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doi: 10.3389/fphar.2023.1230783 87

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Paraneoplastic pemphigus: paraneoplastic autoimmune disease of the skin and mucosa

However, the mechanisms by which high glucose impairs PPAR activity and leads to neutrophil activation require further elucidation

Metformin inhibits melanogenesis by reducing intracellular cyclic adenosine monophosphate (cAMP) accumulation, but its low lipophilicity obligates its use in high concentrations for topical efficacy [62]