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A more recent work by Torres-Alemans group, elegantly demonstrated that this process is initiated by the release of glutamate at active regions, triggering two secondary processes: a vasodilation to increase local serum IGF-I availability and an increased activity of matrix metalloprotease 9, together with cleavage from IGFBP-3

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These receptors influence key pathways like NF-kappaB and Jak-Stat signaling, as well as the secretion of inflammatory cytokines, which play pivotal roles in the pathogenesis of CNS diseases