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In turn, endothelial cell dysfunction affects the synthesis and secretion of the glycocalyx, thereby forming a vicious circle (58)

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For most of the carcinogenic NAs, the established mechanisms of action involve metabolic activation primarily via cytochrome 450 enzymes (CYPs), and mainly through -hydroxylation, generating highly reactive, electrophilic intermediates, which can ultimately form covalent DNA adducts

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