Personal model‐assisted identification of NAD+ and glutathione metabolism as intervention target in NAFLD
To elucidate the molecular mechanisms underlying non‐alcoholic fatty liver disease (NAFLD), we recruited 86 subjects with varying degrees of hepatic steatosis (HS). We obtained experimental data on lipoprotein fluxes and used these individual measurements as personalized constraints of a hepatocyte...
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Published in | Molecular systems biology Vol. 13; no. 3; pp. 916 - n/a |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
London
Nature Publishing Group UK
01.03.2017
EMBO Press John Wiley and Sons Inc Springer Nature |
Subjects | |
Online Access | Get full text |
ISSN | 1744-4292 1744-4292 |
DOI | 10.15252/msb.20167422 |
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Abstract | To elucidate the molecular mechanisms underlying non‐alcoholic fatty liver disease (NAFLD), we recruited 86 subjects with varying degrees of hepatic steatosis (HS). We obtained experimental data on lipoprotein fluxes and used these individual measurements as personalized constraints of a hepatocyte genome‐scale metabolic model to investigate metabolic differences in liver, taking into account its interactions with other tissues. Our systems level analysis predicted an altered demand for NAD
+
and glutathione (GSH) in subjects with high HS. Our analysis and metabolomic measurements showed that plasma levels of glycine, serine, and associated metabolites are negatively correlated with HS, suggesting that these GSH metabolism precursors might be limiting. Quantification of the hepatic expression levels of the associated enzymes further pointed to altered
de novo
GSH synthesis. To assess the effect of GSH and NAD
+
repletion on the development of NAFLD, we added precursors for GSH and NAD
+
biosynthesis to the Western diet and demonstrated that supplementation prevents HS in mice. In a proof‐of‐concept human study, we found improved liver function and decreased HS after supplementation with serine (a precursor to glycine) and hereby propose a strategy for NAFLD treatment.
Synopsis
Personalized modeling and metabolic measurements identified altered GSH and NAD
+
metabolism as a prevailing feature in NAFLD. These findings suggested a potential treatment strategy for NAFLD patients based on increased oxidation of fat and increased synthesis of GSH.
We developed personalized genome‐scale metabolic models for NAFLD patients.
We found that altered GSH and NAD
+
metabolism is a prevailing feature in NAFLD.
Plasma and liver levels of glycine and serine were lower in NAFLD patients.
Supplementation of precursors for glutathione and NAD
+
decreased HS in mice.
Serine supplementation decreased liver fat and improved markers of liver function in humans.
Graphical Abstract
Personalized modeling and metabolic measurements identified altered GSH and NAD
+
metabolism as a prevailing feature in NAFLD. These findings suggested a potential treatment strategy for NAFLD patients based on increased oxidation of fat and increased synthesis of GSH. |
---|---|
AbstractList | To elucidate the molecular mechanisms underlying non‐alcoholic fatty liver disease (NAFLD), we recruited 86 subjects with varying degrees of hepatic steatosis (HS). We obtained experimental data on lipoprotein fluxes and used these individual measurements as personalized constraints of a hepatocyte genome‐scale metabolic model to investigate metabolic differences in liver, taking into account its interactions with other tissues. Our systems level analysis predicted an altered demand for NAD
+
and glutathione (GSH) in subjects with high HS. Our analysis and metabolomic measurements showed that plasma levels of glycine, serine, and associated metabolites are negatively correlated with HS, suggesting that these GSH metabolism precursors might be limiting. Quantification of the hepatic expression levels of the associated enzymes further pointed to altered
de novo
GSH synthesis. To assess the effect of GSH and NAD
+
repletion on the development of NAFLD, we added precursors for GSH and NAD
+
biosynthesis to the Western diet and demonstrated that supplementation prevents HS in mice. In a proof‐of‐concept human study, we found improved liver function and decreased HS after supplementation with serine (a precursor to glycine) and hereby propose a strategy for NAFLD treatment.
Synopsis
Personalized modeling and metabolic measurements identified altered GSH and NAD
+
metabolism as a prevailing feature in NAFLD. These findings suggested a potential treatment strategy for NAFLD patients based on increased oxidation of fat and increased synthesis of GSH.
