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Since treatment with exendin-4 only modestly lowered cholesterol level and affected lipoprotein profile of the mice, anti-atherogenic effect was independent of modulation of plasma lipid levels and dependent on anti-inflammatory response

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Serious safety considerations require careful patient selection and monitoring

Translational studies using exosomes showed a relationship between the epigenetic modulation of glutamatergic function and a brain metabolic dysfunction known as insulin resistance (IR) as showed by an increase and sex-specific phosphorylation in the expression of IRS1, a key marker of the insulin signaling cascade, in discrete exosomes enriched for the neural cell adhesion molecule L1 (L1CAM), a protein highly expressed in the brain [52, 70,71,72]