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Valproate-induced acute liver failure and liver-related deaths have been reported in patients with hereditary neurometabolic syndromes caused by mutations in the gene for mitochondrial DNA polymerase (POLG) (e.g., Alpers-Huttenlocher Syndrome) at a higher rate than those without these syndromes

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However, subsequent studies have shown that V-9302 also blocks SNAT2 (SLC38A2) and LAT1 (SLC7A5) in 143B osteosarcoma cells and HCC1806 breast cancer cells, suggesting potential off-target effects (Zhang et al., 2020)

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