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Key gene expression effects include: DNA repair : Stimulation of 47 DNA repair genes with suppression of only 5, suggesting a net pro-repair transcriptional program Antioxidant defense : Upregulation of antioxidant enzyme genes including superoxide dismutase and glutathione-related enzymes Collagen synthesis : Stimulation of collagen I, collagen III, and glycosaminoglycan synthesis in dermal fibroblasts Anti-inflammatory signaling : Suppression of pro-inflammatory cytokine gene expression including IL-6 and TNF-alpha pathways Angiogenesis : Promotion of vascular endothelial growth factor (VEGF) expression and blood vessel formation The copper ion serves dual roles: it acts as a cofactor for numerous enzymatic reactions essential in tissue repair (including lysyl oxidase for collagen cross-linking), and it modulates the redox environment to support wound healing processes

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*Correspondence: Xiao Yang, [email protected] This article was submitted to Molecular Medicine, a section of the journal Frontiers in Cell and Developmental Biology Disclaimer All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers