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It is multiplicative

Pathway map of NNMT and NAD salvage in adipocytes, highlighting nicotinamide NAMPT NMN NAD and the competing NNMT branch to 1-MNA

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Competitive endogenous RNAs (ceRNAs) act as sponges for miRNAs, ceRNAs can bind to miRNAs and reduce the abundance of miRNAs in the cell, thus reducing the inhibitory effect of miRNAs on target genes
