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Molecular docking studies revealed that 49 made a hydrogen bond with the Glu802 residue, considered an essential interaction for the catalytic reaction

Nature (2015) 520(7545):5762

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This treatment is recommended 3-4 times every 4-6 weeks

Such potency, along with the fact that unmodified lipoic arms can continue to react with SNO-CoA, allowing for accumulation of inhibitory modifications over time, suggests that a small amount of SNO-CoA in cells could be sufficient to cause significant inhibition