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The lactic acidification in the TME also impacts immunomodulation, particularly associated with TAMs

2.1.3 Collapse of antioxidant defense mechanisms The antioxidant defense System in cells is critically dependent on glutathione peroxidase 4 (GPX4), a crucial metabolic enzyme that uses glutathione (GSH) to convert lipid peroxides into non-toxic alcohols, thereby minimizing harmful lipid peroxidation and safeguarding cells from ferroptosis