This induction often occurs via activation of Nrf2 (Nuclear factor erythroid 2-related factor 2), a key transcription factor in the antioxidant response pathway
Lysosomes contain approximately 60 different soluble hydrolases that hydrolyze glycosaminoglycans, phospholipids, and a range of proteins, and cytosolization results in the release of a large number of stored substances from secreted lysosomes (80)
As with other medicines in this class, potential class-related risks including gallbladder events, pancreatitis, and small increases in resting heart rate are being evaluated in ongoing studies
More than 10 years ago, a compounding pharmacy in Massachusetts produced contaminated steroid spinal injections, in bulk, that resulted in a widespread fungal meningitis outbreak, injuring more than 700 patients and killing 100