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The direction and magnitude of these changes depend on the cell type, inhibitor concentration, exposure time, and assay design
Temperature fluctuations, light exposure, and repeated needle punctures gradually compromise the medication's chemical structure
Additionally, certain variants in genes related to antioxidant response, such as the catalase (CAT) gene and the glutathione peroxidase (GPX) gene, have been associated with increased susceptibility to vitiligo.67,69,70 Furthermore, vitiligo has been associated with defective recycling of tetrahydrobiopterin (6BH4), essential for melanin formation, leading to an excess of 7BH4 and inhibition of phenylalanine hydroxylase (PAH)
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