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Novel therapies targeting vascular endothelium. 针对血管内皮的新型疗法。
Pub Date : 2006-11-01 DOI: 10.1080/10623320601061714
Dimitris Tousoulis, Charalambos Antoniades, Nikolaos Koumallos, Kyriakoula Marinou, Elli Stefanadi, George Latsios, Christodoulos Stefanadis

Endothelial dysfunction has been identified as a major mechanism involved in all the stages of atherogenesis. Evaluation of endothelial function seems to have a predictive role in humans, and therapeutic interventions improving nitric oxide bioavailability in the vasculature may improve the long-term outcome in healthy individuals, high-risk subjects, or patients with advanced atherosclerosis. Several therapeutic strategies are now available, targeting both the synthesis and oxidative inactivation of nitric oxide (NO) in human vasculature. Statins seem to be currently the most powerful category of these agents, improving endothelial function and decreasing cardiovascular risk after long-term administration. Other cardiovascular agents improving endothelial function in humans are angiotensin-converting enzyme inhibitors/angiotensin receptors blockers, which increase NO bioavailability by modifying the rennin-angiotensin-aldosterone system. Newer therapeutic approaches targeting endothelial dysfunction in specific disease states include insulin sensitizers, L-arginine (the substrate for endothelial NO synthase [eNOS]) as well as substances that target eNOS "coupling," such as folates or tetrahydrobiopterin. Although there are a variety of strategies to improve NO bioavailability in human endothelium, it is still unclear whether they have any direct benefit at a clinical level.

内皮功能障碍已被确定为动脉粥样硬化各阶段的一个主要机制。对人体内皮功能的评估似乎具有预测作用,而改善血管中一氧化氮生物利用率的治疗干预措施可改善健康人、高危人群或晚期动脉粥样硬化患者的长期预后。目前已有几种治疗策略,针对人体血管中一氧化氮(NO)的合成和氧化失活。他汀类药物似乎是目前最有效的一类药物,长期服用可改善内皮功能,降低心血管风险。其他能改善人体内皮功能的心血管药物还有血管紧张素转换酶抑制剂/血管紧张素受体阻滞剂,它们通过改变肾素-血管紧张素-醛固酮系统来增加 NO 的生物利用度。针对特定疾病状态下内皮功能障碍的新治疗方法包括胰岛素增敏剂、L-精氨酸(内皮 NO 合酶 [eNOS] 的底物)以及针对 eNOS "耦合 "的物质,如叶酸或四氢生物蝶呤。虽然有多种策略可以提高人体内皮中的 NO 生物利用率,但目前还不清楚这些策略在临床上是否有任何直接益处。
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引用次数: 46
Asymmetric subcellular distribution of glucose transporters in the endothelium of small contractile arteries. 小动脉收缩内皮中葡萄糖转运体的不对称亚细胞分布。
Pub Date : 2006-09-01 DOI: 10.1080/10623320600972085
N Gaudreault, D R L Scriven, E D W Moore

The authors have recently reported the presence and asymmetric distribution of the glucose transporters GLUT-1 to -5 and SGLT-1 in the endothelium of rat coronary artery (Gaudreault et al. 2004, Diabetologica, 47, 2081-2092). In the present study the authors investigate and compare the presence and subcellular distribution of the classic glucose transporter isoforms in endothelial cells of cerebral, renal, and mesenteric arteries. The GLUTs and SGLT-1 were examined with immunohistochemistry and wide-field fluorescence microscopy coupled to deconvolution in en face preparation of intact artery. We identified GLUT-1 to -5 and SGLT-1 in the endothelial cells of all three vascular beds. The relative level of expression for each isoform was found comparable amongst arteries. Clusters of the glucose transporter isoforms were found at a high density in proximity to the cell-to-cell junctions. In addition, a consistent asymmetric distribution of GLUT-1 to -5 was found, predominantly located on the abluminal side of the endothelium in all three vascular beds examined (ranging from 68% to 91%, p<.05). The authors conclude that the expression and subcellular distribution of glucose transporters are similar in endothelial cells from vascular beds of comparable diameter and suggest that their subcellular organization may facilitate transendothelial transport of glucose in small contractile arteries.

