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Machine learning models integrating these metabolites with gut microbiota profiles (e.g., Gemmiger abundance, SCFA-producer/proteolytic bacteria ratios) demonstrate superior DKD risk stratification compared to traditional markers alone (AUC 0.830.93) (136, 138, 152)

The identification of a constitutive NADPH-independent cytosolic disulfide reductase system in mammals Based on the well-established requirement for the NADPH-dependent disulfide reductase systems in microbial models, as discussed above, it seemed to be a foregone conclusion that mammalian cells would also require the presence of at least one of the two NADPH-dependent cytosolic disulfide reductases for survival

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