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Taurine in Type 2 Diabetes: Plasma Concentrations, Metabolic Pathways, and Potential as a Therapeutic Adjuvant. 牛磺酸在2型糖尿病中的作用:血浆浓度、代谢途径和作为辅助治疗的潜力。
IF 5.5 3区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2025-11-11 DOI: 10.1007/s13668-025-00711-7
Caroline Fogagnolo, Gabriela Ueta Ortiz, Sofia Germano Travieso, Ana Claudia Rossini-Venturini, Gabriela Ferreira Abud, Bianca Monteiro Silva, Adelino Sanchez Ramos da Silva, Ellen Cristini de Freitas

Purpose of review: This narrative review aims to synthesize evidence regarding plasma taurine concentrations in individuals with type 2 diabetes mellitus (T2DM), explore the underlying mechanisms involved and evaluate the therapeutic potential of taurine as an adjuvant treatment. Finally, it highlights key knowledge gaps and perspectives for future clinical research. Taurine, a sulfur-containing amino acid, exhibits notable antioxidant and anti-inflammatory properties. It plays essential roles in glucose homeostasis, osmoregulation, mitochondrial protection, and the neutralization of reactive and toxic compounds. T2DM, the most common form of diabetes, is characterized by insulin resistance, pancreatic β-cell dysfunction, low-grade systemic inflammation, and oxidative stress-factors that aggravate glucose dysregulation and cellular damage. Although lifestyle interventions are the cornerstone of T2DM management, there is growing interest in complementary therapies that target these molecular dysfunctions.

Recent findings: Plasma taurine concentrations have been found to be reduced in individuals with T2DM, likely due to impaired reabsorption, increased renal excretion, and elevated tissue demand caused by hyperglycemia and chronic inflammation. Experimental studies suggest that taurine supplementation can enhance insulin secretion, improve insulin signaling via the PI3K/Akt pathway, and modulate GLP-1 release. Preliminary human trials also indicate improvements in insulin sensitivity and fasting glucose levels. Taurine is essential for metabolic and cellular homeostasis, with reduced levels observed in individuals with type 2 diabetes. Emerging evidence suggests its supplementation may help counteract diabetes-related metabolic dysfunctions, supporting its potential as a complementary therapeutic strategy.

综述目的:本综述旨在综合有关2型糖尿病(T2DM)患者血浆牛磺酸浓度的证据,探讨其潜在机制,并评估牛磺酸作为辅助治疗的治疗潜力。最后,它强调了关键的知识差距和未来临床研究的前景。牛磺酸是一种含硫氨基酸,具有显著的抗氧化和抗炎特性。它在葡萄糖稳态、渗透调节、线粒体保护以及活性和有毒化合物的中和中发挥重要作用。T2DM是最常见的糖尿病形式,其特征是胰岛素抵抗、胰腺β细胞功能障碍、低度全身性炎症和氧化应激因子加重葡萄糖失调和细胞损伤。虽然生活方式干预是T2DM管理的基石,但针对这些分子功能障碍的补充疗法也越来越受到关注。最近发现:T2DM患者血浆牛磺酸浓度降低,可能是由于重吸收受损、肾脏排泄增加以及高血糖和慢性炎症引起的组织需求增加。实验研究表明,补充牛磺酸可以增强胰岛素分泌,通过PI3K/Akt通路改善胰岛素信号传导,调节GLP-1的释放。初步的人体试验也表明胰岛素敏感性和空腹血糖水平有所改善。牛磺酸对代谢和细胞稳态至关重要,在2型糖尿病患者中观察到牛磺酸水平降低。新出现的证据表明,它的补充可能有助于对抗糖尿病相关的代谢功能障碍,支持其作为一种补充治疗策略的潜力。
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引用次数: 0
Effect of Plant-Based Diets on Energy Metabolism and Metabolic Functions. 植物性日粮对能量代谢和代谢功能的影响
IF 5.5 3区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2025-11-03 DOI: 10.1007/s13668-025-00710-8
Emine Karademir, Nilüfer Acar-Tek

Purpose of review: This review aims to comprehensively evaluate the effects of plant-based diets (PBDs) on energy metabolism, with particular attention to their potential impacts on total energy expenditure (TEE) through basal metabolic rate (BMR), the thermic effect of food (TEF), and physical activity (PA), as well as the underlying physiological and biochemical mechanisms. Additionally, this work aims to explore the scope of changes in energy metabolism in relation to the effects of PBDs on metabolic functions, and to examine how these changes reflect on overall metabolic balance.

