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The mechanism involves the formation of complexes with the cell wall of bacteria by surface-exposed polypeptides or cell membrane enzymes and adhesion, which blocks ion channels and inhibits electron flow in the electron transport chain which determines adenosine triphosphates (ATP) production by electron scavenging and also the disruption of cell wall integrity (100)

In addition to causing gene fusions, translocations may also lead to the production of circular RNA fusion products (f-CircRNA), which can be studied to further understand the link between CAs and cellular proliferation

Lab testing is informational and should be reviewed with a qualified healthcae provider

The concentration of SSA in the sample should be 0.5 to 1% at the time of measurement