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-blockers reduce the activity of important signaling pathways (mitogen-activated protein kinase (MAPK), cyclic guanosine monophosphate/protein kinase G (cGMP/PKG), epidermal growth factor receptor (EGFR), cyclooxygenase-2 (COX-2), VEGF), and transcription factors (nuclear factor kappa-light-chain-enhancer of activated B cells (NFkB) and cAMP response element-binding protein (CREB), signal transducer and activator of transcription 3 (STAT3)) which are both important in carcinogenesis ( These pleiotropic properties of -blockers highlight their multifaceted impact on a range of physiological systems and clinical conditions, extending beyond their primary role in cardiovascular management
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An anti-inflammatory effect is among these actions, which created interest in its role in inflammatory disease states, including PsA
Likewise, these patients have serious psychological problems 35
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