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Advances in siRNA delivery approaches in cancer therapy: challenges and opportunities

Key principles of conjugation: All six pathways require specific cofactors (nutrient deficiencies directly impair detoxification) Competition exists between pathways when a single substrate can be conjugated by more than one enzyme Conjugation does not always produce a less toxic product (some sulfation and acetylation reactions generate reactive metabolites) Conjugated products must still be transported out of the cell via Phase III transporters (MRP, P-gp, BCRP) for excretion R Bile is the primary excretion route for large, glucuronidated, and glutathione-conjugated metabolites Urine handles smaller, sulfated and acetylated conjugates The balance between Phase I activation and Phase II conjugation is critical

Patients should not rush dose increases, even if weight loss or glycemic control goals have not yet been achieved

Epithalon might correct spindle abnormalities and prevent the misplacement of CGs, which are common issues in aged oocytes