Article: Dr. Donohue: Enzyme Deficiency Gives Rise To Emphysema

Q: You answered a question about emphysema. I think you should have mentioned alpha-1 antitrypsin deficiency. I have it and was diagnosed at age 53, after having been misdiagnosed for eight years. I have been on Prolastin, which has stabilized my lung capacity. While more doctors are aware of this condition, some are not.

A: Lungs come equipped with their own janitorial crew. They inhale lots of foreign debris, and they create trash in their work of transferring oxygen into the blood and carbon dioxide out of it. The cleanup crew is trypsin, an enzyme. Trypsin, however, can go overboard, so another enzyme, alpha-1 antitrypsin, stops it from overdoing the trash collection and destroying air ...

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