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A combination of two alkylating anticancer drugs used in the treatment of malignant gliomas, particularly glioblastoma. Both drugs induce apoptosis in glioma cells at late times following treatment through activation of the MAPK cascade, as shown by phosphorylation of Jun kinase (JNK) and c-Jun, a main component of AP-1. This leads to upregulation of the pro-apoptotic gene BIM, which is critical for inducing apoptosis. The combination has been studied for its efficacy against recurrent malignant gliomas and temozolomide-resistant glioblastoma models.
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