Recent findings: Plant-based diets appear to influence energy metabolism through various mechanisms, including increased dietary fiber intake, higher consumption of plant-based fats, greater intake of polyphenols and antioxidants, and reduced consumption of energy and animal-based proteins. Moreover, PBDs may impact energy metabolism by promoting weight loss, reducing lean and fat mass, and altering body composition. Although there is some evidence suggesting that PBDs may affect energy metabolism and metabolic functions, the existing research is limited and inconsistent. PBDs may affect energy metabolism through their dietary pattern and content. The impact of PBDs on metabolic functions through their effect on energy metabolism is also notable. Further research is required to investigate the impact of plant-based diets on energy metabolism and to clarify the relationship between changes in energy metabolism and metabolic functions.

综述目的:本文旨在全面评价植物性日粮(PBDs)对能量代谢的影响,特别关注植物性日粮(PBDs)通过基础代谢率(BMR)、食物热效应(TEF)和身体活动(PA)对总能量消耗(TEE)的潜在影响,以及潜在的生理生化机制。此外,本工作旨在探讨与PBDs对代谢功能影响相关的能量代谢变化范围,并研究这些变化如何反映整体代谢平衡。最近的发现:植物性饮食似乎通过各种机制影响能量代谢,包括增加膳食纤维摄入量,增加植物性脂肪的摄入,增加多酚和抗氧化剂的摄入,减少能量和动物蛋白的摄入。此外,pbd可能通过促进体重减轻、减少瘦肉和脂肪量以及改变身体成分来影响能量代谢。虽然有一些证据表明多溴代化合物可能影响能量代谢和代谢功能,但现有研究有限且不一致。多pbd可能通过其膳食模式和含量影响能量代谢。pbd通过对能量代谢的影响对代谢功能的影响也是显著的。需要进一步研究植物性饮食对能量代谢的影响,阐明能量代谢变化与代谢功能之间的关系。
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引用次数: 0
Zinc and Adipose Organ Dysfunction: Molecular Insights into Obesity and Metabolic Disorders. 锌和脂肪器官功能障碍:肥胖和代谢紊乱的分子见解。
IF 5.5 3区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2025-10-24 DOI: 10.1007/s13668-025-00709-1
Zahra Bahadoran, Fateme Ghafouri-Taleghani, Marijana Todorčević

Purpose of review: This review explores the emerging role of zinc (Zn) as a critical regulator of adipose organ structure and function, highlighting how Zn-related molecular networks contribute to the pathogenesis of obesity and associated metabolic disorders.

Recent findings: Experimental Zn-deficient models, and genetically-modified Zn-associated proteins, including Zn transporters [i.e., ZnTs (SLC30 family) and Zips (SLC39 family)], zinc-α2-glycoprotein (ZAG), metallothioneins (MTs), and zinc finger proteins (ZFPs), demonstrate that Zn is indispensable for maintaining adipose organ integrity. Loss of these proteins disrupts adipogenesis, promotes adipocyte hypertrophy, induces macrophage infiltration and M1 polarization, and drives pathological visceral fat expansion, resulting in systemic metabolic dysregulation. Zn plays a pivotal role in preserving adipose organ health and systemic metabolic balance. Further investigation is needed to elucidate depot-specific effects of Zn and the coordinated roles of Zn-handling proteins in adipose tissue, which may open new avenues for therapeutic strategies against obesity and metabolic diseases.

