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Hyperglycemic conditions also induce TNF expression in cardiomyocytes, which alters DNMT activity and promotes methylation of the SERCA2a gene promoter, leading to reduced SERCA2a expression, calcium overload, and subsequent diastolic heart failure [121]

and the free radical reactions engendered by TNFa erode GSH concentrations

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Reduced glutathione is significant in various health contexts: Oxidative Stress: A deficiency in GSH can lead to increased susceptibility to oxidative damage, contributing to conditions like cancer, cardiovascular diseases, and neurodegenerative disorders