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In Atg7-deficient mice, the loss of autophagy in hematopoietic stem cells not only leads to increased aberrant myeloid expansion, resulting in severe myeloid dysplasia and infiltrating myeloid blast cells evoking AML [18] but can also activate the NOTCH signaling pathway, blocking HSC differentiation and leading to a leukemic phenotype [19]

Zhang, Y., Qin, W

B., Lyles, G

In addition to direct antioxidant responses, it has also been shown that bilirubin can indirectly function to the alleviation of oxidative stress, examples including activation of the nuclear factor erythroid 2-related factor 2 (Nrf2) pathway through covalently binding to Kelch-like ECH-associated protein 1 (KEAP1) (54, 61) and thus acting as an antioxidant in the cell