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Nevertheless, it is believed that angiopoietin-2 is the main culprit for the hypo-reactivity in the late stages of shock via the Tie2-Erk-iNOS pathway, as it leads to the release of extensive amounts of NO.69 This increase in NO during hemorrhagic shock has been the primary driver for the increased scientific interests in NOS inhibitors and NO scavengers, and thus, V-B12

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Secondly, this study further designed to examine whether ALA treatment would successfully preserve the liver and metabolic function after CSD through its manifold hepatoprotective actions, namely, depressing the oxidative stress, reducing the extensive inflammatory reaction, and inhibiting the apoptotic signaling activity