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Bioinformatics analysis Hierarchical clustering analyzes were performed using the GenePattern software ( Raw RNA-Seq reads were pre-processed with Trimmomatic software ( Homo sapiens reference transcriptome (Gencode, release 36) and the total number of reads mapped per transcript and the number of transcripts per million were calculated with Salmon software ( summarizeToGene function of the R Tximeta package ( P value less than 0.05 obtained in the False Discovery Rate (FDR) analysis were considered differentially expressed (DEG) and submitted to functional enrichment analysis with Ingenuity Pathways Analysis software (IPA, Qiagen) using default parameters

Subclinical myocarditis can produce microscopic fibrosis, which infection later amplifies, increasing susceptibility to arrhythmias, contractile dysfunction, and heart failure

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Mechanistically, NNMT suppression increased adipose SAM and NAD, upregulated polyamine flux enzymes (ODC, SSAT), and altered histone methylation consistent with a shift toward oxidative metabolism [2]