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Characterisation of plasmablast-derived HBsAg-specific antibody and its structural basis for binding to native HBsAg dimer. 血浆源性HBsAg特异性抗体的鉴定及其与HBsAg二聚体结合的结构基础。
IF 25.8 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gut
Pub Date : 2026-02-09 DOI: 10.1136/gutjnl-2025-336641
Bin Ju, Zhouqing Liu, Hu Yan, Yong Liu, Lu Zhang, Xiangyang Ge, Xin Wang, Zhu Si, Bing Zhou, Qing Fan, Miao Wang, Yuxiao Li, Wenlong Lai, Jianhui Gan, Haiyan Wang, Juanjuan Zhao, Yuchen Xia, Maofu Liao, Zheng Zhang

Background: Plasmablast-derived HBV surface antigen (HBsAg)-specific monoclonal antibody (mAb) and structural basis for binding to native HBsAg are poorly known.

Objective: We aimed to identify plasmablast-derived HBsAg-specific mAbs, evaluate their antiviral activities and resolve their structure for binding to native HBsAg.

Design: A previously vaccinated volunteer was enrolled in this study, who was boosted with a dose of recombinant hepatitis B vaccine and donated the blood sample. Activated plasmablasts were sorted from fresh peripheral blood mononuclear cells and mAbs were expressed. Their gene features, cross-genotypic binding activities and antiviral functions in vitro and in vivo were comprehensively analysed. The cryo-electron microscopy (cryo-EM) was used to determine the structure of representative mAb bound to the native HBsAg.

Results: In this study, we cloned a series of HBsAg-specific mAbs directly from clonally expanded plasmablasts from a vaccinated individual. Most of the mAbs displayed cross-reactivities of binding to different genotype HBsAg proteins and antiviral functions such as neutralisation and antibody-dependent cellular phagocytosis. These human anti-HBsAg mAbs, especially SY-4-class and SY-23-class, could be good candidates for antibody drugs. The cryo-EM structure of SY-23 bound to the dimeric HBsAg was determined, revealing its binding mechanism and unprecedented structural detail of the major antigenic loop (AGL) of HBsAg.

Conclusion: Overall, our work has uncovered the diverse gene features and varied anti-HBV activities of plasmablast-derived mAbs, providing a series of antibody drug candidates and the long-sought-after atomic model of AGL has paved the way for a wholistic characterisation of the AGL's dynamic conformation during HBV infection and immune response.

背景:血浆源性HBV表面抗原(HBsAg)特异性单克隆抗体(mAb)和与HBsAg结合的结构基础尚不清楚。目的:鉴定血浆单抗衍生的HBsAg特异性单抗,评估其抗病毒活性并确定其与天然HBsAg结合的结构。设计:一名先前接种过乙肝疫苗的志愿者加入了这项研究,他注射了一剂重组乙肝疫苗并捐献了血液样本。从新鲜外周血单核细胞中分离活化的质母细胞,表达单克隆抗体。综合分析了它们的基因特征、跨基因型结合活性和体内外抗病毒功能。低温电子显微镜(cryo-EM)测定了与HBsAg结合的代表性单抗的结构。结果:在这项研究中,我们直接从接种个体的克隆扩增浆母细胞中克隆了一系列hbsag特异性单克隆抗体。大多数单克隆抗体显示出与不同基因型HBsAg蛋白结合的交叉反应性和抗病毒功能,如中和和抗体依赖性细胞吞噬。这些人抗hbsag单克隆抗体,特别是sy -4类和sy -23类,可能是抗体药物的良好候选者。我们测定了与二聚体HBsAg结合的SY-23的低温电镜结构,揭示了其结合机制和HBsAg主要抗原环(AGL)的前所未有的结构细节。结论:总的来说,我们的工作揭示了血浆单抗衍生单抗的不同基因特征和不同的抗HBV活性,提供了一系列抗体候选药物,长期追求的AGL原子模型为全面表征AGL在HBV感染和免疫反应中的动态构象铺平了道路。
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引用次数: 0
MTFP1 drives pancreatic cancer liver metastatic colonisation by regulating mitochondrial metabolism reprogramming. MTFP1通过调节线粒体代谢重编程驱动胰腺癌肝脏转移定植。
IF 25.8 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gut
Pub Date : 2026-02-09 DOI: 10.1136/gutjnl-2025-336323
Yang Chen, Gao-Wei Jin, Li-Hong He, Yu Dong, Yan-Na Zhang, Han-Xiang Guo, Yi-Ting Xu, Zi-Yang Wei, Bin-Fei Dang, Chun-Yang Mu, Wan-Yue Cao, Yi-Ze Zhang, Xiao-Bao Wei, Yu-Xiong Feng, Yun-Hua Liu, Qi Zhang, Ting-Bo Liang

Background: Liver metastasis is a common and fatal event for patients with pancreatic ductal adenocarcinoma (PDAC). Dysregulated mitochondrial dynamics reshape biological processes, including metabolism reprogramming, which disrupts immune cell function and promotes metastatic progression.

