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In vivo experiments confirmed that the MPO/HOCl signaling pathway was significantly activated in the plasma and neurons of SOD1 G93A transgenic mice, which upregulated Caspase-3 expression, downregulated GPX4 and NQO1 expression, significantly elevated plasma MDA levels, promoted neuronal apoptosis, ferroptosis, and lipid peroxidation, and reduced motor performance in mice (Peng et al., 2022)
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As a result, serum nutrient levels can reach concentrations that are simply not achievable through oral supplementation
In parallel, non-microbiome strategies, including next-generation prokinetics, IVIG, G-POEM, SNS, and emerging antifibrotic agents, are expected to contribute meaningfully when integrated into phenotype-guided treatment algorithms
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