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Bellavia A, Centorrino F, Jackson JW, Fitzmaurice G, Valeri L

Chronic release of proinflammatory cytokines of innate immunity, increased Treg cell activity, aerobic glycolysis of infected cells, and activation of neutrophils by ANCA lead to excessive ROS production, and this could explain the increased oxidative and nitrosative stress, depletion of antioxidant substances, increased aerobic glycolysis in circulating cells, and increased damage to fatty acids, DNA, and proteins that occur in patients with ME/CFS [296,297,298, 360]

Moreover, they showed that sesamol prevented gut barrier damage by enhancing the expression of tight junction proteins (occludin, claudin-1, and ZO-1), recovering the loss of gut mucus layer while increasing SCFAs through changes in the gut microbiome structure by enhancing the relative abundance of Coprococcuscus, Butyricicoccus, Odoribacter, and AF12 [470]