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One way that this could cause the symptoms seen in MCS is that oxidative stress can cause neurogenic inflammation due to the vulnerability of the central nervous system to free radicals.[ref] Combination of oxidative stress and odorant reactions

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Differential plasma proteome analysis reveals key proteins associated with insulin resistance in acne vulgaris patients

The hypoxic state not only directly reduces the activity of certain drugs, but also activates the expression of a series of genes related to drug resistance by inducing upregulation of hypoxia-inducible factor (HIF) (Cabanos and Hata, 2021

Rui T, Wang H, Li Q, Cheng Y, Gao Y, Fang X, Ma X, Chen G, Gao C, Gu Z, Song S, Zhang J, Wang C, Wang Z, Wang T, Zhang M, Min J, Chen X, Tao L, Wang F, et al