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Therefore, the precise mechanisms through which lipoxygenases contribute to ferroptosis, particularly in GPX4 inhibition contexts, require further investigation ( 3.2.4 Therapeutic targets and experimental evidence Lipid peroxidation not only affects biological membrane fluidity and membrane protein function, impairing cellular activity, but its products also form reactive aldehyde end products, including 4-hydroxynonenal (4-HNE) and MDA

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For instance, patients with Wolfram Syndrome (WS) have rare autosomal recessive mutations in their WFS1 gene that give rise to multiple complications, such as juvenile-onset diabetes, optic atrophy, and deafness (185)

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That said, understanding the factors that can cause or contribute to shoulder pain is important in order to provide effective treatment