综述目的:本文探讨了锌(Zn)作为脂肪器官结构和功能的关键调节因子的新作用,重点介绍了锌相关分子网络如何参与肥胖和相关代谢紊乱的发病机制。最近的研究发现:实验性缺锌模型和基因修饰的锌相关蛋白,包括锌转运蛋白[即ZnTs (SLC30家族)和Zips (SLC39家族)]、锌-α2-糖蛋白(ZAG)、金属硫蛋白(MTs)和锌指蛋白(ZFPs),表明锌对于维持脂肪器官的完整性是不可或缺的。这些蛋白的缺失破坏脂肪形成,促进脂肪细胞肥大,诱导巨噬细胞浸润和M1极化,驱动病理性内脏脂肪扩张,导致全身代谢失调。锌在维持脂肪器官健康和全身代谢平衡中起着关键作用。需要进一步研究阐明锌的仓库特异性作用以及锌处理蛋白在脂肪组织中的协调作用,这可能为肥胖和代谢性疾病的治疗策略开辟新的途径。
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引用次数: 0
Ultra-processed Plant Foods: Are They Worse than their Unprocessed Animal-Based Counterparts? 超加工植物食品:它们比未加工的动物食品更糟糕吗?
IF 5.5 3区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2025-10-23 DOI: 10.1007/s13668-025-00704-6
Mariana Del Carmen Fernández-Fígares Jiménez, Miguel López-Moreno

Purpose of the review: This review aims to compare the impact of unprocessed animal foods with ultra-processed plant-based alternatives, particularly plant-based milks, plant-based meat analogs, and margarine, on cardiometabolic risk factors, chronic diseases, and mortality.

Recent findings: The ultra-processed food category is highly heterogeneous, encompassing products with varying ingredients and nutrient profiles. Plant-based milks, plant-based meat analogs, and margarine, typically classified as ultra-processed foods, differ markedly from their unprocessed animal-based counterparts: they do not contain cholesterol or heme iron, have lower concentrations of saturated fat, sulfur, and branched-chain amino acids, and provide dietary fiber, which is absent in animal-based foods. Replacing dairy milk with soymilk have been shown to reduce total cholesterol (TC), LDL cholesterol (LDL-C), and C-reactive protein (CRP), and is associated with a lower risk of breast cancer. Compared to unprocessed animal-based products, plant-based meat analogs are associated with reductions in TC, LDL-C, body weight, plasma ammonia, and trimethylamine oxide (TMAO). Substituting butter with soft margarine reduces TC and LDL-C, and is associated with a lower risk of cardiovascular events and mortality. While ultra-processed plant-based foods are less healthy than whole plant foods, they may offer better cardiometabolic outcomes than unprocessed animal-based products. As transitional tools, products such as plant-based milks, meat analogs, and margarine may facilitate dietary shifts. Public health guidance should reflect these nuances to support realistic, health-promoting transitions.

综述目的:本综述旨在比较未加工动物性食品与超加工植物性食品的影响,特别是植物性牛奶、植物性肉类类似物和人造黄油,对心脏代谢危险因素、慢性疾病和死亡率的影响。最近的研究发现:超加工食品种类繁多,包括各种成分和营养成分的产品。植物性牛奶、植物性肉类类似物和人造黄油通常被归类为超加工食品,它们与未经加工的动物性食品明显不同:它们不含胆固醇或血红素铁,饱和脂肪、硫和支链氨基酸的浓度较低,并提供动物性食品中所缺乏的膳食纤维。用豆浆代替牛奶已被证明可以降低总胆固醇(TC)、低密度脂蛋白胆固醇(LDL- c)和c反应蛋白(CRP),并与降低乳腺癌风险有关。与未经加工的动物性产品相比,植物性肉类类似物与降低总胆固醇、低密度脂蛋白、体重、血浆氨和氧化三甲胺(TMAO)有关。用软人造黄油代替黄油可以降低TC和LDL-C,并降低心血管事件和死亡率的风险。虽然超加工的植物性食品不如全植物性食品健康,但它们可能比未加工的动物性食品提供更好的心脏代谢结果。作为过渡工具,植物性牛奶、肉类类似物和人造黄油等产品可能会促进饮食的转变。公共卫生指导应反映这些细微差别,以支持现实的、促进健康的转变。
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引用次数: 0
Adolescent Nutrition and Health: a Critical Period for Nutritional Intervention to Prevent Long Term Health Consequences. 青少年营养与健康:营养干预预防长期健康后果的关键时期。
IF 5.5 3区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2025-10-23 DOI: 10.1007/s13668-025-00706-4
Janaki Parajuli, Pattaneeya Prangthip