We developed personalized genome‐scale metabolic models for NAFLD patients.
We found that altered GSH and NAD
+
metabolism is a prevailing feature in NAFLD.
Plasma and liver levels of glycine and serine were lower in NAFLD patients.
Supplementation of precursors for glutathione and NAD
+
decreased HS in mice.
Serine supplementation decreased liver fat and improved markers of liver function in humans.
Graphical Abstract
Personalized modeling and metabolic measurements identified altered GSH and NAD
+
metabolism as a prevailing feature in NAFLD. These findings suggested a potential treatment strategy for NAFLD patients based on increased oxidation of fat and increased synthesis of GSH. Abstract To elucidate the molecular mechanisms underlying non‐alcoholic fatty liver disease (NAFLD), we recruited 86 subjects with varying degrees of hepatic steatosis (HS). We obtained experimental data on lipoprotein fluxes and used these individual measurements as personalized constraints of a hepatocyte genome‐scale metabolic model to investigate metabolic differences in liver, taking into account its interactions with other tissues. Our systems level analysis predicted an altered demand for NAD+ and glutathione (GSH) in subjects with high HS. Our analysis and metabolomic measurements showed that plasma levels of glycine, serine, and associated metabolites are negatively correlated with HS, suggesting that these GSH metabolism precursors might be limiting. Quantification of the hepatic expression levels of the associated enzymes further pointed to altered de novo GSH synthesis. To assess the effect of GSH and NAD+ repletion on the development of NAFLD, we added precursors for GSH and NAD+ biosynthesis to the Western diet and demonstrated that supplementation prevents HS in mice. In a proof‐of‐concept human study, we found improved liver function and decreased HS after supplementation with serine (a precursor to glycine) and hereby propose a strategy for NAFLD treatment. To elucidate the molecular mechanisms underlying non-alcoholic fatty liver disease (NAFLD), we recruited 86 subjects with varying degrees of hepatic steatosis (HS). We obtained experimental data on lipoprotein fluxes and used these individual measurements as personalized constraints of a hepatocyte genome-scale metabolic model to investigate metabolic differences in liver, taking into account its interactions with other tissues. Our systems level analysis predicted an altered demand for NAD+ and glutathione (GSH) in subjects with high HS Our analysis and metabolomic measurements showed that plasma levels of glycine, serine, and associated metabolites are negatively correlated with HS, suggesting that these GSH metabolism precursors might be limiting. Quantification of the hepatic expression levels of the associated enzymes further pointed to altered de novo GSH synthesis. To assess the effect of GSH and NAD+ repletion on the development of NAFLD, we added precursors for GSH and NAD+ biosynthesis to the Western diet and demonstrated that supplementation prevents HS in mice. In a proof-of-concept human study, we found improved liver function and decreased HS after supplementation with serine (a precursor to glycine) and hereby propose a strategy for NAFLD treatment.To elucidate the molecular mechanisms underlying non-alcoholic fatty liver disease (NAFLD), we recruited 86 subjects with varying degrees of hepatic steatosis (HS). We obtained experimental data on lipoprotein fluxes and used these individual measurements as personalized constraints of a hepatocyte genome-scale metabolic model to investigate metabolic differences in liver, taking into account its interactions with other tissues. Our systems level analysis predicted an altered demand for NAD+ and glutathione (GSH) in subjects with high HS Our analysis and metabolomic measurements showed that plasma levels of glycine, serine, and associated metabolites are negatively correlated with HS, suggesting that these GSH metabolism precursors might be limiting. Quantification of the hepatic expression levels of the associated enzymes further pointed to altered de novo GSH synthesis. To assess the effect of GSH and NAD+ repletion on the development of NAFLD, we added precursors for GSH and NAD+ biosynthesis to the Western diet and demonstrated that supplementation prevents HS in mice. In a proof-of-concept human study, we found improved liver function and decreased HS after supplementation with serine (a