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. Author manuscript; available in PMC: 2017 Sep 1.
Published in final edited form as: Curr Dermatol Rep. 2016 Jul 13;5(3):179–190. doi: 10.1007/s13671-016-0154-5

Fig. 3.

Fig. 3

Methods of biochemically enhancing PPIX accumulation by modulating enzymes in heme biosynthesis cycle. Iron chelators can enhance PPIX accumulation by depriving the enzyme ferrochelatase of the ferrous iron it needs to form heme. Differentiation agents (vitamin D, retinoids, methotrexate, calcium, or androgens) can increase expression of coproporphyrinogen oxidase producing more PPIX