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Notably, TNBC tumors with high-circadian rhythm disruption score were associated with decreased melatonin biosynthesis and increased tryptophan metabolism, associating melatonin suppression with immune evasion and poor relapse-free survival 197

Taken together, these in vivo data from multiple CRC models support our conclusion that inhibition of mitochondrial metabolism by metformin treatment can enhance the response of 5FU treatment by increasing tumour cell death and impeding tumour growth

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Group 4 didn't receive any treatment [36]

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