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At position two, the amino acid alanine (Ala) is replaced with a modified amino acid called D-Alanine (D-Ala)

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DNA Repair, 23 , 5963

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CD38 deficiency promotes skeletal muscle and brown adipose tissue energy expenditure [PMID: 37192549] Laboratory literature summary: CD38 deficiency promotes skeletal muscle and brown adipose tissue energy expenditure through activating NAD(+)-Sirt1-PGC1 signaling pathway