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In a rat model of DOX-induced cardiotoxicity, it has been unequivocally demonstrated that DOX induces the production of ROS and transforming growth factor-beta (TGF-), thereby promoting the transformation of cardiac fibroblasts into myofibroblasts (Tian et al., 2024)

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Concurrently, activation of the IRE1-JNK pathway phosphorylates the pro-apoptotic protein Bim and inhibits the anti-apoptotic function of Bcl-2, ultimately activating Caspase-3 to execute the cell death program [356]

In addition, semaglutide works in a glucose-dependent way