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This influx activates M1-specific pathways, including STAT1 and NF-B p65 phosphorylation, while boosting expression of inflammatory mediators (e.g., NOS2, TNF-, IL-6, IL-23, CXCL9/10) and maturation markers (MHC-II, CD80/86)

These include:[ref] Inflammatory cytokines (IL-1B, IL-33), which cause the release of IL-6, TNF, IL-8, and VEGF Heavy metals (aluminum, cadmium, mercury) Herbicides (atrazine, glyphosate) Pathogens (Lyme disease, lipopolysaccharides from bacteria, certain viruses, and mold spores) These triggers can cause a two-phase reaction : Immediately released mediators include histamine, TNF, tryptase, RANKL, and serotonin

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