precursor to glycine) and hereby propose a strategy for NAFLD treatment. To elucidate the molecular mechanisms underlying non-alcoholic fatty liver disease (NAFLD), we recruited 86 subjects with varying degrees of hepatic steatosis (HS). We obtained experimental data on lipoprotein fluxes and used these individual measurements as personalized constraints of a hepatocyte genome-scale metabolic model to investigate metabolic differences in liver, taking into account its interactions with other tissues. Our systems level analysis predicted an altered demand for NAD(+) and glutathione (GSH) in subjects with high HS. Our analysis and metabolomic measurements showed that plasma levels of glycine, serine, and associated metabolites are negatively correlated with HS, suggesting that these GSH metabolism precursors might be limiting. Quantification of the hepatic expression levels of the associated enzymes further pointed to altered de novo GSH synthesis. To assess the effect of GSH and NAD(+) repletion on the development of NAFLD, we added precursors for GSH and NAD(+) biosynthesis to the Western diet and demonstrated that supplementation prevents HS in mice. In a proof-of-concept human study, we found improved liver function and decreased HS after supplementation with serine (a precursor to glycine) and hereby propose a strategy for NAFLD treatment. To elucidate the molecular mechanisms underlying non‐alcoholic fatty liver disease ( NAFLD ), we recruited 86 subjects with varying degrees of hepatic steatosis ( HS ). We obtained experimental data on lipoprotein fluxes and used these individual measurements as personalized constraints of a hepatocyte genome‐scale metabolic model to investigate metabolic differences in liver, taking into account its interactions with other tissues. Our systems level analysis predicted an altered demand for NAD + and glutathione ( GSH ) in subjects with high HS . Our analysis and metabolomic measurements showed that plasma levels of glycine, serine, and associated metabolites are negatively correlated with HS , suggesting that these GSH metabolism precursors might be limiting. Quantification of the hepatic expression levels of the associated enzymes further pointed to altered de novo GSH synthesis. To assess the effect of GSH and NAD + repletion on the development of NAFLD , we added precursors for GSH and NAD + biosynthesis to the Western diet and demonstrated that supplementation prevents HS in mice. In a proof‐of‐concept human study, we found improved liver function and decreased HS after supplementation with serine (a precursor to glycine) and hereby propose a strategy for NAFLD treatment. To elucidate the molecular mechanisms underlying non‐alcoholic fatty liver disease ( NAFLD ), we recruited 86 subjects with varying degrees of hepatic steatosis ( HS ). We obtained experimental data on lipoprotein fluxes and used these individual measurements as personalized constraints of a hepatocyte genome‐scale metabolic model to investigate metabolic differences in liver, taking into account its interactions with other tissues. Our systems level analysis predicted an altered demand for NAD + and glutathione ( GSH ) in subjects with high HS . Our analysis and metabolomic measurements showed that plasma levels of glycine, serine, and associated metabolites are negatively correlated with HS , suggesting that these GSH metabolism precursors might be limiting. Quantification of the hepatic expression levels of the associated enzymes further pointed to altered de novo GSH synthesis. To assess the effect of GSH and NAD + repletion on the development of NAFLD , we added precursors for GSH and NAD + biosynthesis to the Western diet and demonstrated that supplementation prevents HS in mice. In a proof‐of‐concept human study, we found improved liver function and decreased HS after supplementation with serine (a precursor to glycine) and hereby propose a strategy for NAFLD treatment. image Personalized modeling and metabolic measurements identified altered GSH and NAD + metabolism as a prevailing feature in NAFLD . These findings suggested a potential treatment strategy for NAFLD patients based on increased oxidation of fat and increased synthesis of GSH . We developed personalized genome‐scale metabolic models for NAFLD patients. We found that altered GSH and NAD + metabolism is a prevailing feature in NAFLD . Plasma and liver levels of glycine and serine were lower in NAFLD patients. Supplementation of