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In the case of LC, prior to the first step, there is the possibility of previous SARS-CoV-2 infection in individuals with “weak” HLA-II haplotypes against this virus and/or EBV
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IL-33 has been shown to stimulate melanin biosynthesis in NHEM by promoting phosphorylation of p38 MAPK and CREB, leading to increased expression of TYR, TRP-1, and DCT through MITF, ultimately resulting in increased melanin production (Zhou et al., 2014)
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