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Additionally, exosomal microRNAs (exomiRs), miRNAs contained in exosomes, play an intriguing role in MAFLD as inter-hepatocellular and inter-organ messengers: exosomes, nanoparticles widely secreted by all cell types, are released into the extracellular space and act as central mediators of intercellular and intra-organ signaling [51, 52], with exomiRs contributing to exosome function and disease diagnosis [53]

The abrupt synaptic connectivity relates to the alterations in glutamate receptor expression and function, subsequently modulating neuronal function [5]

This study represents preliminary pilot-level evidence with a small sample size

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