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Nevertheless, the kinetic data for our mutants and rate constants for ScGrx7 and PfGrx between 10 5 10 6 M 1 s 1 are too slow for a diffusion-controlled reaction and point towards important short-lived enzymesubstrate interactions and rate-limiting re-orientations of the substrate at the enzyme surface

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[4] The result of these two separate histories is an asymmetry that no amount of mechanistic similarity erases: tesamorelin was carried through modern Phase 3 development, and sermorelin was not