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Like oxyntomodulin, exendin-4 exhibits more transient interactions than GLP-1 with residues at the base of the peptide binding cavity, albeit it that the pattern of interactions with the polar core are relatively conserved

Bidwell GL III, Perkins E, Hughes J, Khan M, James JR, Raucher D

Albumin turnover: FcRn-mediated recycling saves as much albumin from degradation as the liver produces

Consequently, this can lead to protein misfolding (i.e., -syn), preventing the ability of some of these proteins to be unfolded and degraded by the systems that regulate protein clearance, like the ubiquitin proteasome system or autophagy