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2.2.4 Nuclear oxidative stress and TAO The nucleus, housing genetic material and regulatory molecules, is vulnerable to oxidative stress-induced damage ( DNA damage: ROS directly damage DNA in orbital fibroblasts of TAO patients, causing strand breaks, base modifications, and oxidative lesions that disrupt gene expression and DNA repair mechanisms ( Regulation of transcription factor activity: Oxidative stress influences transcription factor activity, regulating genes involved in inflammation, cell proliferation, apoptosis, and other processes relevant to TAO pathology ( Protein oxidation and modification: Oxidative conditions in the nucleus lead to protein oxidation and modification, altering protein structure and function critical for nuclear processes in TAO ( Cell cycle and apoptosis regulation: Oxidative stress impacts cell survival and apoptosis pathways, influencing cell cycle progression and apoptotic signaling relevant to TAO progression ( Nuclear oxidative stress disrupts cellular functions essential for maintaining ocular tissue integrity in TAO

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