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Interestingly, the HLA association suggests a relationship to GD specifically, since it has to do with the presentation of specific antigen epitopes, whereas the CTLA-4 polymorphism appears to be a general phenomenon, allowing one population group to have augmented lymphocyte proliferation, but is not specifically related to thyroid disease

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In laboratory investigations, MT-1 functions as a melanocortin receptor agonist, binding to and activating members of the melanocortin receptor family (MC1R, MC3R, MC4R, MC5R)

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CVS: cyclic vomiting syndrome