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The result: telomerase catalytic subunit expression was reactivated, enzyme activity increased, and telomere lengthening occurred, effectively extending the cells proliferative capacity from ~34 to over 44 passages [1]

However, compared with the interpretation of images of the internal sphincter, the interpretation of images of the external anal sphincter is more subjective, operator-dependent, and confounded by normal anatomical variations of the external anal sphincter