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L-carnitine accomplishes this by binding to acyl residues produced not only from fatty acids but also from amino acid metabolism, forming water-soluble acylcarnitines that facilitate their excretion from cells and ultimately the body (Figure 1) ( 2.4 Stabilization of cell membranes L-carnitine is also essential in maintaining membrane stability and the function of plasma, mitochondria, and other organelles, probably through its effects on the acetylation of membrane phospholipids

Nevertheless, these mutations affect mainly 4 pathways: proliferative, anti-apoptotic, senescence and cell interactions pathways

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