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The binding of these antibodies to postsynaptic receptors, subsequently, complement activation and membrane attack complex formation, results in reduced expression of AchR

Other microbial metabolites, such as polysaccharide A and retinoic acid produced by commensal Clostridia , Faecalibacterium prausnitzii , and Bacteroides fragilis , induce the accumulation of regulatory T (Treg) cells, which suppress inflammation (Forbes et al., 2016)

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Additionally, Wesstrms investigation was a small-sample clinical trial without a placebo control, leading to ongoing debates regarding the validity of the results

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