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The antibodies may be polyclonal or monoclonal antibodies, and are more preferably monoclonal antibodies that are specific for the conformation of the resulting revTetR or specific against the epitopes comprising the substitutions that confer the reverse phenotype.
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The interaction may be due to the inhibition of CYP3A4 isoenzyme by ketoconazole, and subsequent decreases in corticosteroid metabolism by the same isoenzyme.