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GPER1 activation initiates multiple intracellular signaling cascades, such as the phosphoinositide 3-kinase (PI3K) pathway, mitogen-activated protein kinase (MAPK) pathways and the production of cyclic adenosine monophosphate (cAMP)

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In a placebo-controlled phase III selenium/celecoxib trial to prevent colorectal adenomatous polyps, blood oxylipins from celecoxib treated participants showed higher levels of individual CYP450 and LOX metabolites and lower levels of COX-derived metabolites compared to placebo treated participants 26
