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& Zou, W

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It also engages other intracellular pathways, including -arrestin-mediated MAPK signaling, where -arrestin desensitizes GPCRs by blocking G protein coupling and acts as a scaffold to activate mitogen-activated protein kinases (like ERK), promoting longer-term effects such as gene expression and cell survival by regulating gene transcription, independent of G protein signaling [22]

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The effects can vary based on individual skin type and regimen adherence