In the nucleus, XBP1s can induce the expression of the GRP78 gene, increase the degradation of endoplasmic reticulum-folded proteins, inhibit the synthesis of new proteins, and induce the transcription of the apoptosis gene CHOP (71)
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The FTO rs9939609 variant affects appetite regulation and baseline metabolic set point, explaining why some Hashimoto's patients struggle with weight management despite adequate thyroid hormone replacement
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