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The first is metabolic symbiosis between tumor cells: hypoxic cells export lactate and protons via MCT4, while normoxic neighbors import it via MCT1 for oxidative phosphorylation, thereby optimizing intra-tumoral resource utilization [45]

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doi: 10.1079/wps200585 [DOI] [Google Scholar] 103.Yousaf A, Jabbar A, Ditta YA