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In animal models, the elevated TMAO levels were significantly related to tubulointerstitial fibrosis and collagen deposition in the kidney and TMAO was demonstrated to increase in kidney injury molecule-1, phosphorylation of Smad3 (Tang et al., 2015b)

The intricate interplay between aging and AD involves various biological mechanisms, including the accumulation of amyloid-beta plaques due to the abnormal processing of amyloid precursor proteins, formation of neurofibrillary tangles from hyperphosphorylated tau proteins, mitochondrial dysfunction leading to oxidative stress, and chronic inflammation propelled by activated macrophages and microglia [2, 3]

However, given the prolonged half-life of phenobarbital, using massive doses is inadvisable