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Activation calcidiol travels to the kidneys where it undergoes further conversions into its active form, calcitriol, by an enzyme called 1-alpha hydroxylase

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Additionally, citrate-bound Mn (about 2% of plasma Mn) may enter the brain via a shared citrate transporter, as its influx exceeded diffusion and the transporter was competitively inhibited by Mn citrate ( Intracellularly, both DMT1 (Wolff et al., 2018) and mitochondrial calcium uniporter (Kamer et al., 2018) can participate in Mn 2+ uptake into the mitochondria in vitro (Figure 1D)

It was observed that both the rate and efficiency of the reaction decreased as the pH increased