作者最近报道了大鼠冠状动脉内皮中葡萄糖转运体GLUT-1至-5和SGLT-1的存在和不对称分布(Gaudreault et al. 2004, diabet, 47, 2081-2092)。在本研究中,作者调查并比较了经典葡萄糖转运体亚型在脑、肾和肠系膜动脉内皮细胞中的存在和亚细胞分布。采用免疫组织化学和宽视场荧光显微镜联合反褶积法检测glts和SGLT-1。我们在所有三个血管床的内皮细胞中发现了GLUT-1至-5和SGLT-1。每个亚型的相对表达水平在动脉中具有可比性。葡萄糖转运蛋白异构体的簇在细胞间连接附近高密度地被发现。此外,发现谷氨酸-1至-5的不对称分布一致,主要位于所检查的三个血管床的内皮腔侧(68%至91%,p
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引用次数: 10
Evidence of vascular damage in dengue disease: demonstration of high levels of soluble cell adhesion molecules and circulating endothelial cells. 登革热中血管损伤的证据:高水平的可溶性细胞粘附分子和循环内皮细胞的证明。
Pub Date : 2006-09-01 DOI: 10.1080/10623320600972135
José E Cardier, Betty Rivas, Egidio Romano, Alan L Rothman, Carlos Perez-Perez, Mariangel Ochoa, Ana M Caceres, Marisabel Cardier, Napoleón Guevara, Roberto Giovannetti

Clinical evidence suggests that vascular damage plays a key role in the pathophysiology of dengue hemorrhagic fever (DHF). In this study, the authors tested this hypothesis by examining the levels of soluble intercellular adhesion molecule and vascular cell adhesion molecule (sICAM-1 and sVCAM-1), and the presence of circulating endothelial cells (CECs), as evidence of vascular damage, in peripheral blood from DHF patients (n=13). A significant increase in plasma levels of sICAM-1 (n=12) and sVCAM-1 (n=13) was detected by enzyme-linked immunosorbent assay (ELISA) in DHF patients, compared with healthy individuals. Increased numbers of CECs, as detected by the expression of endothelial cell markers (ICAM-1, platelet cell adhesion molecule [PCAM]-1, and CD36) with flow cytometry, were observed in DHF patients (n=4), compared to healthy subjects. The high levels of sICAM-1 and sVCAM-1, together with the presence of CECs in DHF patients, provide further evidence of endothelium damage and activation in DHF patients.

临床证据表明,血管损伤在登革出血热(DHF)的病理生理中起着关键作用。在这项研究中,作者通过检测DHF患者外周血中可溶性细胞间粘附分子和血管细胞粘附分子(sICAM-1和sVCAM-1)的水平,以及作为血管损伤证据的循环内皮细胞(CECs)的存在,验证了这一假设(n=13)。酶联免疫吸附试验(ELISA)检测DHF患者血浆中sICAM-1 (n=12)和sVCAM-1 (n=13)水平与健康人相比显著升高。通过流式细胞术检测内皮细胞标志物(ICAM-1、血小板细胞粘附分子[PCAM]-1和CD36)的表达,DHF患者(n=4)的CECs数量比健康人增加。高水平的sICAM-1和sVCAM-1,以及DHF患者中CECs的存在,进一步证明了DHF患者内皮细胞的损伤和活化。
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引用次数: 69
A study of physiologic angiogenesis in the human using the dental pulp as an in vivo model. 以牙髓为体内模型的生理性血管生成研究。
Pub Date : 2006-09-01 DOI: 10.1080/10623320600972101
Frank Arfuso

With the commonly used in vivo animal models of angiogenesis, direct extrapolation of results to the human is not possible. The results presented from this study exemplify various phases of angiogenesis, from cell migration to apoptosis. This supports the use of the dental pulp of the developing human tooth as a viable model of in vivo physiologic angiogenesis.

