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Extended breaks between cycles (at least 4 weeks) are mandatory for receptor resensitization

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This strict protocol is critical because globally, 10-15% of untreated cases lead to neuropathy within just six months

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In fact, the NAD + glycohydrolase activity of CD38 was essential for tumor progression by downregulating tumor suppressors (such as KEAP1) and upregulating oncogenes (such as NRF2) [46]

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Thus, infiltration of CD38-expressing immune cells during infection, aging, or tumorigenesis has the potential to: alter NAD + homeostasis in parenchymal tissues or the tumor microenvironment

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