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HIF-1 is a transcriptional activator and a key regulator of the cellular adaptive responses to hypoxia and oxidative stress 25,26

Yamamoto S, Konishi I, Tsuruta Y, et al

This negative feedback mechanism is crucial for regulating neuronal activity, as excessive hyperactivity can lead to neuronal death, synaptic loss, and reduced plasticity (Badimon et al., 2020)

Although these direct antioxidant effects are observable in vitro, their significance in vivo appears limited, stemming from low plasma concentrations of NAC and the prevalence of more abundant endogenous antioxidants such as GSH, ascorbate, and antioxidant enzymes (e.g., SODs, GPs, CAT) [6,38,39]
