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Head and neck lipomas: A clinicopathologic analysis of 36 cases 头颈部脂肪瘤36例临床病理分析
Pub Date : 2019-11-30 DOI: 10.5897/JCREO2019.0163
S. Aregbesola, B. Famurewa, O. Soyele, A. Komolafe
Lipomas are common benign soft tissue tumors, with 15 to 20% of the cases affecting the head and neck region and 1 to 4% involving the oral cavity. The literature has many reported cases of head and neck lipoma but few comprehensive studies hence, the aim of this study was to review and analyze the clinical and histopathologic features of head and neck lipomas in Nigerians. A fifteen-year retrospective study evaluated thirty-six cases of head and neck lipomas among Nigerians. Head and neck lipomas constituted about one-tenth (9.4%) of the total body lipomas seen over the study period. The peak age incidence was fifth decade of life and most (58.3%) of these patients were older than 40 years. There was male gender predilection with male to female ratio of 1.4:1. The most common site of occurrence was forehead (41.7%), followed by scalp and cheek (16.7% each). Lipomas were seen in two intraoral locations (lip and tongue) and these accounted for 13.9% of the head and neck lipomas and 1.3% of lipomas in the whole body. The average size of the lesion was 3.3 cm. Head and neck lipomas are fairly common among Nigerians who are more than 40 years of age. While the conventional and fibrolipoma were the two histologic variants recorded, complete surgical excision of the lesion offered satisfactory treatment outcome. Key words: Head and neck, lipoma.
脂肪瘤是常见的软组织良性肿瘤,15 - 20%的病例累及头颈部,1 - 4%累及口腔。文献报道头颈部脂肪瘤病例较多,但综合研究较少,因此,本研究的目的是回顾和分析尼日利亚人头颈部脂肪瘤的临床和组织病理学特征。一项为期15年的回顾性研究评估了36例尼日利亚人头颈部脂肪瘤。在研究期间,头颈部脂肪瘤约占全身脂肪瘤的十分之一(9.4%)。发病高峰年龄为50岁,年龄≥40岁者占58.3%。存在男性性别偏好,男女比例为1.4:1。最常见的发生部位是前额(41.7%),其次是头皮和脸颊(16.7%)。脂肪瘤见于两个口腔内部位(唇和舌),占头颈部脂肪瘤的13.9%,占全身脂肪瘤的1.3%。病灶平均大小3.3 cm。头颈部脂肪瘤在40岁以上的尼日利亚人中相当普遍。而常规和纤维脂肪瘤是记录的两种组织学变异,完全手术切除病变提供了满意的治疗结果。关键词:头颈部;脂肪瘤;
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引用次数: 0
Gene Expression of OCT4 and NANOG Correlated with Advanced Stage and Worse Survival in Breast Cancer Patients OCT4和NANOG基因表达与乳腺癌患者晚期和较差生存率相关
Pub Date : 2019-10-24 DOI: 10.12691/JCRT-7-2-1
Fawziya A. R. Ibrahim, S. E. E. Feky, Kadhim K. Kadhim, N. A. E. Moneim, Mohammad Abdel-Rahman Ahmmad, S. Sheweita
The present study aimed to show the correlation between expression of cancer stem cell markers (OCT4 and NANOG) with both clinicopathological features and survival of breast cancer (BC) patients. Methods: The gene expressions of OCT4 and NANOG were quantified using real time polymerase chain reaction, clinicopathological data have been collected from patients' data records and patients were followed-up with a median duration of 110 months. Results: OCT4 (p<0.001), and NANOG (p<0.001) expressions were upregulated in BC tissues compared to adjacent normal tissues. OCT4 and NANOG were associated with poor histological grade (p=0.029, 0.025) and advanced clinical stage (p=0.001, 0.042 respectively). OCT4 alone showed a significant association with lymph nodes involvement (p=0.006), metastasis (p=0.024) and was significantly correlated to patients' age (p=0.009). NANOG also showed a significant positive correlation with ERα and PR receptors expression (p=0.004 and 0.005 respectively). Kaplan–Meier curves disclosed that NANOG (p=0.028, 0.050) positive expression was associated with worse DFS and OS, while OCT4 (p=0.200, 0.205) was correlated with poor DFS and OS but not significant statistically. Univariate analysis using Cox proportional hazards regression model analysis showed that OCT4 (p = 0.002), NANOG (p = 0.021), and ERα status (p = 0.004) had significant predictive values for poor DFS. However, the multivariate analysis did not show that any of them can be used as independent prognostic markers for DSF. Conclusions: From these findings, it may be concluded that the upregulated expressions of OCT4 and NANOG were associated with worse clinical outcome and could be used as predictive markers for poor DFS in BC patients.
