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1 apy in 10 patients with anti-PD-1-refractory metastatic melanoma.
2 al detachment during nivolumab treatment for metastatic melanoma.
3 w approved for patients with unresectable or metastatic melanoma.
4 which is routinely used at first therapy for metastatic melanoma.
5 served with the combination in patients with metastatic melanoma.
6 ctive, immune-based treatment strategies for metastatic melanoma.
7 cers, such as non-small-cell lung tumors and metastatic melanoma.
8 y benefits overall survival of patients with metastatic melanoma.
9 AMIGO2-PTK7 axis as a targetable pathway for metastatic melanoma.
10 CI, ipilimumab, in 2011 for the treatment of metastatic melanoma.
11  of CDK4/6 inhibitor in highly proliferative metastatic melanoma.
12  (FUT1, FUT2) were identified as features of metastatic melanoma.
13 ilizer conjugate, has the potential to treat metastatic melanoma.
14 om CombiDT in patients with BRAFi-refractory metastatic melanoma.
15 etastases, eruptive nevi, and epidermotropic metastatic melanoma.
16 h the CTLA4-blocking antibody ipilimumab for metastatic melanoma.
17 s coincided with the approval of IMLYGIC for metastatic melanoma.
18 identify new targets to improve treatment of metastatic melanoma.
19 yields sustained remissions in patients with metastatic melanoma.
20 y untreated BRAF V600-mutant unresectable or metastatic melanoma.
21 al processes operate during the evolution of metastatic melanoma.
22  aged 18 years and older and had advanced or metastatic melanoma.
23  on Cancer (AJCC) criteria and follow-up for metastatic melanoma.
24 ively regulates genes that drive invasion of metastatic melanoma.
25 public whole-exome sequencing (WES) data for metastatic melanoma.
26  therapeutic Pin1-FOXM1 inhibitors to target metastatic melanoma.
27 linical benefit in a subset of patients with metastatic melanoma.
28  a novel potential therapy for patients with metastatic melanoma.
29 and normal DNA isolated from 8 patients with metastatic melanoma.
30 en proposed as a target for the treatment of metastatic melanoma.
31 tantially improved personalized treatment of metastatic melanoma.
32 us dosing) in the treatment of patients with metastatic melanoma.
33 d NPs have the highest potential in treating metastatic melanoma.
34 ts with BRAF Val600Lys/Glu mutation-positive metastatic melanoma.
35  in BRAF(V600) mutation-positive advanced or metastatic melanoma.
36 pared with ipilimumab alone in patients with metastatic melanoma.
37 om an unselected population of patients with metastatic melanoma.
38  RNA abundance and survival of patients with metastatic melanoma.
39 ed with standard therapy in BRAF V600-mutant metastatic melanoma.
40 nvolving patients with ipilimumab-refractory metastatic melanoma.
41 igand, supporting a TIGIT/CD226 imbalance in metastatic melanoma.
42 FPE specimens through RNA gene expression in metastatic melanoma.
43 se findings support a key role for CASC15 in metastatic melanoma.
44 may be a novel approach for the treatment of metastatic melanoma.
45 lised treatment strategies for patients with metastatic melanoma.
46  essential for cell motility and invasion of metastatic melanoma.
47 gen 4, has shown promise in the treatment of metastatic melanoma.
48 o identify new therapeutic opportunities for metastatic melanoma.
49 nal and potentially impactful treatments for metastatic melanoma.
50 2 (A-kinase anchor protein 12), AKAP12v2, in metastatic melanoma.
51 ntitumor responses in patients with advanced metastatic melanoma.
52 been shown to have complementary activity in metastatic melanoma.
53 roves overall survival (OS) in patients with metastatic melanoma.
54 ging by the AJCC criteria, and follow-up for metastatic melanoma.
55 HP vaccine was administered to patients with metastatic melanoma.
56 mproved overall survival among patients with metastatic melanoma.
57 ve remarkably improved the response rates of metastatic melanoma.
58 th factor (CTGF) as a therapeutic target for metastatic melanoma.
59 cribe a novel KIT mutation in a patient with metastatic melanoma.
60 ised trials that enrolled 4416 patients with metastatic melanoma.
61 ared with nevi, and was further increased in metastatic melanoma.
62 at offer improved survival for patients with metastatic melanoma.
