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L-carnitine is an endogenous HDAC inhibitor selectively inhibiting cancer cell growth in vivo and in vitro

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Kurutas et al

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Long-chain acylcarnitine content determines the pattern of energy metabolism in cardiac mitochondria

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"L-carnitine and acetyl-L-carnitine roles and neuroprotection in developing brain." Neurochem Res 2017;42:1661-75

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Acetyl-L-carnitine (ALCAR) for the prevention of chemotherapy-induced peripheral neuropathy in patients with relapsed or refractory multiple myeloma treated with bortezomib, doxorubicin and low-dose dexamethasone: a study from the Wisconsin Oncology Network

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It also influences carbohydrate metabolism, lipid biosynthesis, and gene expression

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