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GGT reflects the stress

On the other hand, Dave and coworkers found a disruption of the Calu3 ALI monolayer infected with R001, N222.1, and N459.6 meningococcal strains, suggestive of a paracellular route of epithelial crossing (Dave et al., 2023)

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The bacteria is travelling not only through the critters we mentioned above, but also via birds and even pets who become infected by ticks or mosquitos and then travel with the disease over longer distances