Quantitative real-time PCR (qRT-PCR) analysis of samples from smokers with or without COPD confirmed that relative to normal smokers without COPD, the expression of TBX3, TBX5, HDAC6, SIRT1, SIRT5, is suppressed in severe cases of COPD (Figure 2). The gene discussed is SIRT1; the disease is chronic obstructive pulmonary disease.