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. 2020 Nov 13;10:19817. doi: 10.1038/s41598-020-76882-w

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© The Author(s) 2020

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Mechanism of action of topically applied ripasudil involves suppression of local angiogenesis. Topical administration of the ROCK inhibitor ripasudil suppressed the local upregulation of proangiogenic factors and promoted graft re-epithelization, resulting in the reduction in circulating immune responses. Rho-A ras homolog family member A, ROCK Rho-associated coiled-coil-containing protein kinase, VEGF vascular endothelial growth factor, VEGFR vascular endothelial growth factor receptor, APC antigen presenting cell, dLN draining lymph node.