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Another anti-CD38 mAb, Isatuximab, has also shown significant antitumor activity by a more potent action of direct cell killing different from crosslinking, mediated by activation of caspases-7 and 8, lysosome permeabilization, upregulation of reactive oxygen species (ROS), as well as ADCC, CDC, and ADCP mentioned above [80, 81]

Because these results develop slowly over time, the treatment is very discreet

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Tryptophanase limits tryptophan availability to the host, which influences serotonin levels affecting the enteric and central nervous systems (125127)