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World J Clin Cases (2025) 13(2):96557

The establishment of this theoretical framework not only provides a novel, cell-death-centered molecular perspective for a deeper understanding of the long-standing sex differences in atherosclerosis but also offers new insights for re-examining and interpreting the complex and often contradictory results of past hormone replacement therapy clinical trials

Through this unique mechanism, SQOR not only efficiently removes potentially toxic H 2 S (preventing its accumulation in mitochondria), but also plays a central regulatory role in maintaining cellular energy balance and managing oxidative stress, serving as a key junction between sulfur metabolism and bioenergetics (Salti et al., 2024)

Secondary insufficiency is more frequent, but not common