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Tumor necrosis factor- (NF-) activates the NF-B, which promotes the adhesion to the surface of endothelial and vascular smooth muscle cells of molecules causing an inflammatory state of adipose tissue, dysfunction of the endothelium, and finally, atherogenesis [61]

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The evidence is limited by small cohorts, heterogeneous study designs, and variable microbiome methodologies

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enhances host susceptibility to mucosal inflammation