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3.3 Downstream Signaling Effects Beyond actin sequestration, TB-500 influences several additional signaling pathways: Angiogenic Signaling through CD44 Interaction TB-500 binds to the CD44 cell surface receptor, activating downstream signaling cascades that include: MAPK/ERK pathway: Promotes endothelial cell proliferation PI3K/Akt pathway: Supports cell survival and migration MMP induction: Matrix metalloproteinase activation for extracellular matrix remodeling Integrin-Mediated Cell Adhesion The peptide upregulates integrin expression including v3 and 51, enhancing cell-matrix adhesion and facilitating cell migration across extracellular matrix substrates

While the procedure involves injections and potential side effects, the benefits often outweigh these concerns for many patients

Draw the Diluent: Using your 3mL syringe, draw up your chosen amount of bacteriostatic water (e.g., 1mL, 2mL, or 2.5mL)

To maintain any benefit, you need treatments 1-3 times per week, indefinitely

Cognitive Correlates of Abnormal Myelination in Psychosis
