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It is not accurate to say a trial proved tesamorelin outperforms sermorelin, because no such trial was ever run

Studies have shown that CAFs upregulate levels of C-C motif chemokine ligands such as CCL2, CCL5, and CCL20 to coordinate activation of HCC cell ERK/PKM2 and TGF- pathways to enhance tumor metastasis phenotype and regulate tumor metabolism (135, 136)