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L.KarlssonK

Gao et al., 2005

Under physiological conditions, kidney tubular epithelial cells produce low levels of the matrix metalloproteinases MMP-2 and MMP-9

In severe cases, subacute combined degeneration of the spinal cord may occur [13] [14] Glossitis and mouth ulcers : A sore, red tongue and recurrent oral ulceration Mood changes : Depression, irritability, and in rare cases, psychosis It is important to note that symptoms can be subtle initially, and some individuals remain asymptomatic despite biochemical deficiency