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In addition to extremes in temperature and pH, other chemical and physical agents denature proteins. These agents include ionizing radiation, alcohol, enzymes, and heavy-metal ions. For example, the first antimicrobial drug, arsphenamine, contained the heavy metal arsenic and was used to inhibit the enzymes of the bacterium Treponema pallidum, the causative agent of syphilis. Given that both human and bacterial enzymes are denatured by heavy metals, how was arsphenamine used to treat syphilis without poisoning the patient? Why is syphilis no longer treated with arsenic-containing compounds?
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