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The latter point becomes relevant because in vitro data suggests that hyperglycemia stimulates PKC-dependent phosphorylation of core 2 GlcNAc-T to promote increased leukocyte adhesion to bovine retinal capillary endothelial cells, with PKC inhibition attenuating this process (97)

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Common reasons extrapolated from review of the medical records included ongoing treatment with VPA and reported symptoms suggestive of HA, given that the majority of the patients were on treatment with VPA (66% of both HA and non-HA groups) and 37% reported symptoms at the time of testing

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