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Besides that, PD-1 blockade also activates AMPK and mTOR, which in turn upregulates the expression of peroxisome proliferator-activated receptor (PPAR)-gamma coactivator 1 (PGC-1), resulting in increased mitochondrial activity together with ablation of PD-1, which suppresses tumor growth [66]

Also, the previous literature dominated by older trials from specific regions (mostly Europe), which may limit generalizability to other settings

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Piessens, W

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