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Like at AMYRs, these features require the expansion of extracellular TM bundle of CTR through outward movements of TM1, ECL1/TM3, TM4/ECL2 and a small shift in the positioning of the mid-region of the peptide at the start of the N-terminal helix, relative to rAmy when bound to the CTR in the bypass conformation (Fig

Ultimately, these combined molecular and morphological alterations cause pathological displacement or closure of the implantation window, preventing embryos from achieving normal positioning and adhesion within the endometrium

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