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For example, peroxisomal -oxidation of di- and trihydroxycholestanoic acid leads to the formation of choloyl-CoA and chenodeoxycholoyl-CoA, then converted by the action of bile acil-CoA: amino acid N-acyltransferase into the taurine and glycine conjugates, which are exported out of the peroxisome into the cytosol and then excreted into the biliary ducts by the bile salt export pump [67]

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The mechanisms underlying drug resistance are complex, and can include DNA damage repair, genetic mutation, changes in signaling pathways, abnormal transmembrane transport, immune escape, epithelial-mesenchymal transition, changes in the tumor microenvironment (TME), epigenetic changes, autophagy, and cell cycle disorders [6, 12,13,14]

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