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There are also cross-regulatory interactions and state switches among these pathways ( Based on this, this review proposes a guiding viewpoint that runs throughout the text: the chronicity and progressive tissue destruction of COPD are crucially linked to the shift in cell death profiles from homeostatic apoptotic clearance to more inflammation-amplifying death programs (such as necroptosis and pyroptosis), which are coupled with metabolism/oxidative stress-driven death modalities (such as ferroptosis and cuproptosis), collectively promoting immune dysfunction, persistent inflammation, and structural tissue damage