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One of the central regulatory pathway in redox balance is the Kelch-like ECH-Associating protein 1 (Keap1)nuclear factor erythroid 2 related factor 2 (Nrf2)antioxidant response element (ARE) pathway, which upregulates biosynthesis of antioxidant proteins, including antioxidant enzymes such as heme oxygenase-1 (HO-1), glutathione S -transferase, NAD(P)H:quinone oxidoreductase 1 (NQO1), glutathione reductase (GR), Trx-R, CAT, and SOD, but also nonenzymatic antioxidant proteins, e.g., Trx or anti-apoptotic proteins from Bcl-2 family 64

doi: 10.1189/jlb.0302105 51 RuckesTSaulDVan SnickJHermineOGrassmannR

Together, these tests aid in diagnosing paracetamol toxicity, monitoring disease progression, and guiding treatment decisions, including the need for N-acetylcysteine therapy or consideration for liver transplantation in critical cases

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