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These effects were abolished when GPR109A was knocked down using siRNA, confirming the receptors role (62)

T cell activation increases the expression levels of genes involved in glutamine metabolism [3]

Why it shows up in musculoskeletal outcomes When immune signaling stays elevated, connective tissue remodeling becomes less efficient

Growth hormone pathway activation (via GH peptides) increases IGF-1 stimulating chondrocyte matrix synthesis
