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Several challenges continue to hinder the clinical application of Exos in ferroptosis-related conditions
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Nucleophilic attack of the carboxylic acid on the electrophilic amidinium or phosphonium moiety leads to a short lived intermediate which is rapidly trapped by the unmasked nucleophile to form the activated ester intermediate and either a urea or phosphoramide by-product
This mechanism reduced lipid peroxidation, improved neuronal survival, and attenuated ischemic damage in preclinical models [139]
Cell Physiol Biochem 53:865886 Juni RP, Kuster DWD, Goebel M, Helmes M, Musters RJP, van der Velden J, Koolwijk P, Paulus WJ, van Hinsbergh VWM (2019) Cardiac Microvascular Endothelial Enhancement of Cardiomyocyte Function Is Impaired by Inflammation and Restored by Empagliflozin
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