The document discusses the challenges and solutions of scaling distributed key-value stores (KVS) by implementing a hybrid model called scale-out ccNUMA, which integrates symmetric caching to balance loads while maintaining consistency. It highlights issues related to skewed access distribution leading to performance bottlenecks and presents caching strategies that improve system throughput by distributing hot objects effectively across nodes. The proposed methods show significant performance improvements, achieving up to three times the throughput compared to traditional systems while ensuring strong consistency guarantees.