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Additionally, pattern recognition receptors like TLR2 and TLR4 on microglia can be chronically stimulated or desensitized by repetitive exposure to microbial MAMPs translocating from the gut, potentially affecting how microglia respond to misfolded proteins (either by over-reacting and causing bystander damage, or by entering a tolerant state that might impair clearance of aggregates) [71, 119]

Compared with non-SELs, SELs were also characterized by a lower T1 signal intensity and a significant longitudinal T1 signal intensity decline [64], suggesting more severe demyelination and axonal damage that accumulate at a faster rate compared to inactive white matter lesions

Semaglutide, a GLP-1 receptor agonist, has been shown to reduce the expression of inflammatory markers such as C-reactive protein (CRP) and interleukin-6 (IL-6), potentially mitigating atrial remodeling and fibrosis [29, 30]