precursors for glutathione and NAD + decreased HS in mice. Serine supplementation decreased liver fat and improved markers of liver function in humans. To elucidate the molecular mechanisms underlying non-alcoholic fatty liver disease (NAFLD), we recruited 86 subjects with varying degrees of hepatic steatosis (HS). We obtained experimental data on lipoprotein fluxes and used these individual measurements as personalized constraints of a hepatocyte genome-scale metabolic model to investigate metabolic differences in liver, taking into account its interactions with other tissues. Our systems level analysis predicted an altered demand for NAD and glutathione (GSH) in subjects with high HS Our analysis and metabolomic measurements showed that plasma levels of glycine, serine, and associated metabolites are negatively correlated with HS, suggesting that these GSH metabolism precursors might be limiting. Quantification of the hepatic expression levels of the associated enzymes further pointed to altered GSH synthesis. To assess the effect of GSH and NAD repletion on the development of NAFLD, we added precursors for GSH and NAD biosynthesis to the Western diet and demonstrated that supplementation prevents HS in mice. In a proof-of-concept human study, we found improved liver function and decreased HS after supplementation with serine (a precursor to glycine) and hereby propose a strategy for NAFLD treatment. To elucidate the molecular mechanisms underlying non‐alcoholic fatty liver disease (NAFLD), we recruited 86 subjects with varying degrees of hepatic steatosis (HS). We obtained experimental data on lipoprotein fluxes and used these individual measurements as personalized constraints of a hepatocyte genome‐scale metabolic model to investigate metabolic differences in liver, taking into account its interactions with other tissues. Our systems level analysis predicted an altered demand for NAD+ and glutathione (GSH) in subjects with high HS. Our analysis and metabolomic measurements showed that plasma levels of glycine, serine, and associated metabolites are negatively correlated with HS, suggesting that these GSH metabolism precursors might be limiting. Quantification of the hepatic expression levels of the associated enzymes further pointed to altered de novo GSH synthesis. To assess the effect of GSH and NAD+ repletion on the development of NAFLD, we added precursors for GSH and NAD+ biosynthesis to the Western diet and demonstrated that supplementation prevents HS in mice. In a proof‐of‐concept human study, we found improved liver function and decreased HS after supplementation with serine (a precursor to glycine) and hereby propose a strategy for NAFLD treatment. Synopsis Personalized modeling and metabolic measurements identified altered GSH and NAD+ metabolism as a prevailing feature in NAFLD. These findings suggested a potential treatment strategy for NAFLD patients based on increased oxidation of fat and increased synthesis of GSH. We developed personalized genome‐scale metabolic models for NAFLD patients. We found that altered GSH and NAD+ metabolism is a prevailing feature in NAFLD. Plasma and liver levels of glycine and serine were lower in NAFLD patients. Supplementation of precursors for glutathione and NAD+ decreased HS in mice. Serine supplementation decreased liver fat and improved markers of liver function in humans. Personalized modeling and metabolic measurements identified altered GSH and NAD+ metabolism as a prevailing feature in NAFLD. These findings suggested a potential treatment strategy for NAFLD patients based on increased oxidation of fat and increased synthesis of GSH. |
Author | Mardinoglu, Adil Serlie, Mireille J Marschall, Hanns‐Ulrich Zhang, Cheng Uhlén, Mathias Lundbom, Nina Adiels, Martin Kilicarslan, Murat Vergès, Bruno Smith, Ulf Söderlund, Sanni Nielsen, Jens Boren, Jan Watts, Gerald F Hakkarainen, Antti Klevstig, Martina Ståhlman, Marcus Lundbom, Jesper Hallström, Björn M Taskinen, Marja‐Riitta Bjornson, Elias Barrett, Peter Hugh R |
