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doi: 10.1038/jcbfm.2014.253 57

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Second, mechanistic studies are necessary to understand how L-carnitine works under the cellular microscope

Emerging evidence demonstrates that miRNAs are critical regulators of lipid synthesis and FAO 81 resulting in defective cell metabolism and carcinogenesis 82 directly targeting key enzymes or transcription factors as oncogenes and tumor suppressors 81 as shown in Table 1

Maccari F, Arseni A, Chiodi P, Ramacci MT, Angelucci L: Levels of carnitines in brain and other tissues of rats of different ages: effect of acetyl-L-carnitine administration

Acetyl-L-carnitine is an active compound, the acetic acid ester of L-carnitine