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The density indicates some flexibility at R471 in both the inward-facing and ipratropium-bound structures, but both are pointing down towards the extracellular side and wedged between S157 and S467, preventing the H-bond network we observe in the occluded conformation (Fig
[DOI] [PMC free article] [PubMed] [Google Scholar] 38.Chung SJ, et al
However, with all its benefits, there are some risks and side effects to consider just like with any treatment