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Quantitative comparisons of peripheral nerves by intraepidermal nerve fiber density analysis indicated that both groups were similar, but nerve density was significantly improved after alpha-lipoic acid and DA-9801 treatment in diabetic animals but not in the paclitaxel-treated groups

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This phenomenon is observed in organisms ranging from unicellular species that generate spores or cysts to complex multicellular species in which tissue-resident stem cells employ dormancy to facilitate tissue repair and preserve homeostasis.134,135 Underlying molecular mechanisms rely on sophisticated sensing systems mediated by G-protein-coupled receptors (GPCRs) and downstream signaling cascades, including PI3KAKT and p38 MAPK, which ultimately activate gene programs required for spore or cyst formation and entry into dormancy.136 Cancer cells similarly deploy diverse surface receptors to detect environmental stressors: integrins sense alterations in the extracellular matrix,137 Toll-like receptors (TLRs) recognize danger-associated signals,138 receptor tyrosine kinases (RTKs) coordinate survival pathways under stress,139 and Notch receptors modulate cell-fate decisions.92 Collectively, these receptor-mediated mechanisms enable cancer cells to evade immune surveillance, acquire therapeutic resistance, and remain poised for reactivation, thereby driving disease relapse