Mammalian-microbial cometabolism of L-carnitine in the context of atherosclerosis
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Updated: Apr 20, 2026

Quantitative Analysis of Cellular Composition in Advanced Atherosclerotic Lesions of Smooth Muscle Cell Lineage-Tracing Mice
Published on: February 20, 2019
1Department of Food and Nutritional Sciences, The University of Reading, PO Box 226, Reading RG6 6AP, UK.
Abstract:
γ-butyrobetaine has long been known as the precursor of endogenous L-carnitine synthesis. In this issue, Koeth et al. (2014) demonstrate that it is also a major metabolite of L-carnitine degradation by gut bacteria that precedes the enteric production of trimethylamine and trimethylamine-N-oxide.
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