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Macrophages generate reactive oxygen species (ROS) through specialized enzyme complexes, most notably the NADPH oxidase (NOX2) complex, and as byproducts of mitochondrial metabolism (Lambeth, 2004). These species serve dual roles: they act as potent antimicrobial agents during the respiratory burst and as secondary messengers in intracellular signaling pathways that regulate macrophage activation and polarization (Forman & Torres, 2002). To maintain cellular integrity, macrophages employ sophisticated redox pathways, such as the Nrf2-mediated antioxidant response, which regulates the expression of enzymes like superoxide dismutase, catalase, and glutathione-related proteins (Kensler et al., 2007). Dysregulation of these redox processes is a hallmark of various pathologies, including chronic inflammatory diseases, atherosclerosis, and neurodegeneration, where oxidative stress contributes to tissue injury (Nathan & Cunningham-Bussel, 2013). Pharmacological intervention targeting these pathways includes the use of NOX inhibitors to reduce ROS production or Nrf2 activators to enhance antioxidant defenses, though balancing these effects is crucial to avoid compromising the immune system's ability to combat infections.
Inhibition of NADPH oxidase; Activation of Nrf2-mediated antioxidant response; Direct scavenging of reactive oxygen species
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