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Oxidative stress-induced NLRP3 inflammasome activation (via TXNIP axis) and mitochondrial dysfunction critically mediates Caspase-1-dependent IL-1 maturation, exacerbating renal damage including mesangial injury, podocyte apoptosis, and tubulointerstitial fibrosis (84).Conversely, gut microbiota-derived SCFAs exert protective effects through multiple mechanisms: direct inhibition of TLR4 signaling (e.g., by attenuating MyD88/NF-B phosphorylation)

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Since APAP is responsible for nearly half of the cases of acute liver failure in the United States and remains the leading cause for liver transplantation, continued awareness, education and research should be undertaken