通常使用的血管生成动物体内模型,不可能将结果直接外推到人类身上。本研究的结果体现了血管生成的各个阶段,从细胞迁移到细胞凋亡。这支持将发育中的人类牙齿牙髓作为体内生理性血管生成的可行模型。
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引用次数: 6
Alkaline pH-induced extracellular regulated protein kinase activation in brain microvascular endothelial cells: differential effects of Tris and lowered CO2. 碱性ph诱导的脑微血管内皮细胞胞外调节蛋白激酶活化:Tris和降低CO2的差异效应。
Pub Date : 2006-09-01 DOI: 10.1080/10623320600972119
Gregory T Motz, Mario Zuccarello, Robert M Rapoport

As it was previously reported that Tris-elevated pH acutely activated extracellular regulated protein kinase (ERK) in rat aorta smooth muscle cells, this study tested whether this finding could be extended to endothelial cells and, moreover, the relevance of this finding in brain microvascular endothelial cells with respect to respiratory-induced hypocapnic alkalosis. Exposure of bovine brain microvascular endothelial cells to pH 7.90 due to Tris for 15 and 30 min activated ERK twofold. In contrast, pH elevated to 7.75 and 7.90 by lowered percent CO2 failed to activate ERK (15, 30, and 60 min). These results suggest that respiratory alkalosis due to hypocapnia does not activate ERK in brain microvascular endothelial cells. The ability of Tris to activate ERK suggests a novel pathway, possibly independent of pH elevation, whereby Tris activates ERK.

正如之前报道的那样,tris升高的pH值急性激活了大鼠主动脉平滑肌细胞中的细胞外调节蛋白激酶(ERK),本研究测试了这一发现是否可以扩展到内皮细胞,此外,这一发现在脑微血管内皮细胞中与呼吸性低碳碱中毒的相关性。将牛脑微血管内皮细胞暴露于pH为7.90的Tris环境中15分钟和30分钟,ERK被激活两倍。相比之下,当pH值升高到7.75和7.90时,降低CO2的百分比,则无法激活ERK(15、30和60分钟)。这些结果表明,低碳酸血症引起的呼吸性碱中毒不会激活脑微血管内皮细胞中的ERK。Tris激活ERK的能力提示了一种可能独立于pH升高的新途径,即Tris激活ERK。
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引用次数: 2
Soluble endothelial adhesion molecule concentration in patients with aortic coarctation. 主动脉缩窄患者可溶性内皮粘附分子浓度的变化。
Pub Date : 2006-09-01 DOI: 10.1080/10623320600972143
Pavel Osmancik, József Bocsi, Jörg Hambsch, Peter Schneider, Attila Tárnok

Coarctation of aorta (CoA) is often associated with development of vascular abnormalities and hypertension despite successful correction. The aim of the study was to compare concentrations of adhesion molecules and interleukin-6 (IL-6), an inflammatory cytokine in following groups: children with CoA before operation, chidren with CoA after operation, and healthy control children. Seventeen children with CoA and 18 healthy children (control) were investigated. Blood samples were taken 1 day preoperatively and during followup (10.2+/-7.5 months). Serum concentrations of soluble E- and L-selectin, intercellular adhesion molecule-1 (sICAM-1), and IL-6 were measured by enzyme-linked immunosorbent assay (ELISA). On arms, systolic and diastolic blood pressures decreased after surgery. On legs, only systolic, but not diastolic, blood pressure increased significantly. There was no difference in the concentrations of IL-6, sE-, sL-selectin, or sICAM-1 before and after CoA repair. Postoperative ICAM-1 concentration in children with CoA was significantly higher compared to control (321.7+/-93.4 versus 248.8+/-84.3 ng/mL, P=.002). Only preoperative concentration of L-selectin was higher in children with CoA compared to control (1617.7+/-387.5 ng/mL versus 1271.1+/-266.6 ng/mL). The correction of CoA leads to normalization of leukocyte activity. The markers of endothelial damage and proinflammatory activity are not significantly changed by correction of CoA in young children.

