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The autoimmune inflammatory environment in SLE may train HSPCs to produce hyperresponsive myeloid cells, further promoting autoantibody generation and organ damage, and potentially driving maladaptive progression (91)

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Such unwanted side effects include undesired tachycardia, increased lactic acidosis, cardiac arrhythmias (including atrial fibrillation) as well as the development of refractory shock (DeBacker et al, 2010

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