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Endothelial biomarker soluble CD146 suggests that angiogenesis plays an important role in progression of fibrosis in liver disease 内皮生物标志物可溶性CD146提示血管生成在肝病纤维化进展中起重要作用
Pub Date : 2015-09-02 DOI: 10.14800/ICS.925
Efrossini Nomikou, A. Alexopoulou, L. Vasilieva, S. Dourakis
CD146, an element of the endothelial junction- has been evaluated in several pathological conditions with altered endothelial function but never before in patients with liver disease. As angiogenesis and inflammation were implicated in the development of liver fibrosis, we have explored this suggestion by evaluating levels of sCD146 in a group of patients with chronic liver diseases (CLD) and in cirrhotic patients. The results indicated that there is a clear connection between sCD146 levels and the progression of liver disease. They can differentiate noncirrhotic patients with CLD from cirrhotics, supporting the usefulness of CD146 in the noninvasive diagnosis of liver cirrhosis. Furthermore, our findings provided evidence of sCD146 upregulation in decompensated compared to compensated cirrhosis and sCD146 values were clearly associated with Model for End Stage Liver Disease (MELD) score. Thus, by using an easy to perform ELISA method, we demonstrated that sCD146 can accurately distinguish advanced fibrosis and prognosticate decompensation in cirrhosis.
CD146是内皮连接的一个元件,已经在几种内皮功能改变的病理条件下进行了评估,但从未在肝病患者中进行过评估。由于血管生成和炎症与肝纤维化的发展有关,我们通过评估一组慢性肝病(CLD)患者和肝硬化患者的sCD146水平来探讨这一观点。结果表明,sCD146水平与肝脏疾病的进展之间存在明确的联系。它们可以区分非肝硬化CLD患者和肝硬化患者,支持CD146在肝硬化无创诊断中的有效性。此外,我们的研究结果提供了sCD146在失代偿肝硬化中与代偿肝硬化相比上调的证据,并且sCD146值与终末期肝病模型(MELD)评分明显相关。因此,通过使用一种易于执行的ELISA方法,我们证明sCD146可以准确区分肝硬化的晚期纤维化和预后失代偿。
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引用次数: 0
An Inflammatory Nexus: Serum Amyloid A and inflammation in Diabetic Kidney Disease 炎症关系:糖尿病肾病的血清淀粉样蛋白A和炎症
Pub Date : 2015-08-25 DOI: 10.14800/ICS.959
R. Anderberg, B. Dieter, R. Meek, K. Tuttle
Inflammation contributes a significant part to the advancement of diabetic kidney disease (DKD), yet relatively little is known about the root cause of these inflammatory events. Serum Amyloid A (SAA) triggers a potent inflammatory response in a variety of tissues and is up-regulated in glomerular and tubulointerstitial compartments of the diabetic kidney. Under inflammatory conditions, podocytes, along with other intrinsic cells, produce SAA locally in the kidney. Our recent work has shown that SAA induces NF-κB activation and subsequent inflammatory chemokines and cytokines in cultured podocytes. Recent evidence suggests that local production of SAA in diabetes may lead to monocyte and macrophage recruitment, neutrophil activation, and other related incidents resulting in sustained chronic inflammatory conditions in the kidney which may further exacerbate DKD.