主动脉缩窄(CoA)往往与血管异常和高血压的发展有关,尽管成功的纠正。本研究的目的是比较粘附分子和白细胞介素-6 (IL-6,一种炎症细胞因子)浓度在以下三组:术前CoA患儿、术后CoA患儿和健康对照患儿。对17例CoA患儿和18例健康儿童(对照组)进行调查。术前1天及随访期间(10.2+/-7.5个月)采集血样。采用酶联免疫吸附试验(ELISA)测定血清可溶性E-和l -选择素、细胞间粘附分子-1 (sICAM-1)和IL-6的浓度。在手臂上,手术后收缩压和舒张压下降。在腿部,只有收缩压而不是舒张压明显升高。在CoA修复前后,IL-6、sE-、sl -选择素或sICAM-1的浓度没有差异。CoA患儿术后ICAM-1浓度显著高于对照组(321.7+/-93.4 vs 248.8+/-84.3 ng/mL, P= 0.002)。只有CoA患儿术前l -选择素浓度高于对照组(1617.7+/-387.5 ng/mL vs 1271.1+/-266.6 ng/mL)。辅酶a的纠正导致白细胞活性的正常化。在幼儿中,校正辅酶a对内皮损伤和促炎活性的标志物没有显著改变。
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引用次数: 6
Elevation of intracellular cAMP up-regulated thrombomodulin mRNA in cultured vascular endothelial cells derived from spontaneous type-II diabetes mellitus model rat. 自发性ii型糖尿病模型大鼠血管内皮细胞内cAMP上调血栓调节蛋白mRNA的表达。
Pub Date : 2006-09-01 DOI: 10.1080/10623320600972051
Masanori Sunagawa, Seiji Shimada, Kazuhiko Hanashiro, Mariko Nakamura, Tadayoshi Kosugi

To investigate whether antihemostatic function of vascular endothelial cells (VECs) is changed in type-II diabetic model rats, the mRNA expressions of tissue-type and urokinase-type plasminogen activator (t-PA and u-PA), thrombomodulin (TM), PA inhibitor type-1 (PAI-1), and phosphodiesterases (type 3A, 3B, and 4D PDEs) were quantitated by the method of comparative reverse transcriptase-polymerase chain reaction (RT-PCR). VECs from type-II diabetic model Otsuka Long-Evans Tokushima Fatty (OLETF) rats and from its normal counterpart (LETO) rats were cultured for 24 h with dibutyryl adenosine 3',5'-cyclic monophosphate (db-cAMP) or a type-3 PDE inhibitor, cilostazol. Intracellular cAMP concentration was determined by the chemiluminescent enzyme-linked immunosorbent assay (ELISA) system. In cultured VECs from OLETF rats, the basal mRNA expressions of u-PA and TM were significantly decreased as compared to those in cultured VECs from LETO rats. TM mRNA expression in cultured VECs from OLETF rats was increased 2.1-fold at 24 h after treatment with db-cAMP (3 mmol/L). Basal mRNA expressions of type 3A, 3B, and 4D PDEs were significantly higher in VECs from OLETF rats than those from LETO rats. After treatment with cilostazol (30 micromol/L), intracellular cAMP was significantly increased at 60 min and TM mRNA expression was increased 1.5-fold at 24 h. Therefore, elevation of intracellular cAMP by db-cAMP or cilostazol up-regulated TM mRNA expression in cultured VECs from OLETF rats.

