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[52] In light of the disappointing results of clinical trials involving the administration of so-called “direct” antioxidants (e.g., vitamins C or E or beta carotene) [37], there is growing interest in strategies based on dietary or pharmacological upregulation of endogenous antioxidant defense genes, including those regulated by the master antioxidant and cell protective transcription factor nuclear factor (erythroid-derived 2)-like-2 (Nrf2), which regulates hundreds of antioxidant and cytoprotective proteins [20] by binding at antioxidant response element (ARE) consensus sequences in the promoter region of those genes

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In support, BPC 157 counteracts the damaging effects of lacrimal gland extirpation and dry eye syndrome in rats [16]