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This AOP is constituted the MIE as sterol regulatory element binding transcription factor 2 (SREBF2) gene activation and repressions of glutathione synthetase (GSS) and glutathione S-transferases (GSTA1, GSTA2, GSTA3, GSTA5) genes and the KEs as perturbation of cholesterol, though up regulated unsaturated fatty acid concentration, and glutathione homeostasis leading to oxidative stress, DNA damage and AO as hepatotoxicity (HepG2 cell death)

Mechanism of mitophagy BNIP3 and NIX BNIP3 and BNIP3-like protein (BNIP3L)/Nip3-like protein X (NIX), members of the BCL2 family of BH3-only domain proteins, are localized to the OMM and function as pro-apoptotic proteins

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It is a biotoxin-mediated inflammatory condition that affects multiple organ systems simultaneously

Jul 2014;100(1):27-35

While no direct contraindication exists for concurrent use, the absence of controlled trials means safety and efficacy remain inadequately characterized