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Acknowledgments CZ and MA deserve special recognition for their efforts in reviewing the text and providing direction throughout the project

C., Chen C

The effective blood-brain barrier mechanism impeding the transport of monoamines has been attributed to both the presence of tight junctions cementing adjacent endothelial cells of the cerebral capillary walls, along with high concentrations of dopa decarboxylase and monoamine oxidase (MAO) in the cerebral capillary endothelium (Bertler et al, 1966

Since linear tetrapyrroles, such as bilirubin, play a significant role as antioxidant and anti-inflammatory agents, the reduction of protoheme synthesis by B6 unavailabilty and its further degradation to bilirubin allows further vulnerability to inflammation and oxidative stress