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Cancers (Basel) 11(10):E1610 Rashida Gnanaprakasam JN, Wu R, Wang R (2018) Metabolic reprogramming in modulating T cell reactive oxygen species generation and antioxidant capacity

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[13] The first reaction of the carnitine shuttle is a two-step process catalyzed by a family of isozymes of acyl-CoA synthetase that are found in the outer mitochondrial membrane , where they promote the activation of fatty acids by forming a thioester bond between the fatty acid carboxyl group and the thiol group of coenzyme A to yield a fatty acylCoA