- B inhibitor, serve as major inflammatory mechanisms linking obesity with IR [75, 82]

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