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The NAD connection: sustained NAD availability from NNMT inhibition has downstream effects that are not fully mapped across cell types

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These linkers include the GFLG peptide which is cleaved by cathepsin B 75 , the PLGLAG peptide which is cleaved by matrix metalloprotease (MMP)-2/9 76 , and the oxime-hydrazone bond which is hydrolyzed in an acidic pH 77

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With cholestatic disorders, decreased delivery of primary bile acids to the intestine with resulting decreased secondary bile acid production causes an increased ratio of primary to secondary bile acids, as well as increased total bile acid concentrations

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However, several studies suggested that the aqueous or alcoholic dried leaf extract might not have any negative effects on myeloid tissue, immune system, GI tract, kidney, or liver (17, 100)

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