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The evidence for this synergy is mechanistic and anecdotal, not from controlled human trials
Mayo Clinic Staff

In line with this, global gene expression analysis and GSEA analyses revealed that expression of intracellular signal transducers involved in TNF-mediated activation of NFkB, MAPK and JNK (c-Jun N-terminal kinases) pathways such as Cd27 and Traf1 (TNF receptor associated factor 1), and other members of TNFR-signalling pathways such as Casp3 and Casp9 were significantly decreased in skeletal muscle of Cpt1b m/ mice compared to Cpt1b fl/fl mice (Table 1)
