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Notably, the molecular events triggered by TMAO disrupt endothelial integrity by reducing the expression of tight junction proteins Zonula Occludens-2 (ZO-2) and Occludin (OCLN), while decreasing phosphorylated endothelial nitric oxide synthase (p-eNOS), thus increasing endothelial permeability and allowing LDL to enter and oxidize to ox-LDL [113, 114]

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