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76 Studies have shown that within various cell types, including vascular smooth muscle cells, endothelial cells, adipocytes, hepatocytes, pancreatic islet cells, and renal tubular cells, uric acid can activate NADPH oxidase, a crucial enzyme involved in the generation of reactive oxygen species

Efforts to treat gene haploinsufficiency will necessitate careful consideration of cell type specificity, tissue specificity, and modulating the expression of the correct splicing isoformssomething that will vary across tissues and developmental stages [175]

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Most patients begin at low doses (0.25 mg weekly) and advance over 48 weeks to maintenance doses (0.52.4 mg weekly)