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(3) V Susi, G Masirevi, and S Toti (1987) The effects of delta-sleep-inducing peptide (DSIP) on wakefulness and sleep patterns in the cat Brain Research, 1987 Jun 30, Volume 414 (Issue 2), Pages 262-70

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These factors collectively drive the progressive damage of biliary epithelial cells by autoantibodies, leading to cholestasis, fibrosis, and potential progression to cirrhosis or liver failure (217)

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