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The prevalence of the hereditary form of TMAU is estimated to be one in 40,000, while the prevalence of heterozygous carriers for severe TMAU ranges from 0.5 to 1% [19]

379,380,381 Glucagon-like peptide-1 receptor agonists (GLP-1RAs) may act directly on DRG neurons by inhibiting the activation of inflammatory vesicle signaling pathways

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TMAO can not only significantly accelerate the development of atherosclerosis in apolipoprotein E-deficient mice but also activate the mitogen-activated protein kinase and NF-B signaling pathways in endothelial cells and smooth muscle cells, thereby triggering inflammatory reactions in vessels and causing increased accumulation of foam cells in the vascular wall and atherosclerosis (Zeisel and Warrier, 2017)