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This is direct neurohormonal modulation

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Rare disease database: Shprintzen Goldberg syndrome

When cysteine residues in KEAP1 are oxidized by increasing levels of reactive molecules such as ROS and RNS, NRF2 is released allowing it to migrate to the nucleus and activate the expression of genes encoding proteins with cytoprotective functions

Many different mechanisms account for these powerful effects on the heart and blood vessels

Cartilage-focused research, including work summarized in the NIH PubMed database, explored chondrocyte effects relevant to joint repair models and suggested a potential adjunct role alongside established biologics