本研究旨在揭示肿瘤干细胞标志物(OCT4和NANOG)的表达与乳腺癌(BC)患者的临床病理特征和生存之间的相关性。方法:采用实时聚合酶链反应定量检测OCT4和NANOG基因表达,收集患者资料记录临床病理资料,对患者进行中位随访110个月。结果:与邻近正常组织相比,BC组织中OCT4 (p<0.001)和NANOG (p<0.001)表达上调。OCT4和NANOG与组织学分级差(p=0.029, 0.025)和临床分期晚(p=0.001, 0.042)相关。单独OCT4与淋巴结累及(p=0.006)、转移(p=0.024)显著相关,与患者年龄显著相关(p=0.009)。NANOG与ERα和PR受体表达也呈显著正相关(p分别为0.004和0.005)。Kaplan-Meier曲线显示NANOG (p=0.028, 0.050)阳性表达与较差的DFS和OS相关,OCT4 (p=0.200, 0.205)阳性表达与较差的DFS和OS相关,但统计学意义不显著。单因素分析采用Cox比例风险回归模型分析显示,OCT4 (p = 0.002)、NANOG (p = 0.021)和ERα状态(p = 0.004)对不良DFS有显著的预测价值。然而,多变量分析并没有显示其中任何一个可以作为DSF的独立预后指标。结论:从这些发现可以得出结论,OCT4和NANOG的表达上调与较差的临床预后相关,可以作为BC患者不良DFS的预测指标。
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引用次数: 0
Antiproliferative Effect on Cancer Cells of Novel Pink Red-like Pigments and Derivatives Produced by Streptomyces coelicoflavus Strains 新型粉红色样色素及其衍生物对肿瘤细胞的抗增殖作用
Pub Date : 2019-10-11 DOI: 10.12691/JCRT-7-1-5
Assia Mouslim, Saad Menggad, N. Habti, E. Affar, M. Menggad
Pink red-like pigments of crud extracts produced by Streptomyces coelicoflavus MFB11, MFB20, MFB21, MFB23 and MFB24 strains and variants from two spontaneous mutants (MFB11-V and MFB11-Y) as well as prepared fractions (FA and FB) from MFB21 and MFB24 strain pigments were screened for antiproliferative effect by MTT. Cancer cell targets used in this screening were P3 Mice myeloid cell line and/or U2OS human osteosarcoma cell line. The results showed an important antiproliferative effect of some strain pigments on the two organism cell types. U2OS human osteosarcoma cell line was more sensitive to the pigments and showed different antiproliferative effect profiles compared to results obtained on P3 Mice myeloid cell line. FACs analysis of these antiproliferative effects on U2OS human osteosarcoma cell line exhibited cell cycle phase arrests at G1, G1/S or S. This suspects similar mechanism of cell division arrest in U2OS cell induced by these studied compounds to that induced by the apoptotic prodigiosin who differs to that induced by undecylprodigiosin, daunorubicin or other known anthracycline analogues. Thus, these red-like pigments without antibiotic effect unlike prodiginines and anthracyclines could constitute novel related compounds presenting a strong potential for their contribution in anticancer chemotherapy.
