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PEGylation the covalent attachment of polyethylene glycol (PEG) chains via a succinyl linker surrounds the peptide with a steric hydrophilic shield that dramatically increases hydrodynamic radius, reduces renal filtration, and provides protection from proteolytic degradation

In particular, variations in the transcripts for the ThDP-dependent enzymes with relatively high enterocytic expression, i.e., OGDH, HACL1 and PDHA1, are coupled with those in the transcripts for ALPI and ThDP transporter SLC44A4, all belonging to the cluster 2b including the three proteins with decreased transcripts 1 month after the bypass (Figure 5A in bold)