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Several studies indicated that the inhibition of AR causes the accumulation of toxic aldehydes, such as 4-HNE [35-37], the most abundant lipid peroxidation products, also one of the substrates of AR [38]

Taken together, these suggest that certain oxidative markers (especially those related to NO/peroxynitrite, like nitrotyrosine) were ameliorated after splenectomy, whereas measures of general oxidative burden did not worsen and, in some cases, trended better.On the other hand, markers of hemolysis and liver metabolism were higher in the postsplenectomy group: mean unconjugated bilirubin was 24.02.6 mol/L postsplenectomy vs 22.43.0 mol/L presplenectomy ( P =0.014), and conjugated bilirubin 19.42.5 versus 18.03.2 mol/L ( P =0.032)

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Recombinant human GPX4 alleviated ISO-induced myocardial ischemia injury [250]