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However, different from the predicted binding mode of ghrelin, all the peptide moiety of ghrelin occupies the large cavity I while the octanoyl moiety attached to Ser3 of ghrelin extends into the small cavity II in the structure of ghrelin-bound GHSR (Fig

These messengers, in turn, may activate protein kinases that phosphorylate transcriptional regulators, potentially modulating GH-related gene expression within the nucleus

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The result is a larger, sustained, dual-pathway GH pulse versus a brief single-pathway pulse

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Consistent timing helps establish steady-state levels