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Under normal conditions, Kelch-like ECH associated protein 1 (Keap 1), which functions as an adaptor protein, is bound to Nrf2 and serves for Nrf2s continuous ubiquitylation and degradation, while under oxidative stress conditions, Keap 1 is inactivated resulting in the translocation of Nrf2 into the nucleus where the transcription of antioxidant genes begins (Baird et al

10.1158/1940-6207.CAPR-12-0281

It also outlines best practices followed by experienced providers of medical coding services to improve accuracy, maintain compliance, and support clean claims submission
