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In line with this, a study in rotating shift workers from the automotive industry found that NSW significantly reduced plasma concentrations of multiple immune markers, including pro- and anti-inflammatory cytokines (TNF-, IL-2R, IL-1RA, IL-4, IL-12, IL-17), chemokines (IP-10, MIP-1, MIP-1, RANTES), and growth factors (EGF, FGF, VEGF), indicating a broad suppression of immune pathways linked to circadian disruption and higher susceptibility to infection and cancer 113

Notably, these pharmacological features are conceptually consistent with the traditional Chinese medicine theory of deficiencystasisturbidity, which shows notable parallels with contemporary understandings of mitochondrial dysfunction, disordered lactate metabolism, and aberrant histone modifications in diabetic nephropathy [62, 63]

Compared to other microtubule inhibitors, Noscapine selective nature allows for less toxicity and no peripheral neuropathy, hypothesized to arise from dysfunctional cell cycle checkpoint mechanisms in tumor cells that make them more vulnerable to mitotic slippage and cell death upon exposure (168, 169)