[DOI] [PubMed] [Google Scholar] 31.Padwal RS, Majumdar SR
in such settings, slowed metabolism or altered protein binding can provoke toxic plasma levels even with standard dosing
Also, MhTyrA is a monofunctional enzyme, while some archaea, fungi, and -proteobacteria orthologs in clade II are bifunctional and have a chorismate mutase enzyme domain (Hudson et al., 1984
The role of homocysteine in increasing the risk of hemolysis in vitamin B12 and folate deficiency has been demonstrated in vitro .[7] We postulate that the high homocysteine levels in our case may have played a role in ensuing hemolysis in addition to intramedullary destruction of RBCs
This substitution may potentially increase the resistance of the peptide to enzymatic degradation and improve its stability
Some patients start with weekly injections for 46 weeks, then transition to every 24 weeks for maintenance