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Cataplexy appears as transient episodes of aberrant muscle tone (typically loss of muscle tone) triggered by strong emotion

This may raise the possibility that pain, an early symptom of COVID-19, could be diminished by the SARS-CoV-2 S-protein interaction with NRP1 323

Mescka CP, Wayhs CA, Guerreiro G, Manfredini V, Dutra-Filho CS, Vargas CR (2014) Prevention of DNA damage by L-carnitine induced by metabolites accumulated in maple syrup urine disease in human peripheral leukocytes in vitro

Loss of MCUR1 or MCU activity has also been linked to reduced muscle mass and strength in mouse models, and MCUR1 was found to be downregulated on the mRNA level in older sarcopenic patients, suggesting that both proteins have a role in muscle regeneration [17, 28, 29]