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10.1016/S1470-2045(02)00932-4 Lancet Oncol

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In addition, it was found that the activation of angiotensin converting enzyme and the resultant excessive production of angiotensin II by cyclophosphamide has been implicated in ROS generation and hence the subsequent oxidative brain injury [15].The massive generation of ROS prompts oxidative damage to numerous cellular components resulting in lipid peroxidation, DNA damage and mitochondrial dysfunction [14, 16,17,18]

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These mechanisms may play important roles in the changes of the regional MIND values in the VCI patients