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In addition to extracellular catabolism, intracellular GSH degradation is mediated by the ChaC GSH specific gamma-glutamylcyclotransferase family (CHAC1 and CHAC2), which cleaves GSH into 5-oxoproline and Cys-Gly 28,29

2-AR also mediates cellular responses via Gai-induced generation of cGMP and intracellular elevation of Ca 2+

311 Diabetes also decreases mediators of blood vessel formation and angiopoietins, contributing to poor nerve health