The problem with physicians, and I'll tie this back in, is physicians are hard to trust
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Characterization of the sex-dependent myocardial S-nitrosothiol proteome
doi: 10.1210/jcem.81.12.8954038 102 LaronZFrenkelJDeghenghiRAninSKlingerBSilbergeldA
In this case, the interaction of the reduced glutathione with the sulfene group first leads to the appearance of a mixed disulfide formed by the protein and glutathione: Pt-SOH + GSH PtS-SG + 2 and then to the reduction of the thiol group of the protein PtS-SG + GSH Pt-SH + GSSG The importance of the reduction reaction of thiol groups of proteins with glutathione is explained by the fact that the formation of sulfene ionic groups in the molecules of a number of proteins that regulate the phenotypic properties of cells changes the properties of these proteins
Additional limitations include the potential involvement of compensatory mechanisms, such as upregulation of alternative growth factors or inflammatory mediators, which may influence muscle function independently or synergistically