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Biocompatibility and effects on macrophage viability The cytotoxicity assay revealed that CM-EVs are highly biocompatible with RAW 264.7 macrophages

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The rapid production of ROS in activated neutrophils, which requires increased pentose cycling, and thus increased G6PD activity, acts to promote NETosis via oxidative inhibition of glyceraldehyde 3-phosphate dehydrogenase (GAPDH) ( Overall, the uniquely rapid need for neutrophil effector functions, such as NETosis, phagocytosis and degranulation, to be mobilized quickly in the innate immune response necessitates brisk production of NADPH, which is chiefly controlled by the PPP rate-limiting activity of G6PD

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Ferroptosis does not require a specific pro-death signaling pathway but is triggered spontaneously when the protection of cellular membrane phospholipids from peroxidation by the metabolites and enzymes, including cysteine and glutathione peroxidase 4 (GPX4), are weakened [228, 229]

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Unfortunately, this approach alone appears to be insufficiently effective, since the inhibition of cyclic GMP degradation as a stand-alone approach fails to harness the full complexity of NO production and cyclic GMP stimulation in maximizing erectile function

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