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This study represents preliminary pilot-level evidence with a small sample size

Glutathione is a tripeptide which is composed of cysteine, glutamic acid, and glycine

Therefore, we are not convinced by the commenter's reason to reassign CPT code 38228 to APC 5242

Additionally, exosomal microRNAs (exomiRs), miRNAs contained in exosomes, play an intriguing role in MAFLD as inter-hepatocellular and inter-organ messengers: exosomes, nanoparticles widely secreted by all cell types, are released into the extracellular space and act as central mediators of intercellular and intra-organ signaling [51, 52], with exomiRs contributing to exosome function and disease diagnosis [53]

The structural similarities, even with distantly related complexes, further strengthen our interpretation that PilQ forms the nozzles of filamentous cyanobacteria (Fig