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This sophisticated crosstalk, where parallel pro-apoptotic pathways (ATF4-driven induction and CHOP-mediated fine-tuning) converge on the CHAC1 promoter, allows for precise control of cell fate under prolonged ER stress (Nomura et al., 2020)

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They can also cause side effects like dizziness, stomach upset, or feeling very tired, which makes some patients stop using them

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