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Moreover, the route seems to be under the control of a selenium-dependent enzyme, in that only one isomer (9 cis ,11 trans ) is present in bile, duodenal juice and serum when four are possible (42, 146), and also that consideration of serum selenium alongside the percent molar ratio of the isomer (9,11 LA) to the parent fatty acid (% MRLA) enabled good discrimination between data from patients with cystic fibrosis and controls (126)
L.Van HelderW
G.BrunelliS
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