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MOTS-c has been shown in laboratory models to translocate to the nucleus under metabolic stress, where it can activate adaptive gene expression programs and influence pathways related to glucose utilization, fatty acid oxidation, and oxidative stress response

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In conditions such as pancreatic ductal adenocarcinoma and heart failure, the effects caused by changes in lactate levels cannot be reversed merely by manipulating P300 [33, 41]

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