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Despite increased GABA levels, the greater rise in glutamate results in a reduced glutamate/GABA ratio, suggesting relative impairment of inhibitory function, such as decreased density of GABAA receptors, reduced expression of GABAA and GABAB receptor subunits in key brain regions, and downregulated expression of the GABA-synthesizing enzymes GAD65 and GAD67.Furthermore, elevated plasma GABA levels are positively correlated with glutamate and the glutamate/GABA ratio

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In the first, the selenoenzyme phospholipid hydroperoxide glutathione peroxidase 4 (GPX4), which protects cells against lipid peroxidation, is suppressed [3]