63 pilimumab prolongs survival in patients with metastatic melanoma.
64 ls have shown an overall survival benefit in metastatic melanoma.
65 rst-line treatment in patients with advanced metastatic melanoma.
66  has led to a sea change in the treatment of metastatic melanoma.
67 ic potential of targeting this axis to treat metastatic melanoma.
68 l death receptor 1 therapy in a patient with metastatic melanoma.
69 mbrolizumab in patients with unresectable or metastatic melanoma.
70 ed nanoparticles have the potential to treat metastatic melanoma.
71  care for patients with BRAF V600E/K-mutated metastatic melanoma.
72 n in serum may serve as a novel biomarker of metastatic melanoma.
73 ate the clinical effect of targeting CDC7 in metastatic melanoma.
74 e checkpoint inhibitors for the treatment of metastatic melanoma.
75 roved the clinical outcomes of patients with metastatic melanoma.
76 s major impact on the tumorigenic program of metastatic melanoma.
77 atic modules in monocytes and DCs from human metastatic melanoma.
78 n long-term survival of patients with widely metastatic melanoma.
79 t promise in a variety of cancers, including metastatic melanoma.
80 udy, we seek to identify a gene signature of metastatic melanoma.
81 ating that NLRP1 inflammasomes are active in metastatic melanoma.
82 r patients with advanced-ie, unresectable or metastatic-melanoma.
83 rs may guide adjuvant therapies in stage III metastatic melanomas.
84 y dysplastic nevi, as well as in primary and metastatic melanomas.
85 ber alterations and somatic mutations in 303 metastatic melanomas.
86 rom The Cancer Genome Atlas are misdiagnosed metastatic melanomas.
87 ate the ERK cascade, account for over 80% of metastatic melanomas.
88                         Of the patients with metastatic melanoma, 1623 (320 [19.7%] in the 2004-2014
89         We analyzed serum from patients with metastatic melanoma (247 of 273, 90.4%) randomly assigne
90 or regression in a majority of patients with metastatic melanoma (52 of 93; 56%).
91 h improved overall survival in patients with metastatic melanoma, a growing challenge of drug resista
92 ere associated with poor OS in patients with metastatic melanoma after ipilimumab treatment but not v
93  agents have revolutionized the treatment of metastatic melanoma, allowing some subsets of patients t
94 2 inhibitor provides a survival advantage in metastatic melanoma, an effect that is increased when ad
95 /2, which has been approved for treatment of metastatic melanoma and anaplastic thyroid cancer in pat
96 novel framework using a published dataset of metastatic melanoma and find biological insights from th
97 oth patients had been heavily pretreated for metastatic melanoma and had multiple sites of intraperit
98 -1 blockade alone or in combination to treat metastatic melanoma and other solid tumors.
99 s identified as a key metabolic signature of metastatic melanoma and renal cancer, and metastatic cel
100  dose interleukin-2 (IL-2) is active against metastatic melanoma and renal cell carcinoma, but treatm
101 ve patients with BRAF V600 mutation-positive metastatic melanoma, and approximately 20% were progress
102 n endothelial cell biology and angiogenesis, metastatic melanoma, and corneal epithelial cells; howev
103  by metastasis stage, previous treatment for metastatic melanoma, and Eastern Cooperative Oncology Gr
104 ecently approved for use in the treatment of metastatic melanoma, and nivolumab as well for non-small
105  were 18 years or older, had unresectable or metastatic melanoma, and progressed after ipilimumab, or
106 s that have been introduced for treatment of metastatic melanoma are active against brain metastases
107 d vemurafenib-a BRAF inhibitor used to treat metastatic melanoma-are all recognized clinical photosen
108 h de novo meningitis caused by P. acnes with metastatic melanoma as the only identified risk factor f
109 ticles into C57/BL6 albino mice bearing lung metastatic melanoma at the dose of 20 mg/kg 4 times a we
110 rvival among patients with BRAF V600-mutated metastatic melanoma, at the cost of some increase in tox
111                  Although some patients with metastatic melanoma benefit immensely from these transfo
112 e, and that a lineage approach would uncover metastatic melanoma biology.
