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469 Research suggests that CRS-related toxicity may primarily involve a macrophage-centric pathophysiological mechanism, characterized by the initial activation of macrophages through CD40L-CD40 interactions within the tumor microenvironment of CAR-T cells, the release of key cytokines (such as IL-6, IL-1, and IFN-) during CRS, and the involvement of catecholamine self-amplification loops in macrophages

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El mecanismo implica la atraccion de celulas inmunes y celulas madre mesenquimales a los sitios de lesion, junto con la estimulacin de la produccin de glucosaminoglicanos y decorina, ambos criticos para el ensamblaje adecuado de la matriz extracelular

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Interestingly, both compounds showed the ability to improve kidney damage by decreasing creatinine and urea nitrogen levels compared to the group of mice with longterm hyperuricemia, while febuxostat showed no significant effect [56]

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