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Treatment of fibroblasts from COPD patients with hemin to activate HO-1 results in reduced cellular senescence, improved mitochondrial function, and reduced ROS production [122] Since Nrf2 activates many other antioxidant genes in addition to HO-1, this suggests that activators of Nrf2 and inhibitors of Keap1 might be even more effective against oxidative stress in COPD

Longer term For longer repeated exposure, review broad health, inflammation, and copper-context markers every 3-6 months with a clinician

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CRC Press, Boca Raton, FL, pp 1530 Brezova V, Valko M, Breza M et al (2003a) Role of radicals and singlet oxygen in photoactivated DNA cleavage by the anticancer drug camptothecin: an electron paramagnetic resonance study