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Furthermore, we found that LTR had significant increases in serine and inosine, which are required for optimal T cell proliferation, enhanced adoptive immunotherapy, and can reverse CAR T cell exhaustion in preclinical models 15,16 , as well as lactic acid, which preclinically improves adoptive immunotherapy 17 and might be related to increased LDHA expression seen in this group (Fig

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Potential biases: Some studies may be subjected to publication bias, where positive results are more likely to be published than negative or inconclusive findings