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Recent studies further underline its potential usefulness in mitigating oxidative stress associated with chronic diseases, such as neurodegenerative diseases

2020;2:i107i116

Carnitine acetyltransferase (CrAT) can act as safety valve to catalyze the reversible transfer of acetyl groups between acetyl-CoA and acetylcarnitine, promoting the combination of excess acyl groups with carnitine, increasing the membrane permeability of these products and thus removing them from the mitochondria, allowing acylcarnitine to be formed in the mitochondrial matrix and exported to the plasma [7]

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This may be due to the limited temporal window of our MRS measurements or could indicate that downstream mechanisms, such as AMPA receptor activation, neuroplastic signaling pathways (for example, BDNF or TrkB and ERK or mTOR) or effects in regions beyond the ACC, are more critical targets for mediating antidepressant response