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It is important to note, since Glx/tNAA indexes the cortical glutamate + glutamine pool rather than synaptic glutamate release alone, the attenuation we observed may reflect metabolic changes as well as altered neurotransmitter cycling, consistent with C-MRS evidence that prefrontal tricarboxylic (TCA)-cycle activity can fall without a corresponding change in glutamate and glutamine cycling in depression 36

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Biosynthesis of 25hydroxycholesterol in macrophages is stimulated by the endotoxin Kdo2-lipid A, the component of the lipopolysaccharide present on the outer membrane of Gram-negative bacteria, which acts as an agonist for Toll-like receptor 4 (TLR4)