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Pharmacokinetic Considerations for the Therapeutic Use of Carnitine in Hemodialysis Patients

The other part of carnitine deals with toxic compounds and waste, transporting them from the mitochondria to prevent the accumulation of unwanted substances

Immunology 155:407417

Direct scavenging of free radicals (especially ROS), inhibition of ROS manufacturing enzymes, and preservation of mitochondrial integrity and function affect redox signaling by activating nuclear factor erythroid-derived 2-like 2 (Nrf2) and peroxisome proliferator-activated receptor alpha (PPAR), and the synthesis of heat shock proteins (HSPs), thioredoxins, sirtuins, and other antioxidant molecules are pathways through which L-carnitine and its derivatives modulate oxidative stress conditions [14, 38]