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In obesity, ATMs adopt metabolically activated states characterized by chronic lipid exposure and altered cytokine signaling [44], conditions under which Tir fails to suppress, and in some contexts augments, pro-inflammatory gene expression in vitro

Thiodepsipeptides can be synthesized in a similar manner, but instead of using Ser or Thr, Cys is incorporated

This overview is organized around those design choices rather than a generic template, tracing the specific structural engineering that defines the compound