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However, that historical origin should not be interpreted as proof that all reported effects share the same mechanism or the same biological relevance

Peptide inhibitors (such as VY-9) occupy hydrophobic pockets (His85, Phe264, etc.) near the cavity entrance, which prevent the substrate L-tyrosine from entering the active cavity and interfere with the coordination between Cu and His residues (such as the chelation of imidazole ring of His85 with Cu), resulting in the loss of enzyme activity (Sepehri et al., 2022

This disruption is further exacerbated by individual genetic polymorphisms, polypharmacy, and hepatic or renal dysfunction, collectively disturbing metabolic homeostasis

doi: 10.1016/bs.acc.2018.07.004 33 TeskeyG.CaoR.IslamogluH.MedinaA.PrasadC.PrasadR.et al

Vincent, F