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Despite decades of research, RAs etiology remains only partially understood, and current therapeutic strategies, including biologic agents, often show variable efficacy and high failure rates across patients (67, 193)

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In the second step, the homodimeric enzyme GS, a member of the ATP-grasp superfamily, rapidly catalyzes the binding of -glutamylcysteine with glycine, obtaining GSH (8, 9)

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On the other hand, recently investigated nanotoxicity of different types of nanomaterials may promote off-target reactions and bioaccumulation of metal-based nanoparticles [17, 20], limiting full potential of nanomaterials in oncology