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This metabolic reprogramming may lead to hindered PDH function, blocking pyruvate entry into the tricarboxylic acid (TCA) cycle, thereby causing intracellular lactate accumulation

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It was shown to inhibit cytochrome c oxidase, leading to cell death through ATP depletion (Figure 1)

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doi: 10.3389/fphar.2021.773909 65 YangBCLeungPS

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Two patterns are worth calling out because they are predictable rather than alarming

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