The goal of this observational registry study is to compare characteristics of gut and sputum microbiome and metabolome among COPD patients with significant smoking history, COPD patients without significant smoking history and healthy smoker. Additionally, the investigators investigate the difference of blood metabolites and peripheral blood mononuclear cells level among groups. The main questions it aims to answer are: * Are there significant difference in fecal or sputum microbiome and metabolome between COPD patients and healthy smoker? * Are there any distinct characteristics in microbiome and metabolome in COPD with COPD patients with significant smoking history, COPD patients without significant smoking history compared with healthy smoker? * Are there any difference in blood metabolites and peripheral blood mononuclear cells levels among patients with significant smoking history, COPD patients without significant smoking history and healthy smoker * Might distinct characteristics of microbiome and metabolites in COPD patients be related to worse clinical outcomes in COPD patients?
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Shannon diversity index
Timeframe: At enrollment
Simpson index
Timeframe: At enrollment
Principal component analysis
Timeframe: At enrollment
Microbiome composition by metagenomic analysis
Timeframe: At enrollment
Peripheral blood mononuclear cells level
Timeframe: At enrollment
Acetic acid level
Timeframe: At enrollment
Propionic acid level
Timeframe: At enrollment
Isobutyric acid level
Timeframe: At enrollment
Butyric acid level
Timeframe: At enrollment
Isovaleric acid level
Timeframe: At enrollment
Valeric acid level
Timeframe: At enrollment
dimethylglycine level
Timeframe: At enrollment
secondary bile acid level
Timeframe: At enrollment