炎症在糖尿病肾病(DKD)的进展中起着重要作用,但对这些炎症事件的根本原因知之甚少。血清淀粉样蛋白A (SAA)在多种组织中引发强烈的炎症反应,并在糖尿病肾脏的肾小球和小管间质室中上调。在炎症条件下,足细胞与其他内在细胞一起在肾脏局部产生SAA。我们最近的研究表明,SAA在培养的足细胞中诱导NF-κB活化和随后的炎症趋化因子和细胞因子。最近的证据表明,糖尿病中SAA的局部产生可能导致单核细胞和巨噬细胞募集、中性粒细胞激活和其他相关事件,导致肾脏持续的慢性炎症,这可能进一步加剧DKD。
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引用次数: 1
Endogenous antioxidant level of stem cell is important for the transplantation efficacy 干细胞的内源性抗氧化水平是影响移植效果的重要因素
Pub Date : 2015-08-17 DOI: 10.14800/ICS.946
Min Yang, Jia Xiao, Yingxia Liu
Stem cell transplantation has been applied to clinical trials and obtained certain curative effect, but due to the severe environmental such as oxidative stress, the efficiency of stem cell transplantation is still low. However, oxidative stress on stem cells, the influence of the transplantation efficiency and its molecular mechanism are not fully understood. In our recent research, we have confirmed that oxidative stress is the mainly reason that caused the low efficiency of hUCMSCs transplantation. In vitro, antioxidants pretreatment of the hUCMSCs can decrease cell apoptosis through the MAPK-PKC-Nrf2 pathway. In vivo, antioxidants pretreatment can accelerate the host hepatic regenerative process and improve the expansion efficiency of stem cells. In this research, the antioxidant we used is edaravone which is now widely used in clinic. Thus, our study has answered how the oxidative stress affects stem cell transplantation efficiency and puts forward a clinical antioxidant which can improve the endogenous antioxidant level of stem cells.
干细胞移植已应用于临床试验并取得了一定的疗效,但由于氧化应激等严重的环境,干细胞移植的效率仍然较低。然而,氧化应激对干细胞移植效率的影响及其分子机制尚不完全清楚。在我们最近的研究中,我们已经证实氧化应激是导致hUCMSCs移植效率低的主要原因。在体外,抗氧化剂预处理hUCMSCs可以通过MAPK-PKC-Nrf2途径减少细胞凋亡。在体内,抗氧化剂预处理可以加速宿主肝脏再生过程,提高干细胞的扩增效率。在本研究中,我们使用的抗氧化剂是目前临床上广泛使用的依达拉奉。因此,我们的研究回答了氧化应激如何影响干细胞移植效率,并提出了一种临床抗氧化剂,可以提高干细胞的内源性抗氧化水平。
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引用次数: 4
Mean platelet volume is a significant biomarker in the differential diagnosis of acute appendicitis 平均血小板体积是急性阑尾炎鉴别诊断的重要生物标志物
Pub Date : 2015-08-11 DOI: 10.14800/ICS.930
R. Aktimur, Süleyman Çetinkünar, K. Yildirim, S. Özdaş, S. Aktimur, Ali Kağan Gökakın
In order to reduce negative appendectomy (NA) rate, red cell distribution width (RDW), neutrophil-to-lymphocyte ratio (NLR) and mean platelet volume (MPV) were investigated. But, their combined role on the differential diagnosis of acute appendicitis (AA) with a control group of NA have not been established. A total of 530 patients who underwent appendectomy with the pre-diagnosis of AA were retrospectively analyzed and divided into two groups: 1) 469 AA, and 2) 61 NA. Diagnostic value of statistically significant parameters, white blood cell (WBC) and MPV were analyzed with ROC analysis. Median WBC and mean MPV values were found to be significantly higher in AA group (12.9 /μL, range: 3.4-83.7 vs. 11 /μL, range: 3.4-39.9; and 9.6±1.5 fL vs. 9.1±1.5 fL) ( P =0.002 and 0.018). Mean RDW and median NLR were found to be similar. Combined sensitivity, specificity, positive predictive value and negative predictive value of WBC and MPV for recommended cut-off values were 67.4%, 72.7%, 96.1% and 17.9%, respectively. Among other inflammation related CBC parameters, increased MPV and its combination with WBC may be used as a valuable tool for the differential diagnosis of AA.
