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70,71 Inflammatory factors play a major role in the onset and development of COPD

Microbial-derived metabolites, such as short-chain fatty acids (SCFAs), including acetate, propionate, and butyrate, tryptophan derivatives, including indoxyl sulfate (IS), indole-3-aldehyde (IAld), and indole-3-acetic acid (IAA), and lipid derivatives, play a bridging role between the gut and host ( Figure 2 ) [39, 40]

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