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Upon entry into the parenchyma, these cells initiate a secondary immune response, releasing inflammatory mediators such as cytokines, chemokines, proteases, and toxic substances, aggravating myelin and axonal damage [263]

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Along with a polarized epithelial cell morphology with the lumen facing surfaces presenting with numerous microvilli, the abluminal surface facing the ECM was devoid of microvilli and appeared to be attached to an underlying basal lamina (Fig

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