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Escherichia coli , Akkermansia muciniphila , and Faecalibacterium prausnitzii contribute to improving intestinal serotonin balance through the regulation of serotonergic genes ( Escherichia coli secretes -glucuronidase, which facilitates the conjugation of serotonin with glucuronic acid to form the water-soluble metabolite 5-hydroxytryptophan glucuronide (5-HTG), thereby enhancing its excretion ( Clostridium scindens upregulates monoamine oxidase A (MAO-A) activity, promoting the oxidative deamination of serotonin into the inactive metabolite 5-hydroxyindoleacetic acid (5-HIAA) ( Lacticaseibacillus rhamnosus (basonym Lactobacillus rhamnosus ), Lactobacillus acidophilus , and Lactiplantibacillus plantarum (basonym Lactobacillus plantarum ), not only facilitates the metabolic conversion of tryptophan to serotonin but also suppresses MAO-A activity via the secretion of short-chain fatty acids (SCFAs), thereby enhancing serotonin bioavailability through dual mechanisms ( 3.2.2 Regulation of -aminobutyric acid -aminobutyric acid (GABA) is the primary inhibitory neurotransmitter in the brain and plays a critical role in maintaining neural excitability balance

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Stimulation by calcium ions of pyruvate dehydrogenase phosphate phosphatase

Insulin increases the turnover rate of Na+-K+-ATPase in human fibroblasts

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