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found that the transcription factor ChREBP can also promote BCKDK and inhibit PPM1K expression to inhibit BCKDH activation and promote ATP citrate lyase (ACLY) activation, upregulate the lipid synthesis pathway, and induce hepatic steatosis in the obesity model of high-sugar diet

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Longitudinal monitoring of patient medical records through the Rochester Epidemiology Project revealed that 0.85% of diabetes subjects developed PDAC within a 3-year period from diabetes onset, with an observed-to-expected ratio of 7.94 (95% CI, 4.70-12.55) compared to the general population ( Across all NOD studies highlighted, age and diabetes status are clinical measures relevant in the risk assessment of PDAC-associated diabetes ( Figure 4A ) (92), suggesting a rapid change in glucose homeostasis (93)

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