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Confirmation of the mode of cell death in humans as being necrosis comes from the significant elevation in biomarkers of necrosis, such as full-length cytokeratin-18, HMGB1 and microRNA-122 in APAP overdose patients [157, 158] in contrast to apoptotic biomarkers such as the caspase-cleaved form of cytokeratin-18 and caspase-3 activity, which showed only a minor increase or no significant change, respectively, in these patients [155,157]
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