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Tamoxifen-induced oxidative stress increased the accumulation of the transcription factor, Nuclear factor-erythroid 2-related factor-2 (Nrf2), which activates the anti-oxidant response element (ARE) 34,35 and this contributes to chemo-resistance 36,37,38

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The pathogenesis and the pathophysiology of sepsis is very complicated and multifaceted: numerous biological mechanisms, such as infection, inflammation, oxidative stress, immune system dysregulation, blood coagulation, endothelium dysfunction, tissue damage, elevated cellular death and/or apoptosis are involved during sepsis at tissue, cellular and molecular levels causing a damaging systemic reaction [379]