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Effector Treg cells take up lactate through MCT1 to enhance PD-1 expression and remodel its function and phenotype, which may be one of the reasons for resistance to PD-1 immunotherapy [16]

10.1007/s00213-018-4992-7 [DOI] [PMC free article] [PubMed] [Google Scholar] 39.Akaishi T, Nakashima I, Misu T, Fujihara K, Aoki M

The L-carnitine in the product comes from two sources: L-carnitine L-tartrate and acetyl-L-carnitine
