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Furthermore, LC prevents the accumulation of long-chain acyl-CoA, thereby reducing the risk of life-threatening ventricular arrhythmias during ischemia (Cui et al

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(2017) 96:40213.e405

Next, serine hydroxymethyltransferase cleaves -hydroxy-- N -trimethyllysine into - N -trimethylaminobutyraldehyde and glycine, using pyridoxal 5-phosphate as a cofactor