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10.1016/j.jclinepi.2006.11.006 J

R The key catalytic mechanism involves lowering the pKa of the glutathione thiol from 9.0 to approximately 6.5, generating the thiolate anion (GS) at physiological pH, which is a potent nucleophile

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Based on these observations, lactate and its associated Kla modifications are recognized as central regulators of tumor progression through immunosuppression