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At the cellular level, IR exposure triggers a cascade of events, involving the activation of repair pathways, immune responses, and changes in cellular phenotype

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Glucose is the main metabolic substrate of red blood cells and it is metabolized by two major pathways: the glycolytic or energy producing pathway and the hexose monophosphate (HMP) shunt or protective pathway

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The authors also found increased alanine in the BPD group, which they attributed to increased cellular metabolism demands, due to an inflammatory process 47