Purpose of review: This review aims to examine adolescent nutrition as a critical and often neglected component of global health agendas. Adolescence represents a period of rapid growth and development with increased nutritional and energy demands, remaining a 'hidden crisis' in nutritional health. The review explores the 'triple burden' of malnutrition affecting this population-undernutrition, micronutrient deficiencies, and overnutrition-and analyzes the individual, social, environmental, and socio-economic factors influencing adolescent nutritional status.

Recent findings: Poor nutrition during adolescence has been linked to both immediate and long-term health consequences, including micronutrient deficiencies, obesity, and cardiometabolic conditions. Evidence suggests that adolescents' heightened receptivity to societal influences can be leveraged through targeted interventions. Family-led programs, environmental reforms, and comprehensive policy measures have shown promising results in promoting healthier nutritional behaviors among adolescents. The nutritional challenges facing adolescents require urgent attention through comprehensive, multi-sectoral strategies. Effective interventions during this critical developmental window can foster long-term health outcomes and help break intergenerational cycles of malnutrition. This review emphasizes the importance of prioritizing adolescent nutrition within global health initiatives to address this significant and often overlooked public health concern.

综述目的:本综述旨在研究青少年营养作为全球卫生议程中一个关键但经常被忽视的组成部分。青春期是一个快速成长和发育的时期,营养和能量需求增加,仍然是营养健康方面的“隐性危机”。这篇综述探讨了影响这一人口的营养不良的“三重负担”——营养不足、微量营养素缺乏和营养过剩,并分析了影响青少年营养状况的个人、社会、环境和社会经济因素。最近的研究发现:青春期营养不良与近期和长期的健康后果有关,包括微量营养素缺乏、肥胖和心脏代谢疾病。有证据表明,可以通过有针对性的干预措施来提高青少年对社会影响的接受能力。家庭主导的项目、环境改革和综合政策措施在促进青少年更健康的营养行为方面取得了可喜的成果。青少年面临的营养挑战需要通过全面的多部门战略予以紧急关注。在这一关键的发育窗口期进行有效干预,可促进长期健康成果,并有助于打破营养不良的代际循环。本综述强调了在全球卫生行动中优先考虑青少年营养的重要性,以解决这一重大但往往被忽视的公共卫生问题。
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引用次数: 0
Temporal Eating Patterns and Colorectal Cancer: A Systematic Review. 时间饮食模式与结直肠癌:一项系统综述。
IF 5.5 3区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2025-10-21 DOI: 10.1007/s13668-025-00700-w
Zegeye Abebe, Molla Mesele Wassie, Amy C Reynolds, Yohannes Adama Melaku

Purpose of the review: In addition to diet quality, which influences the risk of colorectal cancer (CRC), temporal eating patterns, such as meal frequency, duration, regularity, and timing, may also play an important role. Recent studies have suggest that these eating patterns can influence CRC risk; however, dietary guidelines predominantly emphasise modifying the intake of specific food items to reduce risk and promote overall health. Additionally, comprehensive studies examining the relationship between temporal eating patterns and CRC risk are lacking. This review aimed to synthesise the available evidence on how temporal eating patterns may affect CRC risk and mortality. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a systematic literature review was conducted using databases such as Medline, Scopus, Web of Science, CINAHL, and ProQuest, ultimately including 20 relevant articles.