113 tors (BRAFi) elicit therapeutic responses in metastatic melanoma, but alarmingly, also induce the for
114 rapy has emerged as a powerful treatment for metastatic melanoma, but efficacy is limited by an inhos
115       Ipilimumab is a standard treatment for metastatic melanoma, but immune-related adverse events (
116 or, has pronounced activity in patients with metastatic melanoma, but its activity in patients with B
117 atly improved the prognosis of patients with metastatic melanoma, but resistance to these therapeutic
118 eads to prolonged responses in patients with metastatic melanoma, but the common mechanisms of primar
119 a subset of patients with BRAF(V600)-mutated metastatic melanoma by increasing the frequency of long-
120 siderable clinical benefit for patients with metastatic melanoma by inhibiting immune checkpoint acti
121                     Conclusion Patients with metastatic melanoma can have durable complete remission
122                                              Metastatic melanoma carries a poor prognosis despite mod
123                        From these results, a metastatic melanoma cell line (A375) and two inhibitors
124 CR-free whole genome sequencing of a matched metastatic melanoma cell line (COLO829) and normal acros
125 performed a co-culture experiment with human metastatic melanoma cell line (SKMEL- 147) and immortali
126 ssion, we conducted a microarray on a highly metastatic melanoma cell line in which NFAT1 expression
127 ity on a highly expressing alphavbeta3 human metastatic melanoma cell line.
128 e reduced by knocking down of NLRP1 in human metastatic melanoma cell lines 1205Lu and HS294T, indica
129              Accordingly, NFAT1 depletion in metastatic melanoma cell lines was associated with reduc
130             Conversely, knocking down OPN in metastatic melanoma cells abrogated the invasive growth.
131                     Cranial neural crest and metastatic melanoma cells avoid DAN protein stripes in v
132 rast, here we show that exosomes from poorly metastatic melanoma cells can potently inhibit metastasi
133              RAD6B knockout or inhibition in metastatic melanoma cells downregulated beta-catenin, be
134             PGC1alpha silencing makes poorly metastatic melanoma cells highly invasive and, conversel
135 nterference with\ Pin1 in BRAF(V600E)-driven metastatic melanoma cells impaired both FOXM1 activity a
136 chanistically, overexpression of miR-200a in metastatic melanoma cells induces cell cycle arrest by t
137  Conversely, low microRNA-200a expression in metastatic melanoma cells results in higher levels of CD
138  that inducible expression of CD82 in highly metastatic melanoma cells significantly increased p21 ex
139 -type p53 may sensitize previously resistant metastatic melanoma cells to therapy.
140        The locus was actively transcribed in metastatic melanoma cells, and upregulation of CASC15 ex
141 owed that by downregulating Rac signaling in metastatic melanoma cells, ICAT increased their invasive
142 nuclein promotes the survival of primary and metastatic melanoma cells, which is the exact opposite o
143 iates VE-cadherin disassembly in response to metastatic melanoma cells.
144 ne kinome in the formation of invadopodia in metastatic melanoma cells.
145 argeting epigenetic modulators against human metastatic melanoma cells.
146 n was consistently decreased in invasive and metastatic melanoma, compared with nevi and melanoma in
147                             Clinical data in metastatic melanoma confirmed that DUX4 expression was a
148 ent transcriptional silencing in primary and metastatic melanoma consistent with a tumor suppressor f
149               H2A.Z.2 is highly expressed in metastatic melanoma, correlates with decreased patient s
150         A woman in her 20s with a history of metastatic melanoma developed EMN while receiving therap
151                                              Metastatic melanoma developed in 32% of patients.
152               Given its strong expression in metastatic melanoma, Dnmt1 may be a promising target for
153 c characteristics remain stable in recurrent metastatic melanoma even after years and several recurre
154  of melanoma cells in freshly isolated human metastatic melanoma ex vivo and in three-dimensional-cul
155          This response is lost in late-stage metastatic melanomas expressing high levels of PKCvareps
156 ar BAP1 immunoreactivity was observed in the metastatic melanoma group.
157                                              Metastatic melanoma has a high mortality rate due to lym
158        In the past 5 years, the treatment of metastatic melanoma has changed from almost no effective
159                         Systemic therapy for metastatic melanoma has evolved rapidly during the last
160 ose Patients who are diagnosed with stage IV metastatic melanoma have an estimated 5-year relative su
161 s (TILs) that mediate complete regression of metastatic melanoma have been shown to recognize mutated
162  and dabrafenib mesylate in the treatment of metastatic melanoma have been well reported.
