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That last qualifier matters: an open-label study with exploratory endpoints generates encouraging signals and answers a specific dosing question, but it cannot substitute for the randomized, controlled cirrhosis-outcome trial now underway in Phase 3

Post-translational Regulation of ACO An in vitro phosphorylation assay using protein extracts of pre- and post-climacteric apple fruit and an ectopically expressed His-tagged Md ACO1 (MDP0000195885) hinted for the first time that ACO protein-protein interactions could exist (Matarasso et al., 2005), and the strongly conserved C28 as a key residue in the active site of this protease ( in silico predictions based on sequence similarity, other motifs for ACO protein-protein interactions, serine/threonine kinases, tyrosine kinases, and glycosylation were identified ( Arabidopsis ACO2 (AT1g62380) was identified as a target in a broad proteomics screen that characterized stress-induced protein S -glutathionylation, suggesting that ACO2 is post-translationally modified by glutathionylation ( Another thiol-residue modification of ACO was discovered in a large cysteine S-sulfhydration screen in Arabidopsis, which showed that ACO4 can get sulfhydrated ( 2 S production increases in stomata upon a prolonged ethylene treatment, and that this leads to the S-sulfhydration of C60 (equivalent to C63 of At ACO2) of Sl ACO1 (Solyc07g049530) and Sl ACO2 (Solyc12g005940)

However, the lack of diarrhea or Shiga toxin exposure combined with the patients background, like age and history of post-COVID-19 recovery, made typical HUS unlikely