Recent findings: Higher eating frequency, particularly when involving unhealthy foods, along with skipping breakfast and increased snacking may elevate CRC risk. Furthermore, a short interval between the last meal and bedtime has been associated with an increased risk of CRC and related mortality. The findings suggest that a short interval between the last meal and bedtime may increase CRC risk, potentially through mechanisms such as circadian rhythm disruption, oxidative stress, and inflammation. In addtion, higher meal frequency, particularly when coupled with an unhealthy diet, appears to further elevate the risk. Future research should employ standardised definitions and detailed assessment of 24-hour eating patterns to better elucidate their relationship with CRC outcomes.

综述目的:除了影响结直肠癌(CRC)风险的饮食质量外,时间饮食模式,如用餐频率、持续时间、规律性和时间,也可能起重要作用。最近的研究表明,这些饮食模式可以影响结直肠癌的风险;然而,膳食指南主要强调调整特定食物的摄入量,以降低风险,促进整体健康。此外,目前还缺乏关于时间饮食模式与结直肠癌风险之间关系的全面研究。这篇综述的目的是综合现有的关于时间饮食模式如何影响结直肠癌风险和死亡率的证据。按照系统评价和荟萃分析的首选报告项目指南,使用Medline、Scopus、Web of Science、CINAHL和ProQuest等数据库进行系统文献综述,最终包括20篇相关文章。最近的研究发现:较高的饮食频率,尤其是不健康的食物,以及不吃早餐和多吃零食可能会增加结直肠癌的风险。此外,最后一餐和就寝时间间隔较短与结直肠癌和相关死亡率的风险增加有关。研究结果表明,最后一餐和就寝时间之间的短暂间隔可能会增加结直肠癌的风险,可能是通过昼夜节律中断、氧化应激和炎症等机制。此外,较高的用餐频率,特别是与不健康的饮食相结合时,似乎会进一步增加患病风险。未来的研究应采用标准化的定义和对24小时饮食模式的详细评估,以更好地阐明其与结直肠癌结局的关系。
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引用次数: 0
Nutritional Approaches and Supplementation in Lipedema Management: A Narrative Review of Current Evidence. 脂肪水肿管理中的营养方法和补充:当前证据的叙述性回顾。
IF 5.5 3区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2025-10-18 DOI: 10.1007/s13668-025-00705-5
Ayca Aydin, Pelin Bilgic
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引用次数: 0
Nutrition, Environment, and Genetics in Colorectal Cancer. Epigenetics and Possible Future Perspective. 结直肠癌的营养、环境和遗传学。表观遗传学和可能的未来展望。
IF 5.5 3区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2025-10-18 DOI: 10.1007/s13668-025-00701-9
Stefano Brandolino, Marica Franzago, Giovanna Murmura, Fabrizio Ricci, Valentina Gatta, Liborio Stuppia, Ester Vitacolonna

Purpose of review: This review provides an overview of the relationship among nutritional, environmental, and genetic factors in the development of the chronic inflammatory state, starting from the inflammatory bowel disease (IBD) up to the onset of Colorectal Cancer (CRC). Finally, it also examines potential prospects and future topics of research taking into account the relation between nutrition and epigenetic factors.

Recent findings: Evidence indicates that genetic and lifestyle-related factors play a crucial role in CRC etiology. Dietary intake may induce epigenetic alterations which in turn, result in carcinogenesis. Several bioactive components can modify epigenetic mechanisms, required for gene activation or silencing, thus, representing a potential way of preventing CRC. The gene-diet interaction analysis suggested some functions and pathways that may affect the CRC development. In this view, personalized nutrition, which is an approach that combines with new omics technologies, could represent a new possible key for personalized prevention and treatment in association with other cancer prevention and chemotherapeutic therapies.

