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H 2 O 2 produced during the oxidative folding of endoplasmic reticulum proteins has been found to regulate the signal transduction process of nuclear factor E2-related factor 2 (Nrf2), which in turn regulates the expression of downstream glutathione peroxidase 8 (GPX8), which in turn can participate in ER calcium regulation through endoplasmic reticulum calcium ATPase (SERCA) (Figure 7)
These findings demonstrated that TMAO exacerbates hepatic steatosis by altering bile acid metabolism and by suppressing FXR signaling in the liver (Tan et al., 2019)
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