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152 Dysregulation of Wnt/-catenin signalling is often caused by mutations of various components in the pathway, particularly mutations or silencing of the Wnt tumour suppressor, which occurs frequently in various cancer types, such as adenomatous polyposis coli (APC) mutations, 193 Axin1/2 mutations, 194,195 GSK3 deletions, 196 inactivation mutations of E3 ubiquitin ligase RNF43, 196 and Znrf3

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More severe side effects are rare

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Regardless, these non-inferiority data provide encouraging early evidence that NAD + raising therapies may be safe to use in cancer patients, though the heterogeneity of tumour types means that these studies should be interpreted with caution, and additional studies are needed in different cancer models

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