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In another experiment, where the middle femur of rats was sawed off by a wire saw, catalpol upregulates the expression of bone morphogenetic protein 2 (BMP-2), activates the Wnt/-catenin signaling pathway, and promotes femoral fracture healing in rats ( 2 O 2 by downregulating forkhead box O3 (FoxO3), activating the Wnt/-catenin signaling pathway, thereby improving cell viability, osteogenic differentiation, and inhibiting apoptosis ( Furthermore, catalpol can inhibit the ubiquitination and degradation of PTEN, block the NF-B and AKT signaling pathways, and prevent the differentiation of bone marrow-derived macrophages (BMMs) and RAW264.7 cells induced by receptor activator of nuclear factor kappa-B ligand (RANKL) into osteoclasts

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This can result from: Another conjunctival lesion such as eye cancer (carcinoma) A benign growth such as squamous papilloma A disease affecting the entire body such as Addison disease Prior radiation Pregnancy Other causes of conjunctival pigmentation Other types of pigmentation can also occur on the conjunctiva, including racial melanosis and nevus, both of which are typically benign (not harmful)

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