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Role of neutrophils in different stages of atherosclerosis

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INNATE IMMUNITY
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SAGE PUBLICATIONS LTD
DOI: 10.1177/17534259231189195

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Atherosclerosis; granule protein; inflammation; neutrophil; neutrophil extracellular traps

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Neutrophils play important roles in the pathophysiology of atherosclerosis, despite being rarely found in atherosclerotic lesions. Recent research has provided convincing evidence of the presence of neutrophils in atherosclerotic lesions and their contributions to different stages of atherosclerosis in mice and humans. Understanding the underlying mechanisms and exploring potential neutrophil-targeted therapeutic strategies could lead to new methods for the prevention and treatment of atherogenesis and atherothrombosis.
Neutrophils constitute the first line of defense in human immunity and can be attracted to inflamed and infected sites by various chemokines. As essential players in immune processes, neutrophils theoretically play integral roles in the course of chronic inflammation-induced atherosclerosis. However, because neutrophils are rarely found in atherosclerotic lesions, their involvement in the pathophysiological progression of atherosclerosis has been largely underestimated or ignored. Recent research has revealed convincing evidence showing the presence of neutrophils in atherosclerotic lesions and has revealed neutrophil contributions to different atherosclerosis stages in mice and humans. This review describes the underlying mechanisms of neutrophils in different stages of atherosclerosis and highlights potential neutrophil-targeted therapeutic strategies relevant to atherosclerosis. An in-depth understanding of neutrophils' roles in atherosclerosis pathology will promote exploration of new methods for the prevention and treatment of atherogenesis and atherothrombosis.

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