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Current laboratory investigations further evaluate intracellular signaling involving TGF- , MAPK/ERK , PI3K/Akt , NF-B , matrix metalloproteinases (MMPs) , tissue inhibitors of metalloproteinases (TIMPs) , copper-dependent enzymes, and additional molecular systems associated with extracellular matrix regulation and peptide signaling

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These associations remained consistent across subgroup analyses, including patients using tirzepatide as adjunctive therapy to other first-line diabetes agents, among patients older than 60 and comparisons against individual GLP-1 drugs, including semaglutide and dulaglutide

Pflaum, M., & Ruman, R