AuthorAffiliation | 8 Faculty of Engineering Computing and Mathematics University of Western Australia Perth WA Australia 2 Department of Biology and Biological Engineering Chalmers University of Technology Gothenburg Sweden 4 Research programs Unit Diabetes and Obesity Helsinki University Hospital University of Helsinki Helsinki Finland 7 Department of Endocrinology–Diabetology University Hospital and INSERM CRI 866 Dijon France 1 Science for Life Laboratory KTH – Royal Institute of Technology Stockholm Sweden 3 Department of Molecular and Clinical Medicine University of Gothenburg, and Sahlgrenska University Hospital Gothenburg Sweden 9 Metabolic Research Centre Cardiovascular Medicine Royal Perth Hospital School of Medicine and Pharmacology University of Western Australia Perth WA Australia 5 Department of Radiology HUS Medical Imaging Center Helsinki University Central Hospital University of Helsinki Helsinki Finland 6 Department of Endocrinology and Metabolism Academic Medical Center University of Amsterdam |
AuthorAffiliation_xml | – name: 9 Metabolic Research Centre Cardiovascular Medicine Royal Perth Hospital School of Medicine and Pharmacology University of Western Australia Perth WA Australia – name: 5 Department of Radiology HUS Medical Imaging Center Helsinki University Central Hospital University of Helsinki Helsinki Finland – name: 1 Science for Life Laboratory KTH – Royal Institute of Technology Stockholm Sweden – name: 3 Department of Molecular and Clinical Medicine University of Gothenburg, and Sahlgrenska University Hospital Gothenburg Sweden – name: 4 Research programs Unit Diabetes and Obesity Helsinki University Hospital University of Helsinki Helsinki Finland – name: 2 Department of Biology and Biological Engineering Chalmers University of Technology Gothenburg Sweden – name: 7 Department of Endocrinology–Diabetology University Hospital and INSERM CRI 866 Dijon France – name: 8 Faculty of Engineering Computing and Mathematics University of Western Australia Perth WA Australia – name: 6 Department of Endocrinology and Metabolism Academic Medical Center University of Amsterdam Amsterdam The Netherlands |
Author_xml | – sequence: 1 givenname: Adil orcidid: 0000-0002-4254-6090 surname: Mardinoglu fullname: Mardinoglu, Adil email: adilm@scilifelab.se organization: Science for Life Laboratory, KTH – Royal Institute of Technology, Department of Biology and Biological Engineering, Chalmers University of Technology – sequence: 2 givenname: Elias surname: Bjornson fullname: Bjornson, Elias organization: Department of Biology and Biological Engineering, Chalmers University of Technology, Department of Molecular and Clinical Medicine, University of Gothenburg, and Sahlgrenska University Hospital – sequence: 3 givenname: Cheng orcidid: 0000-0002-3721-8586 surname: Zhang fullname: Zhang, Cheng organization: Science for Life Laboratory, KTH – Royal Institute of Technology – sequence: 4 givenname: Martina surname: Klevstig fullname: Klevstig, Martina organization: Department of Molecular and Clinical Medicine, University of Gothenburg, and Sahlgrenska University Hospital – sequence: 5 givenname: Sanni surname: Söderlund fullname: Söderlund, Sanni organization: Research programs Unit, Diabetes and Obesity, Helsinki University Hospital, University of Helsinki – sequence: 6 givenname: Marcus surname: Ståhlman fullname: Ståhlman, Marcus organization: Department of Molecular and Clinical Medicine, University of Gothenburg, and Sahlgrenska University Hospital – sequence: 7 givenname: Martin surname: Adiels fullname: Adiels, Martin organization: Department of Molecular and Clinical Medicine, University of Gothenburg, and Sahlgrenska University Hospital – sequence: 8 givenname: Antti surname: Hakkarainen fullname: Hakkarainen, Antti organization: Department of Radiology, HUS Medical Imaging Center, Helsinki University Central Hospital, University of Helsinki – sequence: 9 givenname: Nina surname: Lundbom fullname: Lundbom, Nina organization: Department of Radiology, HUS Medical Imaging Center, Helsinki University Central Hospital, University of Helsinki – sequence: 10 givenname: Murat surname: Kilicarslan fullname: Kilicarslan, Murat organization: Department of Endocrinology and Metabolism, Academic Medical Center, University of Amsterdam – sequence: 11 givenname: Björn M surname: Hallström fullname: Hallström, Björn M organization: Science for Life Laboratory, KTH – Royal Institute of Technology – sequence: 12 givenname: Jesper surname: Lundbom fullname: Lundbom, Jesper organization: Department of Radiology, HUS Medical Imaging Center, Helsinki University Central Hospital, University of Helsinki – sequence: 13 givenname: Bruno surname: Vergès fullname: Vergès, Bruno organization: Department of Endocrinology–Diabetology, University Hospital and INSERM CRI 866 – sequence: 14 givenname: Peter Hugh R surname: Barrett fullname: Barrett, Peter Hugh R