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These results suggest that disruption of BCAA metabolism (by way of BCAT2 KO) may not only promote muscle fatigue and decreased exercise tolerance (She et al., 2007a, 2010), but may also upregulate pathways involved in both skeletal muscle protein synthesis and breakdown ( Effects of Altered/Disrupted BCAA Catabolism on Whole-Body Metabolism Insulin Resistance/Type 2 Diabetes Mellitus BCAAs are nutrient signals required for muscle protein synthesis and growth (Yoshizawa, 2004)

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In vivo evidence for the role of choline metabolism in RA comes from studies using the K/BxN serum-transfer mouse model of inflammatory arthritis, where treatment with the choline kinase alpha (ChoK) inhibitor MN58b (3 mg/kg) prevented disease onset ( Other recent studies have investigated the lipidomic profile of arthritis patients in different phases of the disease to understand the correlation between lipid alteration and the severity of local inflammation (188190)

This is the mechanism behind non-alcoholic fatty liver disease (NAFLD) in chronic dieters