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In order to be taken up by the liver it has to be degraded to amino acids. [I also wonder- since glutamate is elevated in metabolic disease, and a residue in the GSH tripeptide, might it be that providing glycine or serine to support synthesis could be preferred over glutathione

They also profoundly influence the behavior of other cells within the joint, particularly the activation state of immune cells like FLS and infiltrating macrophages, by modulating signals such as lipid peroxidation products and debris released from dying cells

The most common physiological substrate is thought to be methylgloxyal, which is notably formed from triose phosphate, either non-enzymically or as an intermediate in the triose-phosphate isomerase reaction (Maiti et al., 1997

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