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Recent research has shown that an endothelial-specific glycocalyx component, endomucin (EMCN), is highly expressed in the glomerular endothelium and plays a key role supporting the normal structure and function of the glomerular filtration barrier by maintaining the tight junctions, homeostasis of the glomerular endothelium, and function of podocytes (81)

Although widely used for PNP, ALC is not even noted in the most current guideline for painful diabetic neuropathy [14]