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These miRNAs reside in intronic regions within SREBP-1 and 2, the key transcriptional regulators of lipid metabolism 87 , and control the expression of carnitine O -octanoyltransferase (CROT), CPT1A, hydroxyacyl coenzyme A (hydroxyacyl-CoA) dehydrogenase subunit beta (HADHB), and AMPK, targeting their 3 UTR 88

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The gene dosage hypothesis states that the increased dosage of Chr21 genes is the direct cause of the phenotypical alterations of the DS population

non-lactic metabolic acidosis can occur