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demonstrated significant correlations between NE activity in bronchiectasis patient sputum and disease severity, bacterial infection status, and acute exacerbation risk ( Traditional NSP-targeted therapeutic strategies primarily involve direct inhibition of activated NSPs, such as the NE inhibitor AZD9668 ( In contrast, DPP1 inhibition strategy theoretically provides more comprehensive anti-inflammatory effects by blocking the upstream NSP activation process, preventing simultaneous activation of multiple NSPs at the source ( 4 Mechanisms of action and pharmacodynamic characteristics of DPP1 inhibitors 4.1 Unique mechanism of NSP activation inhibition The fundamental advantage of DPP1 inhibitors lies in their distinctive mechanism of action: by intervening in the NSP activation process during neutrophil maturation, they prevent accumulation of high concentrations of active NSPs in the lungs