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However, in addition to the pathophysiological development of critical illness caused by the effects of the primary disease, it is undeniable that extracorporeal circulation itself induces an inflammatory response, which further intensifies the systemic inflammatory response and leads to a systemic storm of inflammatory factors, further developing into the adverse outcome of multi-organ failure

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These results suggest that increased ATP production following acute ELAM in vivo may not be through direct binding action on ATP synthase but relies on additional processes that cannot be performed by isolated mitochondria without a living cell