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In the sustained activation phase, HSCs exhibit cell behavior alternations, such as excessive proliferation, fibre production, and matrix disintegration (Aydn and Akal, 2018

Sulfation The first step is the bioactivation of inorganic sulfate by enzyme called ATP sulforylase to give the coenzyme 3'-phosphoadosine-5-phosphosulfate (PAPS) Sulfation The second step here is the transfer of sulfate group from the coenzyme PABS to the acceptor drug by nucleophilic attack: As in all conjugation reactions: The endogenous polar group must be activated and converted into electrophilic derivative

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