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I am not sure how it could play out. Seems like nobody can predict anything that happens in this space, lol
But we DO know that MEV is a big problem on platforms such as Ethereum which have active markets for NFTs, altcoins, etc. While Ethereum has a number of other compounding centralizing pressures which simply aren't applicable to Bitcoin (LSDs, staking rewards), I think it would be reckless to dismiss MEV as a threat.