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Updated: Nov 19, 2025

Real-Time Measurement of the Mitochondrial Bioenergetic Profile of Neutrophils
Published on: June 2, 2023
Neutrophil dysfunction in bronchiectasis: an emerging role for immunometabolism
Yan Hui Giam1, Amelia Shoemark1, James D Chalmers2
1Division of Molecular and Clinical Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK.
Bronchiectasis involves neutrophil dysfunction, potentially reversed by targeting cell metabolism. Activating pathways like AMPK could enhance bacterial clearance and reduce disease severity.
Area of Science:
- Pulmonary Medicine
- Immunology
- Metabolic Research
Background:
- Bronchiectasis is a complex lung disease with poorly understood pathophysiology.
- Neutrophilic inflammation and impaired pathogen killing are central to bronchiectasis.
- Current therapies do not directly target neutrophilic inflammation in bronchiectasis.
Purpose of the Study:
- To review neutrophil dysfunction in bronchiectasis.
- To explore immunometabolic reprogramming as a cause of neutrophil dysfunction.
- To propose novel therapeutic strategies targeting neutrophil metabolism.
Main Methods:
- Review of current literature on bronchiectasis pathophysiology and neutrophil function.
- Analysis of evidence linking immunometabolic reprogramming to neutrophil dysfunction.
- Discussion of potential therapeutic targets, including AMPK activators.
Main Results:
- Neutrophil dysfunction in bronchiectasis aligns with immunometabolic reprogramming.
- Targeting neutrophil metabolism offers a novel therapeutic approach.
- AMPK activation demonstrates potential in reversing neutrophil dysfunction in pulmonary models.
Conclusions:
- Targeting neutrophil metabolism, rather than solely reducing inflammation, is a promising strategy for bronchiectasis.
- Immunomodulatory approaches enhancing bacterial clearance are needed.
- AMPK activators represent a potential therapeutic avenue for bronchiectasis.
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