采用MTT法对黄链霉菌MFB11、MFB20、MFB21、MFB23和MFB24菌株粗提物和两个自发突变体(MFB11- v和MFB11- y)的变异体以及MFB21和MFB24菌株色素的制备组分(FA和FB)进行抗增殖活性筛选。本次筛选使用的癌细胞靶点是P3小鼠骨髓细胞系和/或U2OS人骨肉瘤细胞系。结果表明,某些菌株色素对两种生物细胞有重要的抗增殖作用。与P3小鼠骨髓细胞系相比,U2OS人骨肉瘤细胞系对这些色素更敏感,并表现出不同的抗增殖作用。FACs分析这些对U2OS人骨肉瘤细胞系的抗增殖作用显示细胞周期阻滞在G1, G1/S或S。这怀疑这些化合物诱导的U2OS细胞分裂阻滞机制与凋亡的prodigisin诱导的机制相似,但不同于decylprodigisin,柔红霉素或其他已知的蒽环类药物类似物诱导的机制。因此,这些不像prodiginines和蒽环类药物那样具有抗生素作用的红色类色素可能构成新的相关化合物,在抗癌化疗中具有很大的潜力。
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引用次数: 0
The Nanoformulations of Curcumin for Cancer Therapy: New Perspectives 姜黄素纳米制剂用于癌症治疗:新视角
Pub Date : 2019-08-27 DOI: 10.12691/JCRT-7-1-4
Aisha H. Al-Shehri, Ahmed M. Kabel, M. A. A. Elmaaboud
Curcumin is a natural yellow phenolic compound that is located in many types of herbs, especially Curcuma Lana (Turmeric). It is a natural anti-oxidant and has shown many pharmaceutical activities in the preclinical and clinical studies such as antioxidant, anti-microbial, anti-cancer and anti-alzheimer disease effects. In addition, curcumin was proven to be anti-diabetic, hepatoprotective, neuroprotective and anti-rheumatic and it also protects against thrombosis and myocardial infarction. The major limitation to the use of curcumin in clinical practice is its very low oral bioavailability. Therefore, many technologies have been developed and implemented to overcome this limitation. In this review, we discussed the latest perspectives regarding the design and development of nano-sized systems for the anti-diabetic agent curcumin, including liposomes, polymeric nanoparticles, micro-conjugates, micelles, peptide carriers, solid dispersions, cyclodextrins, emulsions and lipid nanopeptides and their role as a promising hope for cancer therapy.
姜黄素是一种天然的黄色酚类化合物,存在于许多类型的草药中,尤其是姜黄。它是一种天然的抗氧化剂,在临床前和临床研究中显示出许多抗氧化、抗微生物、抗癌和抗阿尔茨海默病的作用。此外,姜黄素已被证明具有抗糖尿病、保肝、保神经、抗风湿等作用,还能预防血栓形成和心肌梗死。姜黄素在临床应用的主要限制是其极低的口服生物利用度。因此,已经开发和实现了许多技术来克服这一限制。本文综述了姜黄素纳米系统的设计和开发的最新进展,包括脂质体、聚合物纳米颗粒、微偶联物、胶束、肽载体、固体分散体、环糊精、乳状体和脂质纳米肽,以及它们在癌症治疗中的作用。
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引用次数: 1
Doxorubicin: Insights into Dynamics, Clinical Uses and Adverse Effects 阿霉素:动力学,临床应用和不良反应的见解
Pub Date : 2019-07-27 DOI: 10.12691/JCRT-7-1-3
Amal A. Alghorabi, Ahmed M. Kabel, M. A. A. Elmaaboud
Doxorubicin (DOX) is one of the anthracycline antibiotics that is used frequently for treatment of various types of malignancies including lung, breast and testicular cancers. DOX reacts with DNA by intercalation and inhibits the synthesis of DNA macromolecular components. Also, it may increase the production of free radicals which may contribute to its cytotoxicity. DOX may cause serious adverse effects including cardiotoxicity, hepatotoxicity and testicular toxicity. So, it has become increasingly important to find pharmacological remedies to protect against these serious adverse effects. This mini-review sheds light on DOX including its history, dynamics, clinical uses and adverse effects.