为降低阑尾切除阴性(NA)率,观察红细胞分布宽度(RDW)、中性粒细胞与淋巴细胞比值(NLR)和平均血小板体积(MPV)。但是,它们在与NA对照组的急性阑尾炎(AA)鉴别诊断中的联合作用尚未得到证实。回顾性分析530例术前诊断为AA的阑尾切除术患者,分为AA组469例和NA组61例。采用ROC分析对具有统计学意义的参数、白细胞(WBC)和MPV的诊断价值进行分析。AA组中位WBC和平均MPV值显著高于AA组(12.9 /μL,范围3.4 ~ 83.7 vs. 11 /μL,范围3.4 ~ 39.9;9.6±1.5 fL vs 9.1±1.5 fL) (P =0.002和0.018)。平均RDW和中位NLR相似。WBC和MPV对推荐临界值的敏感性、特异性、阳性预测值和阴性预测值分别为67.4%、72.7%、96.1%和17.9%。在其他与炎症相关的CBC参数中,MPV升高及其与WBC的结合可作为鉴别诊断AA的有价值的工具。
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引用次数: 14
Peripheral activation of inflammatory intracellular signaling pathways and their correlation with IL6, IL10 and TNFα in obesity and type 2 diabetes mellitus 肥胖症和2型糖尿病中炎性细胞内信号通路的外周激活及其与IL6、IL10和TNFα的相关性
Pub Date : 2015-08-11 DOI: 10.14800/ICS.926
N. T. Pietrani, K. F. Rodrigues, A. Bosco, C. M. A. F. Vieira, L. Perucci, M. Oliveira, A. Teixeira, A. Ferreira, K. Gomes, L. Sousa
Background : We investigated the activation of intracellular signaling pathways in individuals with and without T2D/obesity and correlated them with clinical characteristics and IL6, IL10 and TNFα serum levels. Methods : This study included 42 patients with T2D and 42 healthy controls matched by BMI. I ntracellular signaling pathways Akt, p38 and ERK in peripheral blood mononuclear cells (PBMCs); IL6, IL10 and TNFα serum levels were evaluated. R esults: Western blot analysis revealed that phosphorylation values of Akt, p38 and ERK were not significant different between the groups; but, once individuals were stratified according to BMI, activation of Akt and ERK was associated with obesity and T2D while the activation of p38 with obesity. The phosphorylation values of these proteins were also positively correlated with BMI and waist circumference. IL6 levels correlated with P-p38 in control group, while IL10 and TNF-a did not correlated with these pathways. Conclusions : These results suggest that there is a link among obesity, T2D and intracellular signaling pathways in peripheral circulating immune cells, which may be associated with systemic low grade inflammation observed in T2D and obese patients.
背景:我们研究了t2dm /肥胖症患者和非t2dm /肥胖症患者细胞内信号通路的激活情况,并将其与临床特征和血清中il - 6、il - 10和tnf - α水平相关。方法:本研究纳入42例T2D患者和42例BMI匹配的健康对照。I外周血单核细胞(PBMCs)细胞内信号通路Akt、p38和ERK;测定血清中il - 6、il - 10、tnf - α水平。结果:Western blot分析显示,各组间Akt、p38、ERK磷酸化值无显著差异;但是,一旦根据BMI对个体进行分层,Akt和ERK的激活与肥胖和T2D相关,而p38的激活与肥胖相关。这些蛋白的磷酸化值也与BMI和腰围呈正相关。对照组中IL6水平与P-p38相关,而IL10和TNF-a与这些途径无关。结论:这些结果提示肥胖、T2D和外周循环免疫细胞胞内信号通路之间存在联系,这可能与T2D和肥胖患者观察到的全身性低度炎症有关。
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引用次数: 2
The conflicting role of Rac1 in inflammation Rac1在炎症中的矛盾作用
Pub Date : 2015-08-03 DOI: 10.14800/ICS.922
Chaoyi Qin, Ruiqi Liu, Hanmin Liu
Inflammatory response is responsible for many pathological events and diseases, characterized by overexpression of pro-inflammatory cytokines. Rac1, a molecule mediating many intracellular signaling pathways, has a tight relationship with inflammation. Over the past decade, many researchers have demonstrated that Rac1 plays a critical role in the initiation and progression of inflammation and sepsis including the cytoskeletal rearrangement, Nox activation and ROS production, activation of NF-κB and release of pro-inflammatory cytokines, phagocytosis, and efferocytosis. In addition, Rac1 is also involved in other mechanisms of inflammation, like angiogenesis, apoptosis, and the invasiveness of the pathogen. Interestingly, Rac1 plays both positive and negative roles in regulating inflammation. Finally, Rac1 as a potent pharmacological target was reviewed. Some clinical and experimental studies showed that inhibition of Rac1 had a protective effect on inflammatory diseases. In summary, all data suggest that Rac1 is a crucial factor in different kinds and stages of inflammatory responses.
