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Both in vitro and in vivo studies have provided evidence that Ex-4 can significantly inhibit breast cancer cell proliferation by suppressing NF-B signaling activation and the expression of its downstream target genes, vascular endothelial growth factor (VEGF) and interleukin-8(IL-8) [55]

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Florin Despa (Department of Pharmacology, University of Kentucky) for sharing valuable insights into the preclinical and clinical actions of amylin in both animal models and humans

These warnings reflect a precautionary approach based on animal data rather than confirmed human risk

However, previous studies have found that DPP-4 can be regulated by inflammatory factors such as signal transducer and activator of transcription 1 (STAT1), hepatocyte nuclear factor-1 (HNF-1), interleukin-12 (IL-12), and tumor necrosis factor- (TNF-) [33,34,35]