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doi: 10.1016/j.ijbiomac.2023.128999 131

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Downregulation of metabolic enzymes in diabetes From the above evidence, various biochemical pathways have been shown to link with mitochondrial metabolism and to be required for normal GSIS in beta cells

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282,283 These cells accumulate in the synovial membrane and subchondral bone, releasing pro-inflammatory cytokines such as TNF-, IL-1, and IL-6, which promote the degradation of joint cartilage and the inflammatory response

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