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Additionally, PAI-1 not only acts as a key mediator of TGF--induced senescence but also forms a cascade amplification effect through the activation of the p53-p21-retinoblastoma (Rb) protein signaling axis, ultimately leading to AT2 cell senescence [72, 73]

To date pathogenic variants in at least 12 different genes have been shown to contribute to type 2 RTA

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