163                 Advances in the treatment of metastatic melanoma have improved responses and survival
164                       Patients with advanced metastatic melanoma have poor prognosis and the genetics
165 ased targeted therapies for the treatment of metastatic melanoma hold promise but responses are often
166 eted therapies achieve long-term survival in metastatic melanoma; however, new treatment strategies a
167 lymphocytes (TILs) can mediate regression of metastatic melanoma; however, TILs are a heterogeneous p
168 ted genomic DNA from the AGTR1 CpG island in metastatic melanoma implying that AGTR1 encodes a tumour
169 rapeutics directed against BRAF(V600)-mutant metastatic melanoma improves progression-free survival i
170 t received FDA approval for the treatment of metastatic melanoma in 2011.
171 enrolled 15 patients with BRAF(V600)-mutated metastatic melanoma in a first-in-human clinical trial o
172 ients with BRAF inhibitor (BRAFi)-refractory metastatic melanoma in contrast to the higher response r
173 tion of melanocytes in vitro and spontaneous metastatic melanoma in vivo.
174 notherapy against multiple cancers including metastatic melanoma, in which ELN formation has been ass
175                 A total of 101 patients with metastatic melanoma, including 76 patients with M1c dise
176 zumab provides durable antitumor activity in metastatic melanoma, including complete response (CR) in
177  that inhibits uncontrolled neural crest and metastatic melanoma invasion and promotes collective mig
178 ed human melanoma cell proteolytic activity; metastatic melanoma is a highly aggressive and drug-resi
179                                              Metastatic melanoma is a highly aggressive malignancy th
180                                              Metastatic melanoma is a highly heterogeneous tumor; thu
181  treatment of BRAF-unmutated unresectable or metastatic melanoma is a landmark for the development of
182                                              Metastatic melanoma is an aggressive and deadly disease.
183                                              Metastatic melanoma is an aggressive disease, despite re
184                                              Metastatic melanoma is challenging to manage.
185                                              Metastatic melanoma is intrinsically immunogenic, thereb
186       The 'real-world' patient population of metastatic melanoma is not fully represented in clinical
187 fic mAb, showed durable clinical efficacy in metastatic melanoma; its mechanism of action is, however
188 68.8; interquartile range, 58.4 to 77.0) and metastatic melanomas (MFI, 87.5; interquartile range, 77
189 t blockade (ICB) of PD-1 and CTLA-4 to treat metastatic melanoma (MM) has variable therapeutic benefi
190 y outcomes in patients with BRAF V600-mutant metastatic melanoma (MM) who received BRAF inhibitor dab
191 to identify ICAM-1 as a potential target for metastatic melanoma (MM).
192 + and CD8+ T lymphocytes in 57 patients with metastatic melanoma (MMel) with various sites of metasta
193 rapies in the clinical armamentarium against metastatic melanoma (MMel).
194 istics in A375 human melanoma cells and in a metastatic melanoma model in mice.
195           Here, we report that in an in vivo metastatic melanoma model, ephrin-B2-mediated activation
196 ed for safety and efficacy in two transgenic metastatic melanoma mouse models.
197 vi, melanoma in situ, invasive melanoma, and metastatic melanoma (n = 102).
198     Among previously untreated patients with metastatic melanoma, nivolumab alone or combined with ip
199    We analysed samples from 46 patients with metastatic melanoma obtained before and during anti-PD-1
200 rotein and mRNA expression in paired primary/metastatic melanoma or colorectal cancer cells than thos
201 ector clones has been reported in refractory metastatic melanoma patients after adoptive T-cell trans
202 s melanoma tissue correlate with survival of metastatic melanoma patients after dendritic cell (DC) v
203 ostoperative lymphatic exudate and plasma of metastatic melanoma patients after lymphadenectomy and f
204 angiogenic factors in MAPK inhibitor-treated metastatic melanoma patients and to correlate these chan
205 e form, which can be detected in the sera of metastatic melanoma patients but not in normal sera.
