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What is measured in these rats and mice (and occasionally in small groups of human volunteers) is often not a hard endpoint like muscle strength or weight loss, but surrogate biomarkers: molecules in the blood that have an indirect link to a hard endpoint

This shifts the cellular "survival vote" toward staying alive

Humphrey W, Dalke A, Schulten K (1996) VMD: visual molecular dynamics

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EZH2 represses IGFBP1 (a decidualization marker) by increasing H3K27Me3 at the IGFBP1 promoter, impairing decidualization, while EZH2 knockdown or conditional deletion in mouse ESCs rescues decidualization defects and improves fertility ( Chromatin remodeling factors also play a pivotal role