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Breaking this cycle at any point can theoretically resolve a flare, but sustainable improvement requires addressing the cycle at multiple points simultaneously, or finding an intervention that modulates the central controlling mechanisms like NF-kB

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In addition to its direct antitumor effects, daratumumab exerts an indirect immunomodulatory role by eliminating CD38 + immunosuppressive cell types (Treg, Breg and myeloid-derived suppressor cells) in the tumor microenvironment (TME), thereby promoting T-cell proliferation and effector functions [44]

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