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It has been shown that, following type IV pili-mediated contact, the pilE gene encoding the major pilin and the genes for capsule synthesis are downregulated, and this is thought to allow for more intimate adhesion through other outer membrane adhesins

Myo-inositol rather than D-chiro-inositol is able to improve oocyte quality in intracytoplasmic sperm injection cycles: a prospective, controlled, randomized trial