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FXR ligand Obeticholic acid (OCA) Obeticholic acid (OCA), a ligand of farnesoid X receptor (FXR), is a synthetic variant of natural bile acid chenodeoxycholic acid

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195,196,197 At the cellular level, this translates into a massive increase in cytoplasmic Na + concentration, membrane depolarisation and opening of voltage-gated Ca 2+ channels, which in turn promotes massive release of glutamate that results in even large depolarisation enlarging Na + and Ca 2+ influx thus completing the vicious circle of excitotoxic damage, as Ca 2+ overload triggers necrotic cell death

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