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[18] These analyses were exploratory and not primary endpoints of the trials

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cAMP activates protein kinase A (PKA), that leads to stimulation and phosphorylation of the transcription factor cAMP response element (CRE)-binding protein (CREB) and also stimulates the mitogen activated protein kinase/extracellular signal-regulated kinase (MAPK/ERK) anti-inflammatory cascade (Jolivalt et al

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