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This metabolic switching is regulated by sirtuins, namely SIRT3 and SIRT2 repress the Warburg effect 342,343,344,345 , while SIRT5 maintains glycolysis 346

Aquaporin-4 (AQP4) is less strongly expressed in human astrocytic end-feet (Eidsvaag et al., 2009) and may respond differently in neurodegenerative conditions (Colombo et al., In vitro models of the BBB based on human cells have several advantages: (i) cellular environment may be easily and reproducibly controlled

Areas for enforcement are focused on: compounding practices

Discussion Snakebites are considered critical health issues with considerable morbidity and mortality if not properly managed (Fatani 2015