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Conversely, ATF-6 knockdown disrupts adrenergic insulin-like growth factor signaling, increasing mammalian target of rapamycin 1 (mTOR1) expression, inhibiting autophagy, and causing progressive myocardial hypertrophy ( Although moderate endoplasmic reticulum stress with GRP78 and ATF-6 activation is beneficial, the stress during MI and I/R tends to be persistent and severe

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However, the benefits of a KD on SAW remain controversial and need validation with further clinical and basic studies

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