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Binding to a receptor may open ion channels, trigger second messengers like cyclic AMP, or turn on kinase cascades that regulate gene expression

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This can lead to infection and cause further complications in the surgery

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Asymptomatic patients with usually low levels of vitamin B12 are at high risk of vitamin B12 deficiency

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Another study found TMAO downregulates Piezo1, activating NOX4/ROS oxidative stress, causing abnormal calcium handling and fibrosis, constituting the molecular network of TMAO-induced cardiac fibrosis ( The above quadruple network links cardiac fibroblast proliferation, ER stress response, inflammatory signals and epigenetics, which together constitute the pathological basis of TMAO-induced fibrosis

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Also regulates inflammation and fibrosis

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