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57 The reticulocytosis that is elicited as a result of hemolysis may obscure the enzyme deficiency, as these very young red blood cells have the highest enzyme activity

The same study also detected that more proinflammatory molecules, such as interferon and interleukin-1 were produced in the selenium-deficient group because multiple genes involved their upstream pathways, including UPS18 , DDX58 , cGAS , and TLR3 were upregulated, which further supported the conclusion that selenium deficiency could resulted in mitochondrial DNA damage and disorder energy production of cardiac cells (169)

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-The ARISTOTLE-J study-