Objective: To identify key drivers that reprogramme PDAC mitochondrial function and its role in remodelling the immunosuppressive tumour microenvironment (TME) during PDAC liver colonisation.

Design: Genome-wide clustered regularly interspaced short palindromic repeats (CRISPR) loss-of-function screening, in vivo mouse model screening and in vitro anoikis-resistant cell selection were employed to identify key drivers during PDAC liver colonisation. PDAC organoids, metabolic flux analysis, single-cell RNA sequencing, spatial metabolomics and glutathione S-transferase (GST) pull-down assay were used to explore the regulation of mitochondrial fission process protein 1 (MTFP1) on PDAC liver colonisation and unravel the underlying mechanism.

Results: We revealed MTFP1, a protein that plays an important role in cell viability and mitochondrial dynamics, as a driver of PDAC liver colonisation. Mechanistically, MTFP1 is recognised as a novel ATP synthase modulator through its interaction with numerous ATP synthase subunits, thereby enhancing oxidative phosphorylation (OXPHOS). Increased mitochondrial fission and subsequent redox signalling (ROS production) upregulates solute carrier family A1 member 5 (SLC1A5) expression by activating the PI3K/AKT/c-MYC pathway, competing for glutamine uptake and impaired antitumour responses of CD8+ T cells. By performing virtual screening, we identified KPT 9274 (ATG-019) as an effective inhibitor of MTFP1. Limitation of glutamine uptake in PDAC cells or MTFP1 inhibition reverses the immunosuppressive TME and reduces liver colonisation of PDAC.

Conclusion: Our data demonstrate that the enhanced MTFP1 expression leads to an upregulated glutamine-OXPHOS axis in PDAC liver colonisation. This metabolic shift is triggered by the ROS/PI3K/AKT/c-MYC/SLC1A5 pathway. Targeting MTFP1 may be a potential therapeutic strategy for PDAC patients with liver metastasis.

背景:肝转移是胰腺导管腺癌(PDAC)患者常见的致命事件。线粒体动力学失调重塑生物过程,包括代谢重编程,破坏免疫细胞功能并促进转移进展。目的:确定PDAC线粒体功能重编程的关键驱动因素及其在PDAC肝脏定植过程中重塑免疫抑制肿瘤微环境(TME)中的作用。设计:采用全基因组聚集规律间隔短回文重复序列(CRISPR)功能丧失筛选、体内小鼠模型筛选和体外抗嗜酸细胞选择来确定PDAC肝脏定定过程中的关键驱动因素。通过PDAC类器官、代谢通量分析、单细胞RNA测序、空间代谢组学和谷胱甘肽s -转移酶(GST)下拉试验,探讨线粒体裂变过程蛋白1 (MTFP1)对PDAC肝脏定植的调控,并揭示其潜在机制。结果:我们发现MTFP1,一种在细胞活力和线粒体动力学中起重要作用的蛋白质,是PDAC肝脏定植的驱动因素。从机制上讲,MTFP1被认为是一种新的ATP合成酶调节剂,通过与许多ATP合成酶亚基相互作用,从而增强氧化磷酸化(OXPHOS)。线粒体分裂和随后的氧化还原信号(ROS产生)增加通过激活PI3K/AKT/c-MYC途径上调溶质载体家族A1成员5 (SLC1A5)的表达,竞争谷氨酰胺摄取和CD8+ T细胞的抗肿瘤反应受损。通过虚拟筛选,我们确定KPT 9274 (ATG-019)是MTFP1的有效抑制剂。PDAC细胞中谷氨酰胺摄取的限制或MTFP1的抑制逆转了免疫抑制的TME并减少了PDAC的肝脏定植。结论:我们的数据表明,MTFP1表达的增强导致PDAC肝脏定植中谷氨酰胺- oxphos轴的上调。这种代谢转变是由ROS/PI3K/AKT/c-MYC/SLC1A5通路触发的。靶向MTFP1可能是PDAC患者肝转移的潜在治疗策略。
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引用次数: 0
Acinetobacter baumannii promotes gastric cancer metastasis via NA-mediated NAD metabolism reprogramming and glycolytic activation. 鲍曼不动杆菌通过na介导的NAD代谢重编程和糖酵解激活促进胃癌转移。
IF 25.8 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gut
Pub Date : 2026-02-09 DOI: 10.1136/gutjnl-2025-336161
Yan Yang, Rui Yang, Yiran Chen, Chao He, Yingzi Zhang, Jing He, Jing Zhang, Haohao Wang, Jingdan Liang, Zixin Deng, Lisong Teng

