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Efpeglenatide is a drug in which an exendin-4 analog is linked to a human immunoglobulin G4 fragment through a polyethylene glycol (PEG linker), allowing for Fc receptor of neonate (FcRn)-mediated recycling and reduced excretion through the kidneys [50]
More recently, this reversible paradigm has been extended to map mitochondria-LD contacts
For instance, the C-type lectin receptor CLEC2D inhibits IRF5 activation through dimerization, thereby reducing the IL-12-driven antifungal effect against C
3 In B12 deficiency, methylmalonic acid (MMA) can accumulate, and it is thought that elevated MMA, alongside elevated homocysteine, contributes to damage of the myelin sheath (which protects nerve cells and speeds up nerve transmission), which can cause irreversible neurological problems