炎症反应是许多病理事件和疾病的原因,其特征是促炎细胞因子的过度表达。Rac1是一种介导多种细胞内信号通路的分子,与炎症有着密切的关系。在过去的十年中,许多研究人员已经证明,Rac1在炎症和脓毒症的发生和发展中起着关键作用,包括细胞骨架重排、Nox激活和ROS产生、NF-κB的激活和促炎细胞因子的释放、吞噬和efferocytosis。此外,Rac1还参与炎症的其他机制,如血管生成、细胞凋亡和病原体的侵袭。有趣的是,Rac1在调节炎症中起着正、负两种作用。最后,对Rac1作为一种有效的药理靶点进行了综述。一些临床和实验研究表明,抑制Rac1对炎性疾病有保护作用。综上所述,所有数据表明Rac1在不同种类和阶段的炎症反应中都是一个至关重要的因素。
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引用次数: 5
Cardiovascular Risk in Patients Affected by Autoimmune Diseases Early Diagnosis and Treatment 自身免疫性疾病患者早期诊断与治疗的心血管风险
Pub Date : 2015-08-03 DOI: 10.14800/ICS.920
T. Kurt, F. Gökmen
The majority of deaths developing in autoimmune diseases are caused by cardiovascular reasons, with a close relationship to this disease group. Chronic inflammation in autoimmune diseases and the inflammatory process observed in atherosclerosis have similar characteristics, and the early premature formation of atherosclerosis is one of the most important results affecting mortality in this patient group. The observation of early atherosclerosis even before clinical signs of disease means that early diagnosis and treatment choices will be the cause of stopping or slowing the progression of disease. Thus manifestations of endothelial dysfunction, development of atherosclerosis, and development of acute coronary syndrome which affect mortality and morbidity will be reduced to a minimum. In this review we aim to evaluate some tests used for early diagnosis and treatment choices in terms of the effect on disease progression in this patient group. Keywords: Premature atherosclerosis, autoimmune disease, cardiovascular disease
大多数自身免疫性疾病的死亡是由心血管原因引起的,与该疾病群体关系密切。自身免疫性疾病中的慢性炎症与动脉粥样硬化中观察到的炎症过程具有相似的特点,动脉粥样硬化的早期过早形成是影响该患者组死亡率的最重要结果之一。早期动脉粥样硬化的观察甚至在疾病的临床症状出现之前,意味着早期诊断和治疗选择将是阻止或减缓疾病进展的原因。因此,影响死亡率和发病率的内皮功能障碍的表现、动脉粥样硬化的发展和急性冠状动脉综合征的发展将减少到最低限度。在这篇综述中,我们的目的是评估一些用于早期诊断和治疗选择的测试对该患者组疾病进展的影响。关键词:过早动脉粥样硬化,自身免疫性疾病,心血管疾病
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引用次数: 0
Fragility of the epidermis, a common pathophysiological mechanism of acne vulgaris, rosacea and reactive skin involving inflammasome activation 表皮脆弱,寻常痤疮、酒渣鼻和反应性皮肤涉及炎性体激活的常见病理生理机制
Pub Date : 2015-07-28 DOI: 10.14800/ICS.909
G. Fabbrocini, M. Galliano, M. Aries, C. Vaissière, N. Castex‐Rizzi, H. Duplan, C. Coutanceau, S. Bessou-Touya, F. Schmitt, M. Saint-Aroman
Purpose of the study: The objective of this study was to review the recent evidence regarding the pathophysiology of reactive skin, acne vulgaris and rosacea, with a focus on the link between the impaired skin barrier and the inflammasome. In this context, we evaluated the activity of Rhealba ® oat plantlet extract on the inflammasome in vitro . Procedures: Using an in vitro inflammatory model of Reconstructed Human Epidermis (RHE), we explored the biologically active mature forms of inflammasome products, IL-1b and IL-18 cytokines, in parallel with inflammatory mediators IL-6, IL-8, TNF-a, VEGF-A, MIP-1a/CCL3, sICAM-1. Results: We showed that a 2-h pre-treatment with Rhealba ® oat plantlet extract with Vitamin E and A-DERMA cream for reactive skin significantly blocked poly I:C-induced up-regulation of inflammasome cytokines and inflammatory mediators, as we observed IL18, IL6, IL8, TNFa, VEGF-A, MIP-1a, sICAM-1 down-regulation, along with a significant reduction of IL1-b. Conclusions and message of the paper: We propose that reactive skin, rosacea and acne share skin barrier and innate immunity dysfunctions. Moreover, the results suggest that Rhealba ® Oat plantlet extract provides an adapted solution for the treatment of reactive skin, and probably for the other skin disorders involving inflammasome pathway activation.
