COPD is a debilitating and progressive condition in which the airways becom
e irreversibly obstructed and the lungs progressively damaged. Unlike asthm
a, we know little about the cells that initiate and drive this process. Res
earch has shown that CD8(+) T cells are overrepresented in the lungs of pat
ients with COPD and that they are inversely related to lung function. Howev
er, not all CD8(+) T cells are alike and subsets that make IFN-gamma but no
t IL-4 (Tc1), IL-4 but not IFN-gamma (Tc2) as well as those that make both
(Tc0) have been described. This article focuses on the characteristics of C
D8(+) T cell subsets and considers their potential contribution to chronic
obstructive pulmonary disease (COPD).