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For instance, it is believed that epithelial cells can reprogram neighbouring stromal fibroblasts to increase the fibroblasts secretion of pyruvate and lactate, so that the epithelial cells may take up these energy-rich metabolites themselves (Pavlides et al, 2009)

BMSC exosomes are internalized by damaged GCs, wherein the transferred miR-144-5p directly targets the tumor suppressor gene PTEN, which negatively regulates the PI3K/AKT signaling pathway (Huang et al

Furthermore, a longitudinal study observing 141 patients with glaucoma discovered that the rate of visual field loss decreased with increased moderate to high activity levels (according to accelerometer measurements) (109)

For procedures in which complications are catastrophic, including TJA, counseling should prioritize discontinuation of nonessential injectable biologics before surgery, explicit documentation of exposure, and heightened vigilance for early wound complications

Su, Liang, et al

Neuroscience (4th ed.)