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doi: 10.1042/BJ20102007
Losing the glutamate at position 3 sharply reduces its binding to IGF-binding proteins, which is why in cell culture it is reported to be roughly ten times more potent than intact IGF-1 at driving cell proliferation and hypertrophy [1]

Despite a detailed understanding of the genetic basis of HD, effective therapeutic options remain extremely limited
Bandyopadhyay, S., Gama, F., Molina-Navarro, M.M., Gualberto, J.M., Claxton, R., Naik, S.G., Huynh, B.H., Herrero, E., Jacquot, J.P., Johnson, M.K., et al
Sun GD, Li CY, Cui WP, et al