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For healthy adults with elevated MMA, the issue is almost never a severe genetic variant

Anand I, Chandrashekhan Y, De Giuli F, Pasini E, Mazzoletti A, Confortini R, Ferrari R (1998) Acute and chronic effects of propinoyl-L-carnitine on the hemodynamics, exercise capacity, and hormones in patients with congestive heart failure

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Second, taurine has anti-apoptotic (reduces eNOS, cytochrome c gene expression, caspase-3 activity, activation of the Fas/FasL pathway and phospho-ERK1/2, phospho-p38, NF-B signaling molecules, up-regulates the expression of Bcl-2) and anti-inflammatory (reduces neutrophil recruitment, pro-inflammatory cytokine TNF- and IL-6 levels, and ICAM-1, MMP-9 gene expression) properties

Cytokeratins 8 and 19 in the mouse placental development