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In addition, cysteine is the most nucleophilic amino acid of proteins and can react with endogenous or exogenous electrophiles which can result in the formation of covalent bonds, which can alter the cellular states and functions

Available at: Accessed April 19, 2019

doi: 10.1093/schbul/sbw038 56 SimpsonRDevenyiGAJezzardPHennessyTJNearJ

However, this disorder can also involve other organs, i.e., it is multisystemic

Equilibrium constants of the reactions of choline acetyltransferase, carnitine acetyltransferase, and acetylcholinesterase under physiological conditions