206 ay offer a new strategy for the treatment of metastatic melanoma patients harboring melanin-positive
207                              We included 876 metastatic melanoma patients initiating pembrolizumab (4
208 data from a pilot trial in therapy-resistant metastatic melanoma patients show anti-tumor activity th
209 nalyzing longitudinal tumor biopsies from 17 metastatic melanoma patients treated with CPB therapies,
210 r combination BRAF and MEK inhibitor-treated metastatic melanoma patients using a multiplex chemokine
211  cell infiltration in primary tumors from 77 metastatic melanoma patients was quantified using the ra
212 redictor of survival after DC vaccination in metastatic melanoma patients who, on average, started th
213 s of PTX3 were found in tissues and blood of metastatic melanoma patients, and in BRAF inhibitor-resi
214                              In the blood of metastatic melanoma patients, the frequency of NK cells
215 ti-modal -omics, and clinical data cohort of metastatic melanoma patients.
216 ng-lasting clinical responses in a subset of metastatic melanoma patients.
217             A 60-year-old former smoker with metastatic melanoma presented with the chief complaint o
218 criteria for participants included BRAF V600 metastatic melanoma, prior BRAFi monotherapy, measurable
219 D) ligand RAE-1beta, or when inoculated with metastatic melanoma, prostate carcinoma, or mammary carc
220 th inflammation-attenuating glycoprotein non-metastatic melanoma protein B (GPNMB) signaling in human
221                                    Recurrent metastatic melanoma provides a unique opportunity to ana
222                     Forty-four patients with metastatic melanoma received bevacizumab therapy in a ra
223 s with ipilimumab-naive or -treated advanced/metastatic melanoma received one of three dose regimens
224 Despite emergence of new systemic therapies, metastatic melanoma remains a challenging and often fata
225                                              Metastatic melanoma remains a devastating disease with a
226                                              Metastatic melanoma remains an incurable disease for man
227 m of skin cancer and successful treatment of metastatic melanoma remains challenging.
228 ent sequence in patients with BRAF wild-type metastatic melanoma remains unclear.
229         Despite the advent of immunotherapy, metastatic melanoma represents an aggressive tumor type
230                                    Stage III metastatic melanomas require adequate adjuvant immunothe
231 ve trials in MMel.The clinical management of metastatic melanoma requires predictors of the response
232 BRAF inhibitors like vemurafenib in treating metastatic melanoma, resistance has emerged through "par
233 CombiDT treatment in patients with BRAF V600 metastatic melanoma resistant to BRAFi monotherapy condu
234 d c-Myc proteins was significantly higher in metastatic melanoma samples as compared with that in pri
235 parameter flow cytometry on freshly isolated metastatic melanoma samples from 2 cohorts of 20 patient
236                  Molecular analysis of human metastatic melanoma samples revealed a correlation betwe
237 significantly with patients presenting nodal metastatic melanoma, suggesting that targeting this path
238 mor-associated macrophages observed in human metastatic melanoma, supporting the concept that NLRC4 e
239 n of oncogenic BRAF mutations in primary and metastatic melanomas supports a linear model of clonal e
240 (PFS), and overall survival in patients with metastatic melanoma that has a BRAF(V600) mutation.
241  may represent a novel therapeutic target in metastatic melanoma, the most lethal form of skin cancer
242  brain mass was resected and confirmed to be metastatic melanoma; the surgical bed was treated with s
243 A-damaging anticancer drugs remain a part of metastatic melanoma therapy.
244                                           In metastatic melanoma, this approach results in measurable
245  SPINT2 expression is significantly lower in metastatic melanoma tissues compared with those in early
246 e evaluated resistance mechanisms arising in metastatic melanoma to MAPK pathway kinase inhibitors as
247                    We established a model of metastatic melanoma to the lung in C57/BL6 albino mice t
248              Here we use clinical samples of metastatic melanomas to investigate the role of B cells
249 our regressions in a subset of patients with metastatic melanoma treated with an anti-CTLA4 antibody
250  (NPMs) have developed in some patients with metastatic melanoma treated with BRAF inhibitors.
251                 Conclusion: In patients with metastatic melanoma treated with ipilimumab, tumor respo
252 2A, for PET/CT imaging in a subcutaneous and metastatic melanoma tumor.
253                                           In metastatic melanoma tumors and cell lines, MITF positive
254 us as a frequently gained genomic segment in metastatic melanoma tumors and cell lines.
