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A study has reported that acetaminophen is a very weak inhibitor of COX, which does not inhibit neutrophil activation ( in vivo and in vitro whole-cell patch-clamp recordings have shown that acetaminophen metabolite AM404 directly inhibits excitatory synaptic transmission via TRPV1 receptors expressed on terminals of C-fibers in the spinal dorsal horn

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Nrf2/HO-1 antioxidant signaling pathway protects neurons from oxidative damage associated with excessive glutamate signaling (Parfenova et al., 2006)