Furthermore, leptin is also involved in the AMPK and cAMP-response element binding protein (CREB)-regulated transcription coactivator (CRTC) pathway ( In contrast to leptin, circulating APN concentrations are reduced in obese individuals, which is a phenomenon hypothesized to play a pivotal role in the pathogenesis of atherosclerosis and cardiovascular diseases associated with obesity and the metabolic syndrome ( In patients with PCOS, there is a significant increase in serum leptin and a corresponding decrease in APN levels (78, 80)
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Role of GA in liver cirrhosis Liver cirrhosis is a prevalent condition among liver diseases, with both the incidence and mortality rates gradually increasing in recent years (Tsochatzis et al., 2014)
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