阿霉素(DOX)是一种蒽环类抗生素,经常用于治疗各种类型的恶性肿瘤,包括肺癌、乳腺癌和睾丸癌。DOX通过插层与DNA发生反应,抑制DNA大分子组分的合成。此外,它可能会增加自由基的产生,这可能有助于其细胞毒性。DOX可引起严重的不良反应,包括心脏毒性、肝毒性和睾丸毒性。因此,寻找药物疗法来防止这些严重的不良反应变得越来越重要。这篇小型综述揭示了DOX的历史、动力学、临床应用和不良反应。
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引用次数: 4
CARM1 Regulates the Growth of Hepatocellular Carcinoma Cells via Regulation of Bax/Bcl-2 Level and Caspase-3 Activity CARM1通过调节Bax/Bcl-2水平和Caspase-3活性调控肝癌细胞的生长
Pub Date : 2019-07-25 DOI: 10.12677/WJCR.2019.93013
刘美玲, 洪宏海
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引用次数: 0
Doublecortin like Kinase-1 is Overexpressed in Breast Cancer Tissues and Correlated with Epithelial-mesenchymal Transition Markers 双皮质素样激酶-1在乳腺癌组织中过表达并与上皮-间质转化标志物相关
Pub Date : 2019-07-09 DOI: 10.12691/JCRT-7-1-1
Rasha S. Abo El Alaa, S. A. Ebeid, N. A. E. Moneim, Sanaa A. El-Benhawy, A. Ahmed
Background: Much of the current literature support, the idea that epithelial to mesenchymal transition (EMT) is the key mechanism by which tumor cells gain invasive and metastatic ability, as EMT enables separation of individual cells from the primary tumor mass as well as promote migration. After undergoing EMT, thereby enabling access to hematogenous or lymphatic routes of dissemination, tumor cells can extravasate into secondary organs and establish micro-metastases. Objective: The main target of this work was to study the relation between expression of Doublecortin-like kinase-1 (DCLK-1) and epithelial to mesenchymal transition markers (E-cadherin, vimentin and transforming growth factor-beta (TGF-β)) in breast cancer patients and assess its role in cancer prognosis. Materials and Methods: This study included 60 breast cancer patients and 40 healthy females as control group. Tumor tissues and adjacent normal breast tissues were collected from patients with breast cancer. A single venous blood sample was collected concurrently from breast cancer patients (Before surgery) and from the control group. Tissue expression of DCLK-1, E-cadherin and vimentin were evaluated in breast cancer tissues and normal breast tissues by real-time reverse transcription polymerase chain reaction (RT-PCR). Serum level of TGF-β was assayed by enzyme linked-immunossorbant assay. Results: According to the results of the present study DCLK-1 is highly expressed in breast cancer tissues compared to normal breast tissues. Overexpression of DCLK-1 was significantly correlated with higher tissues Vimentin expression, increased serum TGF-β and lower tissues E-cadherin expression. Kaplan-Meier survival curves for breast cancer patients revealed that, patients with elevated tissue DCLK-1 and Vimentin expression and higher serum TGF-β were significantly associated with poor prognosis in primary breast cancer patients. However, patients with lower tissue E-Cadherin expression had shorter disease free survival time than patients with higher levels. Conclusion: DCLK-1 was significantly increased in breast cancer tissues in comparison to normal breast tissues and its overexpression was significantly correlated with EMT markers and poor prognosis in breast cancer patients. Further prospective studies using greater numbers of patients are required to confirm our findings.