为了研究ii型糖尿病模型大鼠血管内皮细胞(VECs)的抗止血功能是否发生改变,采用比较逆转录聚合酶链式反应(RT-PCR)方法,定量检测组织型和尿激酶型纤溶酶原激活剂(t-PA和u-PA)、血栓调节素(TM)、PA抑制剂1型(PAI-1)和磷酸二酯酶(3A、3B和4D PDEs) mRNA表达。用3′,5′-环单磷酸二丁基腺苷(db-cAMP)或3型PDE抑制剂西洛他唑培养2型糖尿病模型大鼠(OLETF)和正常对照大鼠(LETO)的vec 24小时。采用化学发光酶联免疫吸附法(ELISA)测定细胞内cAMP浓度。在OLETF大鼠培养的vec中,与LETO大鼠培养的vec相比,u-PA和TM的基础mRNA表达量显著降低。3 mmol/L db-cAMP处理后24 h, OLETF大鼠VECs中TM mRNA表达增加2.1倍。OLETF大鼠vec中3A、3B和4D型PDEs的基础mRNA表达量明显高于LETO大鼠。西洛他唑(30微mol/L)处理后,60 min细胞内cAMP显著升高,24 h细胞内TM mRNA表达增加1.5倍。因此,db-cAMP或西洛他唑升高细胞内cAMP可上调OLETF大鼠培养VECs的TM mRNA表达。
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引用次数: 10
Phenotype gradation of human saphenous vein endothelial cells from cardiovascular disease subjects. 心血管疾病患者大隐静脉内皮细胞的表型分级。
Pub Date : 2006-09-01 DOI: 10.1080/10623320600972036
C Krishna Prasad, K Jayakumar, Lissy K Krishnan
The highly organized histological architecture of the vascular wall and the specialized cellular phenotypes are perturbed in conditions such as atherosclerosis, restenosis, and hypertension. Alterations of endothelial cell (EC) phenotype in cardiovascular diseases (CVDs) as an effect of alteration of extracellular matrix (ECM) composition have not been well understood. In vitro study of EC phenotype is limited because they tend to dedifferentiate in subcultures. The objective of this study was to use in vitro cell culture on a biomimetic matrix model to characterize phenotype of human saphenous vein endothelial cells (HSVECs) harvested from CVD patients. Parameters studied were mRNA expression and synthesis of von Willebrand factor (vWF), plasminogen activation inhibitor (PAI), tissue plasminogen activator (t-PA), and endothelial nitric oxide synthetase (eNOS). Proliferation and apoptosis of HSVEC cultures obtained from eight different patients were compared on two matrices until passage 12. In early passages, both the prothombotic molecules vWF and PAI were overexpressed, whereas the antithrombotic molecules t-PA and eNOS were underexpressed. With increase in passage number, low expression of prothrombotic molecules and high expression of antithrombotic molecules were seen in cells on the model matrix. But when cells were grown on conventional gelatin-coated polystyrene, expression of prothrombotic molecules amplified further and antithrombotic molecules lessened with the progression of passages. On the model matrix HSVECs showed good proliferation rate and survival through several passages. It is demonstrated that matrix composition can influence switching of EC phenotypes into pro/antithrombotic states. This matrix model may be suitable to study the effect of exogenous factors on EC dysfunction with respect to CVD.
血管壁高度组织化的组织学结构和特化的细胞表型在动脉粥样硬化、再狭窄和高血压等疾病中受到干扰。心血管疾病(cvd)中内皮细胞(EC)表型的改变作为细胞外基质(ECM)组成改变的影响尚未得到很好的理解。体外对EC表型的研究是有限的,因为它们在传代培养中倾向于去分化。本研究的目的是在仿生基质模型上使用体外细胞培养来表征从心血管疾病患者身上采集的人隐静脉内皮细胞(hsvec)的表型。研究参数为血管性血友病因子(vWF)、纤溶酶原激活抑制剂(PAI)、组织型纤溶酶原激活剂(t-PA)和内皮型一氧化氮合成酶(eNOS) mRNA的表达和合成。8例不同患者的HSVEC培养物在两种基质上的增殖和凋亡比较,直到传代12。在早期传代中,促血栓分子vWF和PAI均过表达,而抗血栓分子t-PA和eNOS均过表达。随着传代数的增加,模型基质上的细胞出现血栓形成前分子的低表达和抗血栓形成分子的高表达。但当细胞生长在常规明胶包被的聚苯乙烯上时,随着传代的进展,血栓形成前分子的表达进一步扩增,抗血栓形成分子的表达减少。在模型基质上,hsvec经多次传代均表现出良好的增殖率和存活率。研究表明,基质组成可以影响EC表型向促/抗血栓状态的转换。该矩阵模型可能适用于研究外源性因素对CVD的EC功能障碍的影响。
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引用次数: 3
High efficiency and long-term foreign gene expression in cultured liver sinusoidal endothelial cells by retroviral transduction. 逆转录病毒转导在培养的肝窦内皮细胞中高效、长期地表达外源基因。
Pub Date : 2006-07-01 DOI: 10.1080/10623320600904088
Jesus Paez, Ramon Montaño, Lorenzo Benatuil, John Iacomini, Jose E Cardier

