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The PD-1/PD-L1 axis, a normal immune checkpoint pathway, is frequently upregulated in cancer, particularly within intratumoral and circulating MDSCs, due to hypoxia in the TME and the activity of transcription factors such as HIF, as well as inflammatory cytokines like GM-CSF and IL-6 secreted by malignant and immune cells

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M., Wood, J., Wilkie, D

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