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Plasma l-carnitine levels in subjects undergoing cardiac evaluation ( n = 2,595) predicted increased risks for both prevalent cardiovascular disease (CVD) and incident major adverse cardiac events (myocardial infarction, stroke or death), but only among subjects with concurrently high TMAO levels

Third, clinical translation should include establishing multicenter HD biobanks to validate associations between ferroptosis biomarkers (such as cerebrospinal fluid ACSL4 levels and striatal iron MRI signals) and clinical measures (UHDRS scores and transcranial motor-evoked potentials)