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The high levels of miR-130, miR-181, miR-17-92, and miR-92b have been associated with EpCAM overexpression in hepatocellular carcinoma [218, 219]

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There have been no clinically confirmed cases, although cross-species infections with products of animal origin are thought to be possible and concerns have been raised about the carrying of unknown viruses such as prions [318]

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