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The main cause of Reyes syndrome appears to be the accumulation of nonesterified fatty acids and lysolecithins that have a high detergent activity and thus denature all proteins

Clin Exp Pharmacol Physiol 46:10011012 Zhao T, Chen S, Wang B, Cai D (2020) L-carnitine reduces myocardial oxidative stress and alleviates myocardial ischemia-reperfusion injury by activating nuclear transcription-related factor 2 (Nrf2)/heme oxygenase-1 (HO-1) signaling pathway