Background: Gastric cancer (GC) is one of the most common malignancies worldwide and it is the third leading cause of cancer-related death in China. While Helicobacter pylori is a known GC pathogen, its abundance declines in tumours and the role of other bacteria in GC metastasis remains unclear.

Objective: We aim to investigate the mechanisms of other bacteria influencing GC progression and metastasis.

Design: Integrated intratumoural microbiome-metabolome analysis identified GC-associated microbes and metabolites. We then demonstrated the pro-metastatic role of Acinetobacter baumannii (A. baumannii, Ab) and its metabolite nicotinic acid (NA) using genetic, molecular and in vivo approaches.

Results: The abundance of A. baumannii was significantly increased in GC tissues, correlating with advanced tumour stage and intratumoural NA levels. Fluorescence in situ hybridisation confirmed its colonisation in GC tumours. In co-culture systems, A. baumannii increased NA levels, enhancing nicotinamide adenine dinucleotide (NAD) metabolism and increasing 1-Methylnicotinamide accumulation in tumour cells. Mutagenesis of the bacterial NA synthase gene pncA confirmed that A. baumannii excreted an NA-dependent pro-metastasis effect. Mechanically, A. baumannii promotes GC metastasis by reprogramming tumour cell glucose metabolism, reducing oxidative phosphorylation while enhancing glycolysis and activating the hypoxia-inducible factor-1 pathway in GC cells through metabolites both in vivo and in vitro.

Conclusions: This study elucidates the role of A. baumannii in enhancing NAD metabolism in GC cells through NA synthesis, consequently promoting GC metastasis. These findings establish a microbiota-metabolism axis as a mechanistic foundation for developing targeted therapeutic strategies against GC metastasis.

