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Severe vitamin B12 deficiency in pregnancy mimicking HELLP syndrome. Case Reports in Obstetrics and Gynecology 2019 (2019)

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B.JakowecM.PetzingerG.MillerR.et al

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First, since HSL is apparently the primary diacylglycerol lipase in adipose tissue, the accumulation of diacylglycerol in WAT of HSL null mice might interfere with normal adipocyte differentiation or function through the activation of protein kinase C family members and their downstream targets, which are known to affect cell proliferation, apoptosis, and differentiation (Figure 2A)

Fletcher MA, Zeng XR, Maher K, Levis S, Hurwitz B, Antoni M, et al