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Targeting M 2 Macrophages and Oxidative Stress Gastroparesis may also result from abnormal function of enteric mechanisms which may be targeted by macrophage-based immune dysregulation, as demonstrated in diabetic mice with delayed gastric emptying ( 2 macrophages expressing heme oxygenase-1 (HO 1 ), allowing oxidative stress to damage the pacemaker cells or enteric nerves, as evidenced from animal models of gastroparesis ( 1 ) inhibitor, failed to reverse delayed gastric emptying in a randomized, controlled trial in humans