研究目的:本研究的目的是回顾最近关于反应性皮肤、寻常性痤疮和酒渣鼻的病理生理学证据,重点关注皮肤屏障受损与炎性体之间的联系。在这种情况下,我们在体外评估了Rhealba®燕麦植物提取物对炎性小体的活性。方法:利用体外重建人表皮(RHE)炎症模型,我们探索了炎症小体产物、IL-1b和IL-18细胞因子以及炎症介质IL-6、IL-8、TNF-a、VEGF-A、MIP-1a/CCL3、sICAM-1的生物活性成熟形式。结果:我们发现,Rhealba®燕麦植物提取物加维生素E和a - derma乳膏预处理2小时可显著阻断poly I: c诱导的炎症小体细胞因子和炎症介质的上调,我们观察到IL18、IL6、IL8、TNFa、VEGF-A、MIP-1a、sICAM-1的下调,以及il -1 -b的显著降低。结论:我们认为反应性皮肤、酒渣鼻和痤疮具有相同的皮肤屏障和先天免疫功能障碍。此外,结果表明Rhealba®燕麦植物提取物为治疗反应性皮肤提供了一种合适的解决方案,可能也适用于其他涉及炎性体途径激活的皮肤疾病。
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引用次数: 6
Stress-dependent control of cytokine production in mast cells stimulated through FceRI and Toll-like 4 receptors 通过FceRI和toll样4受体刺激肥大细胞细胞因子产生的应激依赖性控制
Pub Date : 2015-07-13 DOI: 10.14800/ICS.881
F. Guzmán-Mejía, C. López-Rubalcava, C. González-Espinosa
Mast cells (MC) play an important role on allergic reactions triggered by the IgE/Antigen-dependent crosslinking of the high affinity IgE receptor (FceRI), and their participation on inflammatory innate immune responses triggered by Toll-like receptors (TLRs) has started to be documented. Physiological conditions such as stress exert a modulatory effect on allergic reactions since stress mediators activate signaling cascades that either interfere or potentiate the FceRI-dependent cytokine production. Recently, the effect of stress mediators on cytokine production induced after Toll-like receptors (TLRs) has started to be addressed in this cell type. In a recent paper, we analyzed the effects of stress induced by forced swimming (FS) on the MC-dependent production of Tumor Necrosis Factor (TNF) induced by a single intraperitoneal injection of bacterial lipopolysaccharide (LPS) in mice. FS provoked an immediate and transient inhibition of LPS-elicited TNF accumulation in peritoneum, which lasted around to 30 min. With the aim to identify the mediator of stress responsible for the inhibition, we first blocked catecholamine release from adrenal glands (by adrenalectomy) or nerve terminals (with DSP4 treatment). With these manipulations we observed an important increase on basal ip TNF levels and enhanced LPS-induced TNF release without any effect on stress-induced inhibitory effects. We then pre-treated animals with the glucocorticoid receptor antagonist mifepristone and did not observe any change on basal levels or stress-induced inhibition of TNF release. Finally, we administered an antagonist of acetylcholine receptors (mecamylamine) and observed an increase on basal levels of ip TNF values together with an important blockage of stress effects. Those results show for the first time that early MC-derived TNF secretion after Toll-like receptors is negatively controlled by adrenaline and transiently inhibited by the anti-inflammatory cholinergic reflex. Our results adds to the description of stress effects on MC activation and open new avenues in the research on the control of chronic inflammatory reactions associated with long term MC-dependent cytokine secretion.
