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Dihydrofolate reductase is a key enzyme in folate metabolism in vivo, responsible for the reduction of dihydrofolate to tetrahydrofolate, which is involved in the methyl shuttle required for the ab initio synthesis of thymidylate and certain amino acids

However, a critical limitation of the studies performed on synovial fibroblasts exposed to mechanical stimuli is the lack of studies on the key molecule -SMA, which is encoded by the ACTA2 gene and is a well-documented marker for myofibroblast differentiation to underpin the impact of mechanical strain on fibrosis

Fun fact: Carnosine can be naturally found in our muscles and brain

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