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One possibility would be that the proteases that are released upon degranulation, eg, chymases, contribute to disease

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Although other therapeutic agents, such as colivelin, have been shown to restore the glycocalyx and reduce the plasma concentration of syndecan-1 in sepsis (127), it is not clear whether these agents are directly integrated into the glycocalyx from the circulation or whether the glycocalyx is restored by de novo synthesis by endothelial cells

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