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In chemotherapy-sensitive patients, Keap1 (Kelch-like ECH-associated protein 1) binds to NRF2 and mediates NRF2 ubiquitination via the Cul3-E3 ligase complex, promoting its degradation and maintaining NRF2 at low levels [32]
It also appeared linked to increased pituitary RNA and GH mRNA levels, suggesting a possible expansion of somatotroph cells
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