255 c and histone epigenetic analysis of patient metastatic melanoma tumors taken prior to checkpoint blo
256 conduct a prospective study of patients with metastatic melanoma undergoing ipilimumab treatment and
257 s in the systemic treatment of patients with metastatic melanoma using immune checkpoint and tyrosine
258 a-based immunotherapeutic strategies against metastatic melanoma, using a genetically engineered mous
259 mpare the long-term outcome of patients with metastatic melanoma vaccinated with 6MHP to that of a gr
260 ession-free survival in cancer patients with metastatic melanoma, we developed a set of stochastic di
261 inical specimens of primary breast cancer or metastatic melanoma, we found a positive correlation bet
262 K5 knockout mice and a mouse model of highly metastatic melanoma, we found that CDK5 is dispensable f
263 ls of immune checkpoint blockade therapy for metastatic melanoma, we found that tumor aneuploidy inve
264                     In clinical specimens of metastatic melanoma, we observed significant upregulatio
265 d and metastatic lymph nodes performed in 39 metastatic melanomas, we found that blood markers were a
266  dacarbazine-controlled randomised trials of metastatic melanoma; we postulate that this association
267         Therapeutic efficacy for advanced or metastatic melanoma went from being one of the most poor
268 ve oral chemotherapy agent for patients with metastatic melanoma who carry the BRAF V600E mutation.
269 man undergoing treatment with ipilimumab for metastatic melanoma who developed classic cutaneous find
270 n an exemplary clinical case: a patient with metastatic melanoma who developed disease recurrence fol
271 tudy reported the cases of two patients with metastatic melanoma who developed fatal myocarditis duri
272  phase I/II trial enrolling 63 patients with metastatic melanoma who did not receive vemurafenib nor
273  and relapsing lesions in four patients with metastatic melanoma who had had an initial objective tum
274 uble-blind study involving 142 patients with metastatic melanoma who had not previously received trea
275                    Sixty-seven patients with metastatic melanoma who received pembrolizumab treatment
276 ith BRAF(V600E)-mutant or BRAF(V600K)-mutant metastatic melanoma who received the approved dose of da
277 ected population-based cohort of adults with metastatic melanoma who started therapy with pembrolizum
278 ds: We analyzed 60 consecutive patients with metastatic melanoma who underwent (18)F-FDG PET/CT scans
279  coreceptors PD-1 and Tim-3 in patients with metastatic melanoma who were administered tumor vaccines
280 lung cancer, colorectal liver metastases, or metastatic melanoma who were scanned for therapy monitor
281 al600Glu or Val600Lys mutant unresectable or metastatic melanoma who were treated with the combinatio
282 pulation of patients with BRAF(V600) mutated metastatic melanoma, who are more representative of rout
283 ients with an unusually prolonged history of metastatic melanoma, who developed a total of 26 recurre
284                            PET/CT imaging of metastatic melanoma with (68)Ga-NODAGA-PEG4-LLP2A and (6
285 rial, we randomly assigned 704 patients with metastatic melanoma with a BRAF V600 mutation to receive
286            Patients who have unresectable or metastatic melanoma with a BRAF V600E or V600K mutation
287 hird of the patients who had unresectable or metastatic melanoma with a BRAF V600E or V600K mutation.
288 sed phase 3 study in which 704 patients with metastatic melanoma with a BRAF Val600 mutation were ran
289                           We describe here a metastatic melanoma with a GOLGA4-RAF1 fusion and pathog
290                        Combined treatment of metastatic melanoma with BRAF and MEK inhibitors has imp
291 rvival in previously untreated patients with metastatic melanoma with BRAF V600E or V600K mutations,
292 rapies in patients with previously untreated metastatic melanoma with BRAF V600E or V600K mutations.
293 val in previously untreated patients who had metastatic melanoma with BRAF V600E or V600K mutations.
294          Despite improvements in survival in metastatic melanoma with combined BRAF and mitogen-activ
295      In the current study, 103 patients with metastatic melanoma with rare, activating non-V600E/K BR
296 complete regressions in 24% of patients with metastatic melanoma, with median survival > 3 years.
297 ed 418 previously untreated patients who had metastatic melanoma without a BRAF mutation to receive n
298  among previously untreated patients who had metastatic melanoma without a BRAF mutation.
299 roves clinical outcomes in BRAF(V600)-mutant metastatic melanoma without brain metastases; however, t
300 ) represent promising therapeutic agents for metastatic melanoma, yet their mechanism of action remai

 
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