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Helminths are known to possess ABC/MDR transporters, P-glycoprotein, and other efflux transporters that mediate the transport of molecules and antimicrobials across the membrane modulating drug susceptibility 55

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This may also be because catecholamines might represent a common pathway in the evolution of myocardial changes in humans who develop myocardial lesions without the narrowing or obstruction of coronary arteries [24]