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Such as PD-1 ligand (PD-L1) within TME, the expression of immune checkpoint molecules has been shown to predict response to ICIs in some but not all cases [149, 150]

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This process is primarily triggered by cumulative oxidative stress, DNA damage, and telomere attrition, which activate key pathways such as p53/p21 and p16^INK4a/Rb, leading to permanent cell cycle arrest (Loeser, 2009)

Systems biology modeling of omics data: effect of cyclosporine a on the Nrf2 pathway in human renal cells