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Chaperone-mediated autophagy (CMA) requires a molecular chaperone to recognize the lysine, phenylalanine, glutamic acid, arginine, glutamine (KFERQ) amino acid sequence in the substrate and then bind with lysosome-associated membrane protein 2A (LAMP2A) to enter the lysosome, after which the substrate is degraded accordingly

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It is released in 68 bursts.day 1 , with negligible secretion outside of these bursts, and is under the control of the hypothalamic hormones: GH-releasing hormone (GHRH), which promotes secretion, and somatostatin which inhibits release of GH (Giustina et al., 2016