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The biosynthesis of hypericins is through the polyketide pathway where an octaketide chain goes through successive cyclizations and decarboxylations to form emodin anthrone which is believed to be the precursor of hypericin. Despite that the 5-HT3 receptor antagonists share their mechanism of action, they have different chemical structures and exhibit differences in affinity for the receptor, dose response and duration of effect. In many the cause is unknown. Mendis, Pieter Keuneman and A.

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