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Research comparing MT-II with MT-1 and native -MSH has established that cyclic lactam backbone constraint shifts melanocortin receptor subtype selectivity toward MC3R and MC4R relative to linear peptide analogues and with MT-II showing substantially enhanced potency at MC3R and MC4R relative to its potency ratio at MC1R compared with the linear MT-1
Mitochondrial dysfunction has been implicated in the altered metabolic flexibility in such conditions (76, 77)
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