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Increased expression of the transcription factor krppel-like transcription factor4 (KLF4) promotes the expression of the E3 enzyme itchy E3 ubiquitin-protein ligase (ITCH).ITCH activates YAP by promoting the ubiquitination of the phosphatase large tumor suppressor 1 (LATS1).YAP can promote renal fibrosis after AKI by promoting the expression of transforming growth factor- (TGF-) and connective tissue growth factor (CTGF)[28]

Tranexamic acid, kojic Acid, and niacinamide have been studied either separately or in conjunction for the appearance of hyperpigmentation found in melasma and post inflammatory hyperpigmentation (PIH)

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