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Although the exact mechanism of apremilasts anti-psoriasis activity remains unclear, this medication inhibits an enzyme called phosphodiesterase 4

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Cells were seeded in a 24-well plate at a density of 2x106 cells/ml in a complete medium consisting of RPMI 1640 (Gibco, Grand Island, NY), 10% fetal calf serum (Atlanta Biologics, Atlanta, GA), 100 U/ml of penicillin G sodium (Gibco), 100 g/ml of streptomycin sulphate (Gibco), 0.25 g/ml of amphotericin B (Gibco), and 2 mM L-glutamine (Gibco).The following in vitro treatments were conducted in triplicate wells for each animal: PBS (negative control), pokeweed mitogen (10 g/ml