One study reported significantly lower expression of the enzyme lysyl oxidase-like 1 (LOXL-1), which catalyzes the oxidative deamination of lysine and hydroxylysine residues in collagen and elastin, allowing for the formation of covalent cross-linkages in the transversalis fascia of patients with direct inguinal hernia compared to those with indirect hernia and healthy controls [20]. Here, LOXL1 is linked to Inguinal hernia.