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Increasing the capacity of the TCA cycle improves the energetic status of the cell and in order for neurons to benefit from anaplerosis, glutamine derived from TCA cycle intermediates are transferred from astrocytes to neurons where they are re-converted to intermediates, thereby increasing the capacity of the TCA cycle to produce energy [19]

Accordingly, missense DNA mutations that impair G6PD activity or stability result in increased oxidative stress and a spectrum of disease phenotypes featuring, most commonly, hemolytic anemia, and collectively called G6PD deficiency 1

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