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doi: 10.1016/j.cgh.2020.08.045 44

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Effective clinical management of PASC is contingent upon the following critical evaluation of dysbiosis: (i) the duration of gut dysbiosis after COVID recovery, (ii) the link between gut dysbiosis and long-term persistent symptoms, and (iii) the possible adverse health effects from enriched or depleted specific gut microflora on COVID-19 recovered individuals 254

The more efficient conjugation of the QIs to GSH may have reduced covalent modification of cellular macromolecules, like ER proteins Grp78/Bip (Xu et al., 2015), microsomal GST (Weis et al., 1992), and PDI ( Although reactive QI formation has been associated with AQ-induced (cyto)toxicity in vitro (Tafazoli and OBrien, 2009) and in vivo (Shimizu et al., 2009), the exact cellular mechanisms and pathways of AQ-QI and DEAQ-QI toxicity remain poorly understood