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Moreover, LA may enhance fatty acid oxidation by modulating the PPAR pathway, as activated PPAR induces the expression of genes related to fatty acid oxidation [74]

showed that quercetin, a natural flavonoid, may be able to regulate metabolic activity of human keratoconus cells and reduce inflammatory pathways, thereby representing a potential therapeutic approach in this context [152,153]

This is similar to studies done in China and Nigeria (23, 65)