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Renal OCTN2 expression and activity increase when the carnitine concentration is reduced in the plasma and/or glomerular filtrate, whereas OCTN2 mRNA expression levels remain unchanged in the gut, liver, or skeletal muscle [254], highlighting the central role of the kidney in maintaining carnitine homeostasis

It also helps maintain normal homocysteine levels and participates in cell division and red blood cell production

Current interventions for atherosclerosis that target these risk factors, such as first-line statins (which inhibit 3-hydroxy-3-methyl-glutaryl-CoA reductase and prevent it from decreasing the production of cholesterol) are beneficial in disease prevention and treatment

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