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For example, nano-PROTACs composed of a photosensitizer (protoporphyrin IX, PpIX) and a Src homology 2 domain-containing phosphatase 2 (SHP2)-targeting PROTAC peptide (aPRO) connected by a caspase-3 cleavable linker, among them aPRO is activated after phototherapy due to the increased expression of caspase-3 in tumor cells, inducing the targeted degradation of SHP2 through the ubiquitin-proteasome system, and the persistent depletion of SHP2 blocks the immunosuppressive checkpoint signaling pathways CD47/SIRP and PD-1/PD-L1 thereby reactivating anti-tumor macrophages and T cells (239)

In contrast, novel microbial amino acid-conjugated BAs (e.g., Trp-CDCA), identified through reverse metabolomics, robustly enhanced IFN- production in CD4 + T cell assays, suggesting a Th1-promoting role for select microbial BA metabolites that contrasts with LCAs inhibitory effects (82)

doi: 10.1113/jphysiol.2006.125930

If your muscles are very sore, you may need to reduce the amount youre doing or speak to your healthcare team