organization: Faculty of Engineering, Computing and Mathematics, University of Western Australia – sequence: 15 givenname: Gerald F surname: Watts fullname: Watts, Gerald F organization: Metabolic Research Centre, Cardiovascular Medicine, Royal Perth Hospital, School of Medicine and Pharmacology, University of Western Australia – sequence: 16 givenname: Mireille J surname: Serlie fullname: Serlie, Mireille J organization: Department of Endocrinology and Metabolism, Academic Medical Center, University of Amsterdam – sequence: 17 givenname: Jens orcidid: 0000-0002-9955-6003 surname: Nielsen fullname: Nielsen, Jens organization: Science for Life Laboratory, KTH – Royal Institute of Technology, Department of Biology and Biological Engineering, Chalmers University of Technology – sequence: 18 givenname: Mathias orcidid: 0000-0002-4858-8056 surname: Uhlén fullname: Uhlén, Mathias organization: Science for Life Laboratory, KTH – Royal Institute of Technology – sequence: 19 givenname: Ulf surname: Smith fullname: Smith, Ulf organization: Department of Molecular and Clinical Medicine, University of Gothenburg, and Sahlgrenska University Hospital – sequence: 20 givenname: Hanns‐Ulrich surname: Marschall fullname: Marschall, Hanns‐Ulrich organization: Department of Molecular and Clinical Medicine, University of Gothenburg, and Sahlgrenska University Hospital – sequence: 21 givenname: Marja‐Riitta surname: Taskinen fullname: Taskinen, Marja‐Riitta organization: Research programs Unit, Diabetes and Obesity, Helsinki University Hospital, University of Helsinki – sequence: 22 givenname: Jan surname: Boren fullname: Boren, Jan email: jan.boren@wlab.gu.se organization: Department of Molecular and Clinical Medicine, University of Gothenburg, and Sahlgrenska University Hospital |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28254760$$D View this record in MEDLINE/PubMed https://ube.hal.science/hal-01561136$$DView record in HAL https://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-204067$$DView record from Swedish Publication Index https://gup.ub.gu.se/publication/251601$$DView record from Swedish Publication Index https://research.chalmers.se/publication/248745$$DView record from Swedish Publication Index |
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Snippet | To elucidate the molecular mechanisms underlying non‐alcoholic fatty liver disease (NAFLD), we recruited 86 subjects with varying degrees of hepatic steatosis... To elucidate the molecular mechanisms underlying non‐alcoholic fatty liver disease ( NAFLD ), we recruited 86 subjects with varying degrees of hepatic... To elucidate the molecular mechanisms underlying non-alcoholic fatty liver disease (NAFLD), we recruited 86 subjects with varying degrees of hepatic steatosis... Abstract To elucidate the molecular mechanisms underlying non‐alcoholic fatty liver disease (NAFLD), we recruited 86 subjects with varying degrees of hepatic... |
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SubjectTerms | 1976 1991 adipose-tissue amino-acid-metabolism Animals Apolipoproteins Biochemistry & Molecular Biology Biosynthesis Body mass index british journal of nutrition Cholesterol Demand analysis Dietary supplements Disease Models, Animal drug targets EMBO17 EMBO21 EMBO42 Fasting Fatty liver fatty liver-disease Female Fluxes Gene expression Gene Expression Regulation, Enzymologic Genome genome-scale Genomes Glutathione Glutathione - metabolism Glycine Glycine - blood hepatocellular-carcinoma Humans Insulin resistance journal of clinical investigation Laboratory animals Life Sciences Lipids Lipoproteins - metabolism Liver Liver - enzymology Liver - metabolism Liver diseases Male Metabolism Metabolites Metabolomics Metabolomics - methods Mice Middle Aged Molecular Biology Molecular modelling Molekylärbiologi muscle NAD NAD - metabolism NAFLD Non-alcoholic Fatty Liver Disease - diet therapy Non-alcoholic Fatty Liver Disease - genetics Non-alcoholic Fatty Liver Disease - metabolism obesity p105 p444 Patient-Specific Modeling personalized genome-scale metabolic modeling Plasma levels Precursors Serine Serine - administration & dosage Serine - blood Serine - therapeutic use Steatosis tissue blood-flow Triglycerides urenberg p v57 v65 zefsky t |
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Title | Personal model‐assisted identification of NAD+ and glutathione metabolism as intervention target in NAFLD |
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