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Levels drop with age, stress, alcohol, and environmental exposure

Knocking out Nrf2 or using HO-1 antagonist reversed DOX-induced heart injury and death in mice, indicating that free iron released by heme degradation is a prerequisite for inducing heart injury

They can secrete various cytokines and chemokines to recruit immunosuppressive cells like Tregs and MDSCs, creating an immunosuppressive TME (62)

Thus, with pathologic HNE concentrations (10M and higher) for rat GCLC, ERK activation was required for the HNE-mediated induction but for human GCLC, JNK activation was essential and Nrf2 was not required (Iles and Liu, 2005)
