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Preclinical studies identified several mechanistic pathways through which curcumin may alleviate DACD, including anti-inflammatory and antioxidant effects via NF-B, NLRP3, AKAP150/PKA/PP2B, miR-146a-5p/ERK, BDNF/TrkB, ROS-ERK1/2, GABA receptors, Keap1-Nrf2-ARE, and regulation of intestinal flora

Other next-generation agents, such as IPN60090 (IACS-6274), have demonstrated early signs of clinical activity and effective GLS1 inhibition in Phase I studies, with ongoing trials exploring combinations (e.g., with bevacizumab and paclitaxel)

To add to the complexity, some forms of mercury convert in vivo from inorganic to organic