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The downstream effects most consistently described in the literature: induction of collagen I and III, elastin, and decorin synthesis (Maquart et al., FEBS Letters , 1988), upregulation of VEGF and basic FGF transcripts, induction of antioxidant defense genes including SOD2 and metallothionein isoforms, and modulation of the MMP-2 and TIMP-1/2 balance toward non-fibrotic remodeling

A 2025 comprehensive review in IJMS describes emerging delivery strategies including lipid nanoparticle-based mRNA therapies and CRISPR-dCas9 epigenetic editing to overcome BBB obstacles

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