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Complementing immune regulation, Clostridium rebalances gut microbiota homeostasis by enriching beneficial taxa and inhibiting pro-inflammatory bacterial overgrowth and reinforces intestinal barrier integrity by upregulating tight-junction proteins and mucin secretion, thereby blocking the translocation of pathogens and antigens that initiate systemic autoimmunity

Notably, patients with mutations in GGT1 often present with developmental disorders, accumulation of GSH (glutathionaemia and glutathionuria) and reduced circulating levels of cystine 25

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The act of separating the phagophore membrane into the IAM and OAM during autophagosomal closure might confer different properties to the membranes, including the ability to resist degradation