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DPP-4i plays an anti-apoptotic role by regulating the mitogen-activated protein kinase (MAPK)/ERK, phosphatidylinositol-3-kinase (PI3K)/AKT and NF-B signaling pathways

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During reconstitution and handling, aseptic laboratory techniques and appropriate personal protective equipment (PPE) should always be used

These include (1) tetrahydrobiopterin (BH 4 ), synthesized by the GTP cyclohydrolase 1 (GCH1)6-pyruvoyl-tetrahydropterin synthase (PTS)sepiapterin reductase (SPR) metabolic pathway and regenerated by dihydrofolate reductase (DHFR) 11