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Structural and enzymological characterization of the human degradative medium-chain-specific 3-ketoacyl-CoA thiolase (hT1) shows that its structure is highly similar to the short-chain-specific tetrameric biosynthetic thiolases, except for small structural differences in two loops at the active site, which provide extra space for a medium-chain fatty-acyl tail to bind. The intrinsic thioesterase activity of hT1 is also discussed.
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