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10.1016/j.jamcollsurg.2021.03.002 96 SchaverienM

2.4.1 Vascular remodeling In DR, the RhoA/ROCK signaling pathway is activated by high glucose, which leads to endothelial dysfunction, breakdown of the blood-retinal barrier (BRB), and capillary leakage

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As a review in The Analytical Scientist published in January 2026 noted, lipidation modifications "significantly increase the complexity of analytical workflows," introducing additional critical quality attributes that must be carefully monitored and controlled throughout the manufacturing process and into final release testing