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Sustained stimulation stabilize -arrestin binding, locking the receptor in an internalized state [70], which promotes receptor ubiquitination, and receptor down-regulation as shown with muscarinic receptor agonists [71]

UdellJABhattDLBraunwaldECavenderMAMosenzonOStegPGet al

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doi: 10.1210/mend.10.1.8838146