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Our results, demonstrating the downregulation of the core apoptotic executioners Caspase-3 and Caspase-8, consolidate and extend reports of its anti-apoptotic activity across various models, such as the inhibition of Caspase-3/9 in diabetic retinopathy 81,82 , The suppression of apoptosis via Akt pathway activation in kidney injury, and the regulation of BAX/BCL-2/CASPASE-3/8 balance during viral infection 83,84

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The large amount of lactate that is produced is then excreted extracellularly to participate in the formation of the acidic TME, which contributes to the enhancement of immunosuppression and leads to worse clinical outcomes