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The equilibrium constant for the enzyme is close to unity (Krebs 1953), hence, the reaction proceeds easily in both directions and is generally considered an exchange reaction

Alberti A, Pirrone P, Elia M, Waring RH, Romano C, Alberti A, Pirrone P, Elia M, Waring RH, Romano C: Sulphation deficit in "low-functioning" autistic children: a pilot study

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[DOI] [PMC free article] [PubMed] [Google Scholar] Matthew J
Characterization of Bone Marrow-Derived Mesenchymal Stem Cells in Aging

There are two types of homocystinuria
