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Furthermore, hypoxia can have proliferative effects on human fibroid cells by inducing the expression of NADPH oxidase 4 (NOX4) through the HIF-1/TGF-3/Smad3/NOX4 signaling pathway, wherein the phosphorylation of Smad3 by TGF-3 under hypoxic conditions leads to cellular proliferation and fibroid growth (Figure 2) [8]

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For anti-C1q or anti-NeuN antibody staining, a DAKO EnVision + System (Agilent Technologies, Santa Clara, CA, USA) was used as the second antibody and the signal was detected using tyramide-enhanced fluorescein isothiocyanate (FITC), as for the TSA method