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However, under a tumorous environment, elevated expression of lysosome protease B can enzymolyze the two amide bonds of the link and cause cytotoxins to release in the complete active form

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and third, exploring potential synergy with existing HCC surveillance by investigating whether L-carnitine supplementation enhances the sensitivity of serum biomarkers such as protein induced by vitamin K absence-II (PIVKA-II) or alpha-fetoprotein L3 (AFP-L3) for early detection

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That study showed that Glyteine was taken directly into the cells, where it was available for the second stage of the glutathione synthesis pathway