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It is a co-factor for methionine synthase, an enzyme involved in the methylation cycle, which is crucial for the metabolism of amino acids and the production of neurotransmitters

17 It is also expressed on a range of other cells, including normal plasma cells, natural killer (NK) cells, and CD8+ T cells

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The concentrations of lactic acid observed in pathology also inhibit the maturation of dendritic cells (DCs) and their antigen presentation (69)

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