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Certain rare congenital disorders, including RileyDay syndrome, ectodermal dysplasia syndromes, and epidermolysis bullosa, as well as autoimmune diseases, can contribute to reduced tear production and paediatric DED [93]

The livers levels of bile acid synthetic enzymes (Cyp7a1 and Cyp27a1) and bile acid transporters (Oatp1, Oatp4, Mrp2, and Ntcp) were reduced in mice that were treated with TMAO [3]
