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Simultaneously, they significantly influence immune cell function, thereby creating an immunosuppressive environment that further enhances drug resistance ( Furthermore, immune cells in the tumor microenvironment can potentially influence drug metabolism and elimination by releasing specific cytokines and chemical substances, thereby exacerbating drug resistance mechanisms ( Cancer stem cells (CSCs) are a population of tumor cells with self-renewal and differentiation potential

[DOI] [PubMed] [Google Scholar] 115.Amin M.R., Ali D.W

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