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If SCoV2 is targeting GSH biosynthesis as well as TXNRD1 and GPx1 for proteolytic knockdown, in infected cells, the resulting decreases in these critical antioxidant molecules would contribute to increased oxidative stress, NF-B activation and pro-apoptotic signaling ( these consequences of virus-mediated proteolysis would be taking place in everyone who is actively infected, regardless of their Se status , and would thus be consistent with results suggesting that Se intakes up to several times the minimal dietary requirement are associated with an increase in cure rate from COVID-19 (Figure 2) and the stochastic nature of such molecular interactions

These alterations promote systemic low-grade inflammation through an imbalance between elevated pro-inflammatory cytokines (e.g., IL-6, TNF-) and anti-inflammatory mediators (e.g., IL-10) (267269)

This massive trial aims to map the exact restoration of brain GSH and assess exact symptom improvements, potentially establishing NAC as a standard-of-care intervention for the profound neuroinflammation seen in ME/CFS