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Mueller et al., 2021

Following the KEAP1 inactivation, the expression and the nuclear translocation of nuclear factor-erythroid 2 p45-related factor 2 (NRF2) are increased, which subsequently promotes the transcription of antioxidant proteins like superoxide dismutase 2 (SOD2) and heme oxygenase 1 (HO-1), and leads to the mitigation of synovial inflammation

However, levels can be depleted by age, stress, and environmental factors

Red blood cells with high caffeine levels show redox imbalance, poor metabolic fitness, and impaired posttransfusion efficacy Metabolomics, proteomics, and lipidomics analyses of RBC from recalled donors (N=100) revealed subtle but consistent separation by caffeine levels in three-dimensional uniform manifold approximation and projection graphs (Figure 2A, B)