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28 Hair graying emerges from an intricate interplay of biological factors that vary among individuals, primarily driven by the accumulation of oxidative and DNA damage, hyperactive mTORC1 signaling, premature melanocyte aging, and insufficient production of pigmentation-promoting factors within the hair matrix
To keep pace with the increase in the rate of mitochondrial iron import and ALAS activity during terminal erythropoiesis, the processes necessary for activation of PPOX and the intermediate enzymes of the heme synthesis pathway must also be upregulated to keep pace with heme synthesis and to minimize the accumulation of cytotoxic heme intermediates