Cooperative interaction between low-abundance gut bacteria is required to convert l-carnitine to TMAO via a multi-step pathway, which leads to an increased risk of cardiovascular disease.
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Coker, J., Zaramela, L.S. & Zengler, K. Linking anaerobic gut bacteria and cardiovascular disease. Nat Microbiol 7, 14–15 (2022). https://doi.org/10.1038/s41564-021-01009-4
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DOI: https://doi.org/10.1038/s41564-021-01009-4