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Overall, scientific efforts over the past twenty years have shed light on the behavior of meningococcus within the host cell and have supported a model in which, after internalization by the host cell, the meningococcus is able to avoid lysosomal killing by cleaving LAMP1 through IgA protease, and to escape from the internalization vacuole through the C-terminal hemolytic domain of HrpA, reaching the cell cytosol

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Elevated levels of free testosterone may induce heightened sympathetic nervous system activity and vascular reactivity, promoting the onset and progression of pregnancy-induced hypertension

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activation of Nrf2, the cellular protective pathway

The typical clinical manifestation is bowel obstruction in a critically ill patient becoming febrile, with signs of acute cholecystitis, dehydration, and aspecific biochemical abnormalities such as leukocytosis, elevated aminotransferase levels, electrolyte imbalance due to dehydration, and concomitant heart, pulmonary, and metabolic comorbidities [179]