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It entered the literature as somatomedin C, one of the serum factors that appeared to mediate the growth-promoting activity of pituitary growth hormone rather than being that activity itself, and it was later recognized as a member of the insulin superfamily on structural grounds

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Furthermore, VPAcarnitine oxidation in the mitochondria produces 2-propyl-4-pentenoic acid (4-EN-VPA), which interferes with the urea cycle and causes hyperammonemia