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Glutamine, through conversion to glutamate and subsequently to -ketoglutarate (-KG), not only fuels the tricarboxylic acid (TCA) cycle for energy generation but also contributes carbon skeletons for lipid, carbohydrate, and nucleotide biosynthesis, thus sustaining the high metabolic demands of activated fibroblasts [8]

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Once on the matrix side of the membrane, the fatty acid is transferred to coenzyme A (CoA) and is then oxidized for energy production