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Serum cytokine assays The serum IL-1, IL-6 and TNF- levels were detected by ELISA (Abebio, Wuhan, China) following the manufacturers instructions

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Results showed that ALCAR protects cells against SGD stress by reducing apoptosis

SMCs: smooth muscle cells

Main symptoms are hyperammonemia, metabolic acidosis, hypoketotic hypoglycemia with elevated creatine kinase and reduced carnitine levels [18]

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