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Microvascular endothelial cells (CMECs) were isolated from neonatal SpragueDawley (SD) rat hearts by the enzyme dissociation to induce hypoxia/reoxygenation (H/R) injury, and GLP-1 analogue liraglutide protected cardial microvascular endothelium from H/R injury by activating PI3K/Akt/survivin pathways (68).Liraglutide-induced PI3K activation was also able to enhance keratinocyte migration and promote wound healing in mice (9)

This immune activation may, in turn, affect the CNS, exacerbating fatigue and cognitive symptoms

d-Amphetamine is more potent than l-amphetamine in central but not peripheral activity