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GPX3 can use glutathione as an excellent substrate to participate in the redox reactions involved in glutathione and NADPH (Figure 1)

The main phenotype of loss-of-function mutations in arGSTs is the decreased content of anthocyanins ( 1 ) 19,20,21,22,23,24,25,26,27,28 and proanthocyanidins 27 , which can be well explained by an incomplete biosynthesis due to the absence of an essential enzyme

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Excess bilirubin in bile due to impaired processing can result in black pigment gallstone formation, while heme accumulation can induce oxidative stress and liver damage

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