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Upregulation of CD38 in patients with SSc, resulting from its induction by cytokines such as TGF-ß, IL-6 and senescent cell-derived SASP enriched in the fibrotic tissue microenvironment, will promote NAD + consumption and decline, which in turn impairs the function of sirtuins and other NAD + -dependent cellular enzymes
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At present, NNMT and CYP2E1 are the only two enzymes that act as NAM clearance enzymes [7], and both of them are classified into ADME genes which are involved in drug Absorption, Distribution, Metabolism, and Excretion by the PharmaADME Consortium ( [104]
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