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A combination therapy consisting of isotretinoin (cis-13-retinoic acid), a retinoid, and vorinostat, a histone deacetylase (HDAC) inhibitor. Preclinical studies demonstrated that vorinostat combined with retinoids produces additive antitumor effects in neuroblastoma. The combination works through complementary mechanisms, with vorinostat inhibiting histone deacetylases, leading to increased histone acetylation and altered gene expression, while isotretinoin acts through retinoid receptors to influence cell differentiation and growth.
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