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Dimethyl fumarate is a lipophilic electrophile that has profound effects on oxidative and immunological pathways.1 It rapidly interacts in a Michael addition reaction with glutathione or is metabolized to monomethyl fumarate.1 Dimethyl fumarate at low micromolar levels activates the nuclear factor erythroid 2-
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1. Effects of dimethyl fumarate on neuroprotection and immunomodulation. J. Neuroinflammation 9, 163 (2012).
2. The antipsoriatic agent dimethylfumarate immunomodulates T-
3. Dimethylfumarate inhibits angiogenesis in vitro and in vivo: A possible role for its antipsoriatic effect? J. Invest. Dermatol. 131(6), 1347-1355 (2011).
4. Efficacy and safety of oral fumarate in patients with relapsing-