2015 study conducted in taiwan found that treatment with l-carnitine How Does Carnitine Support Hashimoto's? Beneficial effects of l-carnitine supplementation

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found that in the peritoneal dissemination of gastric cancer, lncRNA-PMAN increases the expression of SLC7A11 by facilitating the cytoplasmic translocation of ELAVL1, which in turn inhibits ferroptosis and promotes tumor cell proliferation and development 22

Also, the activation of caspase-9 ultimately activates downstream effector caspases, including caspase-3 and caspase-7, eventually leading to cell death