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There is growing evidence through the use of animal xenograft models and cell culture systems, that (1) nicotine's carcinogenic role stems from multiple signaling mechanisms, primarily involving both non-receptor-mediated actions and receptor-mediated effects, including nicotinic acetylcholine receptors, -adrenergic receptors and epidermal growth factor receptors, as well as transforming growth factor receptors

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There were no clear differences in serious adverse events between the three treatments

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