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When it serves as an antioxidant it forms an alpha-tocopherol radical, as shown below
With immunomodulatory adjuvants, also NCCIs such as NK cell cytotoxicity, (TCD 8 T cells proliferations and do TIL density), PD-L1/CTLA-4 expression will provide the opportunity to correlate biologic activity with clinical response, for targeted use (precision medicine) (232)
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Al-Horani RA, Chedid M
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The source in this case may be pyruvate from glycolysis, beta-oxidation of fatty acids, or proline (or possibly glutamine), which is converted in the mitochondria to glutamate and alpha-ketoglutarate, which may be converted in one direction to isocitrate and in the other to malate, thus serving as a source for NADPH formation
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