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Interestingly, the lack of change in glycolysis flux in melanocytes interaction with vitiligo skin T cells (via jak/STAT signaling described in Figure 1A) suggests that ROS production (with the extra oxygen consumption) over to ATP production (as illustrated in Figure 2), as discussed in this paper, is a profile to activating cell apoptosis in epidermal from vitiligo patients

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However, observations in clinical studies have not confirmed this cancerogenic effect of exenatide or liraglutide except at doses eight times higher than the greatest dose approved for liraglutide in humans [78], suggesting a potential dosedependent effect on thyroid cell proliferation, particularly in dysplastic or premalignant lesions [76]