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Alpha lipoic acid is naturally produced by the body and can be obtained from dietary sources

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with direct glucuronidation (~55%) and sulfation (~40%) (Mitchell et al., N -acetyl p -benzoquinone imine (NAPQI), a highly reactive electrophile, which is known to covalently bind to nucleophilic centers, including cysteine thiols in liver proteins (see Figure 1) (Jollow et al., S -transferase (GST) isozymes (Figure 1) (Mitchell et al., Figure 1 GSTs represent major detoxification enzymes with a protein size of ~25 kDa (Eaton and Bammler, in vivo (LeBlanc et al., Several NAPQI-protein adducts have been identified previously in mouse, rat, and human (Wendel and Cikryt, In vitro binding studies have also shown NAPQI-GST adducts, using 14 C-APAP metabolism in mouse liver homogenates (Wendel and Cikryt, in vitro

For example, in glutamine-addicted clear cell renal cell carcinomas, the competitive consumption of glutamine by tumor cells results in local deprivation of extracellular glutamine, which activates HIF-1 and induces tumor-infiltrating macrophages to secrete IL-23