RT Journal Article SR Electronic T1 α1-Antitrypsin deficiency and augmentation therapy in emphysema JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 683 OP 689 VO 56 IS 7 A1 James K. Stoller YR 1989 UL http://www.ccjm.org/content/56/7/683.abstract AB Since the first description of α1-antitrypsin deficiency as a cause of emphysema in 1963, major strides have been made in understanding the structure and function of this important antiprotease, its role in the defense against emphysema, and in new treatment strategies. In order to elucidate the pathogenesis of antitrypsin-associated emphysema and recent developments in therapy for this disease, this paper considers current understanding of the pathogenesis of emphysema, recent information regarding the structure and function of the molecule, and more recent developments in augmentation therapy. The author also discusses the national registry that has been organized for better understanding of the natural history of α1-antitrypsin deficiency in a relatively unselected population.