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Seizures may be treated efficiently by life-long supplementation with pyridoxine or its biologically active form, pyridoxal phosphate, but even so patients may become intellectually disabled, for which there currently is no effective treatment

A plaques result from the abnormal cleavage of amyloid precursor protein (APP) by betasecretase (BACE1) and gammasecretase, leading to the aggregation of A peptides, particularly A42, which is highly toxic to neurons (Hardy and Selkoe 2002)

The discovery of histone lactylation further reveals lactates capacity to directly reshape macrophage gene expression

Additionally, the GM also produces some neuroactive metabolites such as neurotransmitters or their precursors

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