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Metabolic effects have been observed in other in vitro systems including: renal cortex tubules (Michoudet & Baverel, 1985: altered pyruvate/lactate metabolism), kidney, and muscle microsomal preparations (Cederbaum & Rubin, 1977: inhibition of pyruvate dehydrogenase), perfused hearts and cardiac whole homogenates (Schreiber et al., 1972, 1974: myocardial protein synthesis and inhibition of cardiac microsomal protein synthesis

Included in this group were survivors and nonsurvivors

The article also notes that research findings remain mixed and highlights the need for continued studies to better understand their complex mechanisms

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