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Liu L, Chen J, Wang L, Chen C, Chen L

Although reperfusion is critical for tissue repair, it triggers more severe injury via oxidative stress, inflammatory responses, and mitochondrial dysfunction [35]: hepatocytes endure hypoxia during ischemia, and reperfusion reintroduces oxygen, triggering a burst of reactive oxygen species (ROS), intracellular calcium overload, and increased production of pro-inflammatory cytokines/chemokines, which further exacerbate hepatocyte damage, apoptosis, and necrosis [36]