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Tranexamic acid (TXA), traditionally known for its antifibrinolytic activity via inhibition of plasminogen activation, has recently emerged as a promising depigmenting agent. However, its cellular effects on skin cells involved in melanogenesis remain poorly understood. In this study, we investigated TXA's impact on melanocytes, keratinocytes, and inflammatory cells. TXA directly inhibited melanin synthesis in B16 melanoma cells, with an additive effect when combined with \u03b1\u2010arbutin. In keratinocytes and macrophages, TXA attenuated inflammatory responses triggered by the plasminogen\/plasmin (Plg\/Plm) pathway. Moreover, TXA reduced lipopolysaccharide\u2010induced pro\u2010inflammatory gene expression in mouse macrophages, suggesting interference with Toll\u2010like receptor\u2010mediated inflammation. These findings highlight TXA's multifaceted actions on skin cells involved in pigmentation and support its therapeutic potential in melasma and potentially other skin diseases.<\/jats:p>","DOI":"10.1002\/cbin.70097","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T15:20:01Z","timestamp":1761664801000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Insight Into the Cellular Activities of Tranexamic Acid as an Option for Melasma Treatment"],"prefix":"10.1002","volume":"50","author":[{"given":"Yekatsiaryna","family":"Hushcha","sequence":"first","affiliation":[{"name":"Morgan S.r.l., R&amp;D Monteviale (VI) Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4988-9181","authenticated-orcid":false,"given":"Anna Lisa","family":"Giuliani","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences University of 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