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The mechanism may be related to inhibiting ATG16L1-mediated autophagy of normal colon epithelial cells, promoting ROS accumulation and NLRP3 inflammasome assembly

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TMAO forms in the liver via the oxidation of trimethylamine (TMA), a product of the gut microbial metabolism of nutrients such as choline, L-carnitine, and phosphatidylcholine, which are abundant in red meat and other animal products