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In the case of semax, a peptide that the nominators said could treat migraines, nerve pain in the face and a serious condition called cerebral ischemia, where there is not enough blood flow to the brain, the FDA scientists found insufficient evidence to recommend it

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Notably, by solving Cryo-electron microscope (cryo-EM) structures of EP3-Gi, EP4-Gs, and EP4-Gi in complex with endogenous PGE2 or 2 synthetic agonists and comparing with PGE2-EP2-Gs structures, previous studies showed that unique primary sequences of prostaglandin E2 receptor (EP) receptors and distinct conformational states of the EP4 ligand pocket govern the Gs/Gi transducer coupling selectivity through different structural propagation paths, especially via TM6 and TM7, to generate selective cytoplasmic structural features

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