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Additionally, the MC4R function is regulated by melanocortin-2 receptor accessory protein 2 (MRAP2), which influences receptor trafficking, surface expression, and ligand sensitivity [56]

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Like other types of melanoma, lentigo maligna is caused by mutations (variations) in melanocytes, the pigment-producing cells of the skin

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Several studies documented high concentrations of H 2 O 2 and peroxynitrite and reduced levels of the antioxidant enzymes catalase, glutathione reductase, thioredoxin/thioredoxin reductase, and methionine sulfoxide reductases in vitiligo skin [57,58,59]

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