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These inconsistent results also translate to human studies where obesity and steatosis correlated with increased hepatotoxicity after an APAP overdose in some studies [181] and no correlation of toxicity with obesity was observed in other studies [182]

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Catalyzed by the condensation domain C* (CesA_C2), a second L- O -Val-L-Val-D- O -Leu-D-Ala- S -PCP, produced as described above, is then connected to the TE-bound tetradepsipeptide by esterification, thus forming the octadepsipeptidyl- O -TE intermediate ( DP8 ) and, further on, the dodecadepsipeptide- O -TE ( DP12 ) upon extension by a third L- O -Val-L-Val-D- O -Leu-D-Ala unit prior to macrolactonization to the cyclic twelve residue product cereulide (Fig