肥大细胞(MC)在高亲和IgE受体(FceRI)的IgE/抗原依赖性交联引发的过敏反应中起重要作用,并且它们参与toll样受体(TLRs)引发的炎症性先天免疫反应已开始被文献记载。应激等生理条件对过敏反应具有调节作用,因为应激介质激活信号级联反应,干扰或增强依赖于fceri的细胞因子的产生。最近,应激介质对toll样受体(TLRs)诱导后细胞因子产生的影响已经开始在这种细胞类型中得到解决。在最近的一篇论文中,我们分析了强迫游泳(FS)诱导的应激对小鼠单次腹腔注射细菌脂多糖(LPS)诱导的mc依赖性肿瘤坏死因子(TNF)产生的影响。FS对lps诱导的TNF在腹膜内的积累产生了立即和短暂的抑制作用,持续约30分钟。为了确定导致这种抑制的应激介质,我们首先阻断了肾上腺(通过肾上腺切除术)或神经末梢(通过DSP4治疗)的儿茶酚胺释放。通过这些操作,我们观察到基础ip TNF水平的显著增加和lps诱导的TNF释放的增强,而对应激诱导的抑制作用没有任何影响。然后,我们用糖皮质激素受体拮抗剂米非司酮预处理动物,并没有观察到基础水平或应激诱导的TNF释放抑制的任何变化。最后,我们使用乙酰胆碱受体拮抗剂(甲美胺),观察到ip TNF值基础水平的增加,同时对应激效应有重要的阻断作用。这些结果首次表明,toll样受体后早期mc来源的TNF分泌受到肾上腺素的负性控制,并受到抗炎胆碱能反射的短暂抑制。我们的研究结果为应激对MC激活的影响提供了新的描述,并为研究MC长期依赖的细胞因子分泌相关的慢性炎症反应的控制开辟了新的途径。
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引用次数: 0
How much we know about the attenuation of insulin signaling in the adipose tissue caused by glucocorticoid treatment 我们对糖皮质激素治疗引起的脂肪组织中胰岛素信号的衰减了解多少
Pub Date : 2015-06-29 DOI: 10.14800/ICS.879
A. Rafacho, E. Nunes, S. Bordin
Glucocorticoid (GC) hormone exerts numerous physiological roles that include modulation of immune, nervous, cardiovascular and metabolic systems. Synthetic GCs such as dexamethasone and prednisone/prednisolone are widely prescribed in the clinical context to the treatment of inflammatory-related diseases. In spite of its positive therapeutic effect, GC-based therapies may cause several adverse effects including glucose intolerance and peripheral insulin resistance. Reduction of insulin sensitivity in the adipocytes and adipose tissue caused by GC treatment is associated with increased lipolysis and abnormal Ser phosphorylation of insulin substrate receptor (IRS)-1 and protein kinase B (PKB). However, there is no consensus about the precise mechanisms whereby GC treatment promotes such attenuation in the insulin signaling pathway. In this paper, we will briefly discuss and present some molecular evidences that might be involved with this negative impact of GC in the insulin signaling in the adipose tissue.
糖皮质激素(GC)具有多种生理作用,包括免疫、神经、心血管和代谢系统的调节。合成GCs如地塞米松和泼尼松/泼尼松在临床中广泛用于炎症相关疾病的治疗。尽管有积极的治疗效果,但基于gc的治疗可能会引起一些不良反应,包括葡萄糖耐受不良和外周胰岛素抵抗。GC治疗引起的脂肪细胞和脂肪组织胰岛素敏感性降低与脂肪分解增加和胰岛素底物受体(IRS)-1和蛋白激酶B (PKB)丝氨酸磷酸化异常有关。然而,关于GC治疗促进胰岛素信号通路中这种衰减的确切机制尚未达成共识。在本文中,我们将简要讨论并提出一些可能涉及GC对脂肪组织中胰岛素信号传导的负面影响的分子证据。
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引用次数: 4
期刊
Inflammation and cell signaling
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