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Annals of dermatology
Diseases 2017;5:9 Buhling K, Schumacher A, Eulenburg CZ, Laakmann E
These include beta-blockers, ACE inhibitors, nonsteroidal anti-inflammatory drugs, thiazide diuretics, antimalarials, and specific types of antibiotics ( 2.2 Pathogenesis of oral lichen planus The initiation of OLP is driven by the interplay between various immune cells, the cytokines and chemokines they release, and extracellular matrix proteins, collectively activating multiple pathogenic pathways ( In physiological status, keratinocytes discharge type IV collagen and laminin, emitting signals that inhibit apoptosis within the epithelial cells, which is essential for upholding the integrity of the basement membrane ( On the other hand, activated lymphocytes and keratinocytes can release a proinflammatory cytokine RANTES, leading to the degranulation of mast cells, which then prompts the release of TNF- and chymase

The R3 substitution The R3 refers to a single amino acid substitution at position 3 of the mature IGF-1 chain, where the native glutamate (Glu, E) residue is replaced with arginine (Arg, R)