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Exchange factor directly activated by cAMP (Epac) upregulates expression of the negative leptin signaling modulators SOCS3 and PTP1B, whereas inhibits the positive modulators STAT3 and S6K1, impairing the leptin signaling cascades in hypothalamic neurons [213, 214]

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For example, GLP-1R expression in the cardiovascular and central nervous systems is thought to, at least in part, mitigate risk of myocardial infarction, stroke, and neurodegenerative impairments

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