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Its various mechanisms, including its antioxidant effects, the stimulation of pheomelanin synthesis instead of eumelanin, and interference with intracellular trafficking of melanogenic enzymes, contribute to its antimelanogenic properties.3 Hence, through the histopathological examination of melanocyte activity, location of melanin pigment deposition, and response after therapy, we can determine the effects of glutathione on skin color.6,9 However, Arjinpathana and Asawanonda1 reported many contradictory results regarding the efficacy and safety of glutathione as a skin-lightening agent

Cell 81, 355.e10369.e10

Examples include reactive oxygen species produced by Enterococcus faecalis , increased nitric oxide levels from immune cells triggered by Helicobacter hepaticus , and enterotoxins released by Enterotoxigenic Bacteroides fragilis (ETBF), which activate the c-MYC oncogene (Shiryaev et al., 2013)

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