The liver sinusoidal endothelial cells (LSECs) constitute a very specialized endothelium. Due to their multiple functions and privileged location in the liver, these cells constitute an excellent target for gene therapy. In this work, the authors investigate the efficiency of retroviral gene transduction as a method for in vitro gene delivery into murine LSECs. Gene transduction into murine LSECs was performed using the PCMMP-eGFP/pIK-MLVgp retrovirus pseudotyped with the vesicular stomatitis virus G glycoprotein (VSV-g), containing eGFP as a reporter gene. Retroviral transduction resulted in a high efficiency of gene transfer (99%) and stable expression of eGFP in LSECs. The retroviral transduction protocol did not affect the morphology or expression of endothelial cell markers or the biological functions of LSECs. The authors have developed conditions for high-efficiency and stable retroviral gene transduction of LSECs. These results raise the possibility of liver gene therapy using LSECs as vehicle for the delivery of therapeutic proteins by means of retroviral vectors.

肝窦内皮细胞(LSECs)是一种特化的内皮细胞。由于它们的多种功能和在肝脏中的特殊位置,这些细胞构成了基因治疗的极好靶点。在这项工作中,作者研究了逆转录病毒基因转导作为一种体外基因传递到小鼠LSECs的方法的效率。利用含有eGFP作为报告基因的水泡性口炎病毒G糖蛋白(VSV-g)伪型PCMMP-eGFP/pIK-MLVgp逆转录病毒将基因转导到小鼠LSECs中。逆转录病毒转导使eGFP在LSECs中具有较高的基因转移效率(99%)和稳定的表达。逆转录病毒转导方案不影响内皮细胞标志物的形态或表达,也不影响LSECs的生物学功能。作者已经建立了高效、稳定的逆转录病毒基因转导LSECs的条件。这些结果提高了利用LSECs作为载体,通过逆转录病毒载体传递治疗性蛋白的肝脏基因治疗的可能性。
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引用次数: 3
Role of CD7 expressed in lung microvascular endothelial cells as Fc receptor for immunoglobulin M. 肺微血管内皮细胞表达的CD7作为免疫球蛋白M Fc受体的作用。
Pub Date : 2006-07-01 DOI: 10.1080/10623320600904138
Motoko Nishimura, Minoko Takanashi, Hitoshi Okazaki, Masahiro Satake, Kazunori Nakajima

Immunoglobulins (Igs) against anti-human white blood cells are putative contributors to the development of transfusion-related adverse effects, particularly transfusion-related acute lung injury (TRALI). Studies of Igs that are considered to be implicated in transfusion-related adverse effects have mainly focused on immunoglobulin G (IgG) class antibodies (Abs). In the authors' previous in vitro study, the association of polymorphonuclear neutrophils (PMNs) and lung microvascular endothelial (LME) cells was up-regulated in the presence of normal human serum-derived IgMs, when F(ab')2 fragments of IgMs were specific to low-affinity Fc receptors (FcR) for IgG, namely, Fcgamma R III (CD16) and Fcgamma RII (CD32). In this study, the authors found that CD7 antigen notably expresses in LME cells and that it acts as an Fc receptor for IgM in LME cells.

抗抗人白细胞的免疫球蛋白(Igs)被认为是输血相关不良反应,特别是输血相关急性肺损伤(TRALI)发生的原因。对被认为与输血相关不良反应有关的IgG的研究主要集中在免疫球蛋白G (IgG)类抗体(Abs)上。在作者之前的体外研究中,当IgMs的F(ab’)2片段特异于IgG的低亲和Fc受体(FcR),即Fcgamma R III (CD16)和Fcgamma RII (CD32)时,多态核中性粒细胞(PMNs)和肺微血管内皮细胞(LME)的关联在正常人血清来源的IgMs存在下被上调。在本研究中,作者发现CD7抗原在LME细胞中显著表达,并在LME细胞中作为IgM的Fc受体。
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引用次数: 4
期刊
Endothelium : journal of endothelial cell research
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