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However, the contribution of Prdx6 to the reduction of phospholipid hydroperoxides is overall outperformed by other proteins, in particular GSH peroxidase 4 (GPX4), which was the first enzyme with this activity described in the literature, having exceptionally high second-order rate constants for phospholipid hydroperoxide reduction (~10 6 10 8 M 1 s 1 ) compared to Prdx6 (~10 4 10 5 M 1 s 1 ) [26, 38, 39]

Introduction Autoimmune diseases affect an estimated 15 million individuals in the United States and represent a significant burden of chronic morbidity ( Autoimmune diseases are widely recognized as multifactorial, arising from a complex interplay of genetic predisposition, environmental triggers, and immune dysregulation ( Sex-based differences represent one of the most consistent and striking features of autoimmune disease epidemiology, with female accounting for nearly 80% of all cases ( Environmental exposures also play a pivotal role in triggering or modulating autoimmune responses