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Etiology Gamma-glutamylcysteine synthetase catalyzes the first and rate-limiting step in the synthesis of glutathione (GSH) (Figure 1) [9]

Reactive oxygen species mediate cytokine activation of c-Jun NH2-terminal kinases

Together, IDO1 and TDO2 maintain systemic tryptophan flux and immune-metabolic balance, yet during inflammation or hormonal imbalance, aberrant activation of these enzymes can disrupt hepatic redox and energy homeostasis