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A meta-analysis showed that intravitreal administration of ranibizumab was associated with systemic vascular adverse events, including embolic eventsstroke and myocardial infarction (Sultana and Scondotto 2020)
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Thus, depletion of intracellular GSH is considered a potential solution to boost the efficacy of chemotherapy and ROS-based therapy, including PDT, SDT, CDT, ferroptotic therapy, and radiotherapy
However, studies only points to the key role of BH4 in protecting cells when GPX4 is inhibited, and its influence on lipid peroxidation is unrelated to its cofactors, but the specific mechanism remains unclear ( SLC7A11 (xCT) With the deepening of ferroptosis research, studies have strengthened the strategy of using the Cystine/Glutamate reverse transporter SLC7A11 (xCT) pathway to regulate ferroptosis, the principle of which is also based on the antioxidant axis system x c - -GSH-GPX4, but the focus falls on the key precursor system of the system x c - ( c - is actually a sodium-independent antiporter, consisting of the heavy chain subunit solute carrier family 3 member 2 (SLC3A2) and the light chain subunit SLC7A11 ( c - ( Figure 1B )
