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The accumulated NAPQI binds to hepatocytes, triggering oxidative stress and cellular necrosis, particularly in zone 3 of the liver lobule

OAT4 is identified as an apical transporter in proximal tubule cells and only expressed in advanced primates, including humans ( Function of OAT4 ( SLC22A11 ) In addition to uric acid, OAT4 also promotes the absorption of high-affinity binding steroids such as estronesulfate (ES) or dehydroepian drosterone sulfate (Roch-Ramel et al., 1994

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