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The first is extracellular matrix biology, where fibroblast culture and rat wound-chamber studies from the Maquart and Simeon groups (1988-2000) reported stimulation of collagen synthesis, sulfated glycosaminoglycan synthesis and small proteoglycan expression, alongside upregulation of matrix metalloproteinase-2 and its tissue inhibitors, a simultaneous increase in both matrix deposition and matrix turnover

Mirani B, Hadisi Z, Pagan E, Dabiri SMH, van Rijt A, Almutairi L, et al

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Nevertheless, a significant increase in total and LDL-cholesterol levels in the blood have been reported with betaine treatment in overweight individuals with metabolic syndrome and obese individuals but not in healthy subjects (Schwab et al., 2002