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For comparison of the mechanisms, the reaction catalyzed by the bacterial ketosteroid isomerase entails stabilization of the dienolate by a Tyr and an Asp residue interacting with the O 3 atom, whereas a single Asp residue serves the acid/base function exerted by the glutathione thiolate/Tyr9 pair in GST A3-3 (Pollack, 2004)

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Weeks 1 To 4 : 0.25 mg once weekly This is the starter dose