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Preclinical studies have found that Ex-4 significantly upregulates Sirt3 expression in glioblastoma by activating the GLP-1R, which subsequently inhibits the growth, migration, invasion, and epithelial-mesenchymal transition of glioma cells [87]
Clinical outcomes: Significant average weight loss, improved A1C, favorable effects on some cardiovascular risk markers in appropriate patients

The pathological factors mentioned above, as well as hyperandrogenism (40), together play important roles in the development of low-grade inflammation in PCOS, and these factors also interact with one other, thus creating a vicious circle (41, 42)
Epub ahead of print (DOI: 10.1007/s12020-020-02223-6) [DOI] [PubMed] [Google Scholar] 46.Hamersky CM, Fridman M, Gamble CL, Iyer NN
