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Involved mechanisms include gene-environment crosstalk (14, 15) and epigenetic changes of DNA methylation (16), histone acetylation/deacetylation, and non-coding mRNA (16)

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However, better characterization of IL-22 effects in MASH, as well as determination of the disease stage at which Th22 responses are most significant, may help clarify whether enhancing the activity of this subset is a viable therapeutic strategy

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