背景:胃癌(GC)是世界上最常见的恶性肿瘤之一,是中国癌症相关死亡的第三大原因。虽然幽门螺杆菌是一种已知的胃癌病原体,但其在肿瘤中的丰度下降,其他细菌在胃癌转移中的作用尚不清楚。目的:探讨其他细菌影响胃癌进展和转移的机制。设计:综合肿瘤内微生物组-代谢组分析鉴定gc相关微生物和代谢物。然后,我们通过遗传,分子和体内方法证明了鲍曼不动杆菌(A. baumannii, Ab)及其代谢物烟酸(NA)的促转移作用。结果:鲍曼不动杆菌在胃癌组织中的丰度显著增加,与肿瘤分期和瘤内NA水平相关。荧光原位杂交证实其在胃癌肿瘤中的定殖。在共培养系统中,鲍曼不动杆菌增加NA水平,增强烟酰胺腺嘌呤二核苷酸(NAD)代谢,增加肿瘤细胞中1-甲基烟酰胺的积累。细菌NA合成酶基因pncA的突变证实鲍曼不动杆菌分泌NA依赖的促转移作用。机械上,鲍曼不动杆菌通过体内和体外代谢产物重编程肿瘤细胞葡萄糖代谢,减少氧化磷酸化,同时增强糖酵解,激活GC细胞缺氧诱导因子-1通路,从而促进GC转移。结论:本研究阐明了鲍曼不动杆菌通过NA合成促进胃癌细胞NAD代谢,从而促进胃癌转移的作用。这些发现建立了微生物代谢轴作为开发针对胃癌转移的靶向治疗策略的机制基础。
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引用次数: 0
SIMBA trial: reasons for failure despite sound principle. SIMBA试验:原理健全失败的原因。
IF 25.8 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gut
Pub Date : 2026-02-05 DOI: 10.1136/gutjnl-2026-338219
Venkat Siddharda Bikkina, Soumya Jagannath Mahapatra
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引用次数: 0
Exploiting a purine imbalance to target KRAS mutant pancreatic adenocarcinomas. 利用嘌呤失衡靶向KRAS突变型胰腺腺癌。
IF 25.8 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gut
Pub Date : 2026-02-04 DOI: 10.1136/gutjnl-2025-337940
Jorge Mota-Pino, Oscar Fernandez-Capetillo
{"title":"Exploiting a purine imbalance to target <i>KRAS</i> mutant pancreatic adenocarcinomas.","authors":"Jorge Mota-Pino, Oscar Fernandez-Capetillo","doi":"10.1136/gutjnl-2025-337940","DOIUrl":"https://doi.org/10.1136/gutjnl-2025-337940","url":null,"abstract":"","PeriodicalId":12825,"journal":{"name":"Gut","volume":" ","pages":""},"PeriodicalIF":25.8,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146118717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Defining preclinical stages of Crohn's disease by faecal calprotectin and other risk factors: response to letter. 通过粪便钙保护蛋白和其他危险因素确定克罗恩病的临床前阶段:对信件的反应。
IF 25.8 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gut
Pub Date : 2026-02-03 DOI: 10.1136/gutjnl-2026-338188
Dan Turner, Sarah Kenigsberg, Gili Focht, Kenneth Croitoru
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引用次数: 0
Preclinical stages of Crohn's disease defined by faecal calprotectin in asymptomatic first-degree relatives. 由无症状一级亲属的粪便钙保护蛋白定义的克罗恩病临床前分期。
IF 25.8 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gut
Pub Date : 2026-02-03 DOI: 10.1136/gutjnl-2026-338123
Cong Dai, Yu-Hong Huang, Min Jiang
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引用次数: 0
Kynurenic acid mitigates poststroke brain damage through the gut-brain neural circuit. 犬尿酸通过肠-脑神经回路减轻中风后的脑损伤。
IF 25.8 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gut
Pub Date : 2026-02-03 DOI: 10.1136/gutjnl-2025-337690
Wen Zhang, Shengnan Chen, Xiaoqi Huang, Jie Li, Siqi Yang, Yisi Liu, Peibo Yuan, Jiaxuan Wang, Yonghui Guo, Zhuang Li, Jia Yin, Hongwei Zhou, Kaiyu Xu

Background: Stroke induces complex pathophysiological responses that extend beyond the brain, yet the mechanisms through which peripheral signals influence stroke recovery remain largely unclear.

Objective: Here, we identify a novel gut-brain neural circuit that promotes stroke recovery via kynurenic acid (KYNA) signalling.

Design: In a training cohort (30 patients with acute ischaemic stroke (AIS) and 30 controls), untargeted metabolomics profiled intestinal metabolites and the key metabolite KYNA was validated in an independent cohort (100 patients with AIS and 100 controls) using targeted metabolomics and assessed for its 3-month prognostic value. In stroke mouse models, KYNA was administered to evaluate therapeutic effects. Mechanistic studies combined neuronal calcium imaging, enteric neuron receptor manipulation, vagotomy, neuronal tracing, electrophysiology and immunofluorescence to delineate the KYNA-mediated gut-brain neural circuit regulating stroke recovery.

Results: Our study demonstrates a significant reduction of intestinal KYNA in patients with AIS and validates its prognostic value for neurological recovery at 3 months poststroke in both the training and validation cohorts. Oral KYNA supplementation markedly improves poststroke cerebral injury by activating G protein-coupled receptor 35 (GPR35) on enteric neurons, initiating vagal nerve signalling. Mechanistically, KYNA-GPR35 interaction activates vagal afferents, transmitting signals through the nucleus tractus solitarius to hippocampal and hypothalamic regions. This GPR35-vagus nerve signalling pathway, further validated with the selective GPR35 agonist Zaprinast, confers neuroprotection by shifting microglial polarisation towards the anti-inflammatory M2 phenotype and enhancing neuronal α7 nicotinic acetylcholine receptor activity.

Conclusion: KYNA acts through an intestinal GPR35-vagus neural pathway to influence stroke recovery, highlighting this gut-brain signalling axis as a promising therapeutic avenue.