综述目的:本文综述了营养、环境和遗传因素在慢性炎症状态发展中的关系,从炎症性肠病(IBD)到结直肠癌(CRC)的发病。最后,它还探讨了潜在的前景和未来的研究课题,考虑到营养和表观遗传因素之间的关系。最新发现:有证据表明,遗传和生活方式相关因素在结直肠癌的病因中起着至关重要的作用。饮食摄入可引起表观遗传改变,进而导致致癌。一些生物活性成分可以改变基因激活或沉默所需的表观遗传机制,因此,代表了预防结直肠癌的潜在途径。基因-饮食相互作用分析提示了一些可能影响结直肠癌发展的功能和途径。在这种观点下,个性化营养作为一种与新的组学技术相结合的方法,可能代表着与其他癌症预防和化疗疗法相关的个性化预防和治疗的新可能的关键。
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引用次数: 0
Vitamin C in Pregnancy: A Key Modulator of Fetal Growth and Epigenetic Stability. 妊娠期维生素C:胎儿生长和表观遗传稳定性的关键调节剂。
IF 5.5 3区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2025-10-18 DOI: 10.1007/s13668-025-00708-2
Burcu Ersoy-Demiryurek, Makbule Gezmen-Karadag
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引用次数: 0
Ultra-Processed Foods and Cardiometabolic Health: A Review of Current Evidence. 超加工食品与心脏代谢健康:当前证据综述
IF 5.5 3区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2025-10-09 DOI: 10.1007/s13668-025-00703-7
Nazlıcan Erdoğan Gövez, Eda Köksal

Purpose of review: Non-communicable diseases have become a greater global burden in recent years. An unhealthy diet is one of the primary behavioral factors that have been associated with cardiometabolic diseases. Ultra-processed foods (UPFs) have emerged as a predominant element of modern diets, prompting much concern regarding their effects on cardiometabolic health. This review aimed to examine the association UPF consumption and cardiometabolic diseases, such as obesity, type 2 diabetes, and cardiovascular diseases, by integrating results from cross-sectional and longitudinal studies, meta-analyses, and mechanistic research.

Recent findings: The cost-effectiveness, prolonged shelf life, palatability, convenience, and marketing strategies of UPFs contribute to their overconsumption, substituting nutrient-rich meals with energy-dense, high-fat, high-sugar, and low-fiber alternatives. These dietary shifts disturb metabolic regulation, promote weight gain, and elevate the risk of insulin resistance, type 2 diabetes, dyslipidemia, hypertension, and cardiovascular diseases. High consumption of UPFs has been consistently associated with greater obesity rates and a higher prevalence of cardiometabolic diseases. Moreover, regular or over-consumption is associated with systemic inflammation and oxidative stress, both of which intensify the mechanisms contributing to cardiometabolic risk. The increasing body of evidence that establishes a correlation between the consumption of UPFs and cardiometabolic diseases emphasizes the pressing necessity of public health interventions to encourage healthier dietary habits and alleviate the global burden of non-communicable diseases.

审查目的:近年来,非传染性疾病已成为一个更大的全球负担。不健康的饮食是与心脏代谢疾病相关的主要行为因素之一。超加工食品(upf)已成为现代饮食的主要组成部分,引起了人们对其对心脏代谢健康的影响的关注。本综述旨在通过整合横断面和纵向研究、荟萃分析和机制研究的结果,研究UPF消费与心脏代谢疾病(如肥胖、2型糖尿病和心血管疾病)的关系。最近的研究发现:upf的成本效益、延长的保质期、适口性、便利性和营销策略导致了它们的过度消费,用能量密集、高脂肪、高糖和低纤维的替代品取代了营养丰富的膳食。这些饮食变化扰乱代谢调节,促进体重增加,并增加胰岛素抵抗、2型糖尿病、血脂异常、高血压和心血管疾病的风险。upf的高消费一直与较高的肥胖率和较高的心脏代谢疾病患病率相关。此外,经常或过度消费与全身炎症和氧化应激有关,这两者都加强了导致心脏代谢风险的机制。越来越多的证据表明,食用upf与心脏代谢疾病之间存在关联,这强调了迫切需要采取公共卫生干预措施,鼓励更健康的饮食习惯,减轻全球非传染性疾病负担。
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引用次数: 0
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