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Using an apoptotic mechanism controlled by miRNAs, ZEA can also impact reproduction ( in vivo can enhance the apoptosis gene Bad and activate caspase by activating miR-1343, miR-331-3p, and miR-744 which down-regulates the expression levels of apoptosis related genes PAK4 and ElK1 ( Other mechanisms One of the main mechanisms brought on by mycotoxins is the suppression of protein synthesis

McIntosh emphasizes the importance of planning: "We counsel patients who could become pregnant to use appropriate birth control while they're on these medications