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Neutrophil activation machinery refers to the integrated system of receptors, signaling cascades, and effector proteins that mediate the recruitment and antimicrobial activities of neutrophils [1]. This machinery includes G protein-coupled receptors (GPCRs) for chemoattractants like C5a and fMLP, adhesion molecules such as integrins, and the NADPH oxidase complex responsible for the respiratory burst [2]. Upon activation, neutrophils undergo a series of functional changes including chemotaxis, phagocytosis, degranulation, and the release of neutrophil extracellular traps (NETs) to neutralize pathogens [5]. While essential for host defense, dysregulated or chronic activation of this machinery is a primary driver of tissue damage in inflammatory and autoimmune diseases such as rheumatoid arthritis, COPD, and acute respiratory distress syndrome (ARDS) [1, 2]. Therapeutic strategies often target specific components of this machinery, such as the DPP1 inhibitor brensocatib or the C5aR antagonist avacopan, to dampen excessive inflammation without completely compromising the immune response [3, 4].
Inhibition of neutrophil protease maturation via DPP1 inhibition, antagonism of chemoattractant receptors such as C5aR1, and suppression of effector functions like the oxidative burst or NETosis.
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