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53 In addition, KRAS and USP1 can also regulate the expression of BCAT2 in PDAC through the ubiquitin-proteasome pathway: KRAS can stabilize the expression of BCAT2 in PDAC by inhibiting the ubiquitination of BCAT2 by spleen tyrosine kinase (SYK) and E3 ubiquitination ligase TRIM21, 54 while USP1 deubiquitinates the K229 site of BCAT2, and BCAAs promote USP1 protein expression at the translation level through the GCN2-eIF2a pathway

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Maintenance dose: Once every two weeks after achieving desired results

CAFs enhance glucose transporter GLUT1 and lactate exporter MCT4 levels, becoming glycolytic and secreting lactate [134, 135]

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