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ChaC1 expression varies in normal and cystic fibrosis bronchial epithelial cells, with low ChaC1 expression hypothesized to play a significant role in regulating the chronic inflammatory response induced by Pseudomonas aeruginosa (Pa) (132)
This activity seems to involve several biochemical mediators, including NO, prostanoids, and endothelium-derived hyperpolarizing factors (EDHFs) (224)
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Thus, the malateaspartate shuttle is reversible and requires multiple enzymes [42, 120]
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