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49 of these reactions occur in the nucleotide interconversion pathway as well as additional targets within the extracellular transport, and the cholesterol and fatty acid synthesis pathways

doi: 10.1038/s41589-019-0336-0

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The irritancy of acetaldehyde may also play an important role in the development of tumours in the nose and larynx of rats and hamsters, respectively, exposed by inhalation, though all concentrations of acetaldehyde administered in carcinogenesis bioassays induced both irritancy and nasal tumours