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Subsequently, Mahimainathans group identified and validated for the first time a series of miRNAs, miR-153, miR27a, miR142-5p, and also miR-144 in neuronal cells, specifically in human SH-SY5Y neuroblastoma cells, which directly mediate repression of NFE2L2 in a KEAP1-independent manner [224]

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You may also be referred if you have persistently abnormal liver function tests despite lifestyle changes, or if there are other concerns about disease progression