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The ischemia and reperfusion may occur in the cardiac surgeries, where the re-oxigenation can cause serious arrhythmias with extense lesions due to the oxygen paradoxal shock, which causes ATP depletion during the ischemia, forming hypoxanthine or xanthine, that work like a substrate to the xanthine oxidase enzyme (XO), precursor form the uric acid, that acts like na antioxidant in these cases

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Rapamycin exerts anti-ferroptotic effects by decreasing transferrin receptor expression, reducing cellular iron content, and activating the iron-regulated protein-1/2 (Irp1/2) system, potentially compensating for transferrin downregulation to maintain iron homeostasis (69)

doi.org/10.1016/j.ejphar.2007.05.072 Hsieh, M