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Native polyphenols, such as flavonoids, ellagitannins, phenolic acids, and lignans, are poorly absorbed in their original form and undergo substantial microbial biotransformation in the colon [149, 150]

At a glance Drug / isotretinoin (Accutane), oral retinoid for severe nodular acne Supplement / green tea extract (GTE), standardized to EGCG (epigallocatechin gallate) Primary concern / additive hepatotoxicity at GTE doses 400 mg EGCG/day Secondary concern / CYP1A2 and CYP3A4 modulation may shift isotretinoin metabolism Dietary green tea risk / low, typical brewed cup contains 50 to 100 mg EGCG Monitoring required / LFTs (ALT, AST) at baseline and weeks 4, 8 per iPLEDGE protocol FDA DILI signal / GTE linked to drug-induced liver injury in 29 case reports reviewed by NIH LiverTox Recommendation / avoid concentrated GTE supplements during isotretinoin

Among these, DES + MCs are enriched in ascites and exhibit high secretory activity, producing chemokines such as CXCL12, CXCL13, and CXCL16

In the following sections, we discuss the most relevant biochemical processes that account for the astrocyte-neuron metabolic interplay

Novel insights into the mechanism of inhibition of MmpL3, a target of multiple pharmacophores in Mycobacterium tuberculosis