“…Second, various antioxidant factors are downregulated in PNALD. For example, peroxiredoxin-6 (PRDX6, downregulated) is a peroxiredoxin that primarily functions as an antioxidant to scavenge peroxides in biological systems [38], regucalcin (RGN, downregulated) is an antioxidant [39], delta-aminolevulinic acid dehydratase (ALAD, downregulated) is an important antioxidant enzyme, whose inhibition may result in the accumulation of its substrate d-ALA, which in turn is associated with the overproduction of ROS [40], inhibition of PHGDH (downregulated) impairs the synthesis of heme, resulting in the impairment of oxidative phosphorylation and escape of electrons to molecular oxygen generating more ROS [41], inhibition of aspartate aminotransferase (GOT1, downregulated) inhibits the synthesis of the NADPH antioxidan t [42], and DDAH1 (downregulated) deficiency significantly enhances cellular oxidative stress [43]. , Third, we found histidine metabolism-associated proteins (AMDHD1, HNMT, FTCD, HAL, and UROC1) to be downregulated in PNALD.…”