背景:脑卒中诱发复杂的病理生理反应,这些反应超出了大脑的范围,但外周信号影响脑卒中恢复的机制仍不清楚。目的:在这里,我们发现了一种新的肠-脑神经回路,通过KYNA信号传导促进中风恢复。设计:在一个训练队列(30名急性缺血性卒中患者和30名对照)中,使用靶向代谢组学在一个独立队列(100名急性缺血性卒中患者和100名对照)中验证非靶向代谢组学描述的肠道代谢物和关键代谢物KYNA,并评估其3个月的预后价值。在脑卒中小鼠模型中,给予KYNA以评估治疗效果。机制研究结合神经元钙显像、肠神经元受体操纵、迷走神经切断、神经元示踪、电生理学和免疫荧光来描绘kyna介导的调节脑卒中恢复的肠-脑神经回路。结果:我们的研究表明,AIS患者肠道KYNA显著减少,并在训练和验证队列中验证了其对脑卒中后3个月神经系统恢复的预后价值。口服KYNA补充剂通过激活肠神经元上的G蛋白偶联受体35 (GPR35),启动迷走神经信号传导,显著改善脑卒中后脑损伤。从机制上讲,KYNA-GPR35相互作用激活迷走神经传入,将信号通过孤束核传递到海马和下丘脑区域。选择性GPR35激动剂Zaprinast进一步验证了GPR35-迷走神经信号通路,该通路通过将小胶质细胞极化向抗炎M2表型转变和增强神经元α7烟碱乙酰胆碱受体活性来提供神经保护。结论:KYNA通过肠道gpr35 -迷走神经通路影响脑卒中恢复,强调肠-脑信号轴是一种有前景的治疗途径。
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引用次数: 0
Beyond gastrointestinal symptom burden: exploring the impact of previous cholecystectomy on ultrasound-based hepatocellular carcinoma surveillance in patients with liver cirrhosis. 超越胃肠道症状负担:探讨既往胆囊切除术对肝硬化患者超声肝细胞癌监测的影响。
IF 25.8 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gut
Pub Date : 2026-02-03 DOI: 10.1136/gutjnl-2026-338023
Mario Romeo, Marcello Dallio, Fiammetta Di Nardo, Carmine Napolitano, Paolo Vaia, Marco Niosi, Alessandro Federico
{"title":"Beyond gastrointestinal symptom burden: exploring the impact of previous cholecystectomy on ultrasound-based hepatocellular carcinoma surveillance in patients with liver cirrhosis.","authors":"Mario Romeo, Marcello Dallio, Fiammetta Di Nardo, Carmine Napolitano, Paolo Vaia, Marco Niosi, Alessandro Federico","doi":"10.1136/gutjnl-2026-338023","DOIUrl":"https://doi.org/10.1136/gutjnl-2026-338023","url":null,"abstract":"","PeriodicalId":12825,"journal":{"name":"Gut","volume":" ","pages":""},"PeriodicalIF":25.8,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146113016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gut health is associated with clonal haematopoiesis in older adults with and without HIV: the ARCHIVE longitudinal cohort study. 在有和没有HIV的老年人中,肠道健康与克隆造血有关:ARCHIVE纵向队列研究
IF 25.8 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gut
Pub Date : 2026-02-03 DOI: 10.1136/gutjnl-2025-337620
Mark W Donoghoe, Hossain Ms Sazzad, Win Min Han, Mark Bloch, David A Baker, Beng Eu, Ellen Bowden-Reid, Don E Smith, Jennifer F Hoy, Ian John Woolley, Robert Finlayson, David J Templeton, Gail V Matthews, Jane Costello, Mark A Dawson, Sarah-Jane Dawson, Mark N Polizzotto, Esinam Agbosu, Anthony D Kelleher, Kathy Petoumenos, Chansavath Phetsouphanh, Paul Yeh, Nila J Dharan
{"title":"Gut health is associated with clonal haematopoiesis in older adults with and without HIV: the ARCHIVE longitudinal cohort study.","authors":"Mark W Donoghoe, Hossain Ms Sazzad, Win Min Han, Mark Bloch, David A Baker, Beng Eu, Ellen Bowden-Reid, Don E Smith, Jennifer F Hoy, Ian John Woolley, Robert Finlayson, David J Templeton, Gail V Matthews, Jane Costello, Mark A Dawson, Sarah-Jane Dawson, Mark N Polizzotto, Esinam Agbosu, Anthony D Kelleher, Kathy Petoumenos, Chansavath Phetsouphanh, Paul Yeh, Nila J Dharan","doi":"10.1136/gutjnl-2025-337620","DOIUrl":"https://doi.org/10.1136/gutjnl-2025-337620","url":null,"abstract":"","PeriodicalId":12825,"journal":{"name":"Gut","volume":" ","pages":""},"PeriodicalIF":25.8,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146113009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Gut
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