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Direct contact with a high-pressure stream can damage the peptide structure through shearing forces

It is well known that after proinsulin is packaged into vesicles in the Golgi apparatus (beta-granules) of pancreatic cells of Langherans islets (42), the C-peptide is removed, leaving the A-chain and B-chain bound together by disulfide bonds, thus constituting the insulin molecule

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3 RGN-259 Phase 3 Trial in Neurotrophic Keratopathy Sosne et al., International Journal of Molecular Sciences (2022) This Phase 3 randomized, placebo-controlled, double-masked clinical trial evaluated topical 0.1% RGN-259 (full-length recombinant T4 ophthalmic solution) in patients with neurotrophic keratopathy