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But it is unprecedented for drugs to be put on the pathway to widespread adoption in this manner instead of having to go through the more arduous and evidence-based FDA drug approval process, experts say

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The CSF-1/CSF-1R pathway is also involved in the infiltration and polarization of immunosuppressive cells in addition to the PI3K- pathway, based on this the modification of the M2 TAMs targeting peptide M2pep on the nanoparticles co-encapsulated with the PI3K- inhibitors NVP-BEZ 235 and CSF-1R-siRNA can not only co-deliver PI3k- and CSF-1R to M2 TAMs but also reshape the inhibitory tumor microenvironment by decreasing the level of M2-TAMs and increasing the level of M1-TAMs compared with single-path blockade, and can activate anti-tumor immune responses thereby enhancing anti-tumor effects (47)

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