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Another study showed that a synergistic antitumor effect of melatonin in combination with vincristine or ifosfamide was observed in Ewing sarcoma, the second most frequent type of bone cancer, with significantly elevated activation of caspase-3, -8, -9, and Bid [51]

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Overstimulation of metalloproteinases (MMPs), enzymes that break down collagen and elastin

Mutations identified in patients with defective lipoic acid metabolism affect genes involved in the synthesis of iron-sulfur clusters and genes coding for lipoic acid synthetase ( LIAS ), lipoyl transferase 1 ( LIPT1 ), and dihydrolipoamide dehydrogenase (E3 component of -ketoacid dehydrogenase complexes