Final answer:
The tertiary structure of a protein is where interactions between side chains are most important, defining the protein's three-dimensional shape and function.
Step-by-step explanation:
Interactions between the side chains (R groups) of amino acids are most important in the tertiary structure of a protein. This level of structure involves the three-dimensional folding pattern of a protein due to side chain interactions, including hydrophobic interactions, ionic bonding, hydrogen bonding, and disulfide linkages.
These interactions are critical for establishing the protein's final three-dimensional shape, which largely determines its function. Changes in this structure can lead to a protein's denaturation, altering its function and potentially leading to disease.