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he impact of TN, there remains an unmet medical need for additional treatment options. Arecoline is an alkaloid natural product found in the areca nut that can induce oral submucous fibrosis and subsequent development of cancer. However, numerous studies have shown that arecoline may inhibit fibroblast proliferation and prevent collagen synthesis. High doses of arecoline ( 32 μg/ml) could inhibit human oral fibroblast proliferation, while low doses of arecoline ( 16 μg/ml) could promote the proliferation of human oral fibroblast

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