背景:目前许多文献支持上皮细胞向间充质细胞转化(EMT)是肿瘤细胞获得侵袭和转移能力的关键机制,因为EMT使单个细胞与原发肿瘤块分离并促进迁移。在接受EMT后,肿瘤细胞可以通过血液或淋巴传播途径外渗到次要器官并形成微转移。目的:研究乳腺癌患者双肾上腺皮质素样激酶-1 (DCLK-1)与上皮向间质转化标志物(E-cadherin、vimentin、TGF-β)表达的关系,探讨其在乳腺癌预后中的作用。材料与方法:选取60例乳腺癌患者和40例健康女性作为对照组。选取乳腺癌患者的肿瘤组织及邻近正常乳腺组织。同时采集乳腺癌患者(术前)和对照组的单次静脉血。采用实时逆转录聚合酶链反应(RT-PCR)检测乳腺癌组织和正常乳腺组织中DCLK-1、E-cadherin、vimentin的组织表达。采用酶联免疫吸附法检测血清TGF-β水平。结果:本研究结果显示,与正常乳腺组织相比,DCLK-1在乳腺癌组织中高表达。DCLK-1过表达与组织Vimentin表达升高、血清TGF-β表达升高、组织E-cadherin表达降低显著相关。乳腺癌患者Kaplan-Meier生存曲线显示,原发性乳腺癌患者组织DCLK-1、Vimentin表达升高、血清TGF-β升高与预后不良显著相关。然而,组织E-Cadherin表达水平较低的患者比组织E-Cadherin表达水平较高的患者无病生存时间较短。结论:DCLK-1在乳腺癌组织中较正常乳腺组织明显升高,其过表达与乳腺癌患者EMT标志物及不良预后显著相关。需要更多患者的进一步前瞻性研究来证实我们的发现。
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引用次数: 0
Co-expression of PD-L1 Antibodies Enhances the Anti-Tumor Efficacy of Chimeric Antigen Receptor T Cells PD-L1抗体的共表达增强了嵌合抗原受体T细胞的抗肿瘤作用
Pub Date : 2019-01-01 DOI: 10.35248/2684-1266.19.5.119
Shruti Lal, Guan Wang, Zhoushi Chen, X. Xiang, Chengyu Liang, Xue F. Huang, Si-Yi Chen
Chimeric antigen receptor T (CAR-T) cell therapy against solid tumors has shown limited success in clinical trials. Solid tumors with highly immunosuppressive tumor microenvironment limit the anti-tumor efficacy of CAR-T cell therapy. Herein we generated a novel vector that co-express human mesothelin (MSLN)-targeted CAR and secretory human anti-programmed death ligand 1 (PD-L1) antibodies. The anti-PD-L1 antibodies secreted from the transduced T cells were able to block the interaction of PD-1/PD-L1 to overcome PD-L1-mediated immune suppression. The CAR-T cells targeting mesothelin and secreting PD-L1 antibodies enhanced cytolytic activity against MSLN+PD-L1+ tumor cells and increased the production of cytokines IL-2, TNFα, and IFNγ. The CAR-T cells targeting MSLN and secreting PD-L1 antibodies had enhanced anti-tumor efficacy when compared with the MSLN-targeted CAR-T cells in xenograft mouse models of mesothelioma, pancreatic and ovarian cancers. The results of this study demonstrated that the co-expression of PD-L1 antibody enhances the anti-tumor efficacy of CAR-T cell therapy against solid tumors.
嵌合抗原受体T (CAR-T)细胞治疗实体瘤在临床试验中显示出有限的成功。具有高度免疫抑制肿瘤微环境的实体瘤限制了CAR-T细胞治疗的抗肿瘤效果。在这里,我们产生了一种新的载体,共表达人间皮素(MSLN)靶向CAR和分泌人抗程序性死亡配体1 (PD-L1)抗体。从转导的T细胞分泌的抗PD-L1抗体能够阻断PD-1/PD-L1的相互作用,克服PD-L1介导的免疫抑制。靶向间皮素并分泌PD-L1抗体的CAR-T细胞增强了对MSLN+PD-L1+肿瘤细胞的细胞溶解活性,并增加了细胞因子IL-2、TNFα和IFNγ的产生。与靶向MSLN的CAR-T细胞相比,靶向MSLN并分泌PD-L1抗体的CAR-T细胞在间皮瘤、胰腺癌和卵巢癌的异种移植小鼠模型中具有更强的抗肿瘤效果。本研究结果表明,PD-L1抗体的共表达增强了CAR-T细胞治疗实体瘤的抗肿瘤效果。
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引用次数: 2
Colorectal Cancer: New Perspectives 结直肠癌:新视角
Pub Date : 2018-11-19 DOI: 10.12691/JCRT-6-3-4
AsmaH. Qudayr, Ahmed M. Kabel, M. Abdelmaaboud, Waleed Y. Alghamdi, Amal A. Alghorabi
Colorectal cancer is one of the gastrointestinal malignant tumors that carries relatively poor prognosis. It represents one of the most common cancers in males and the third commonest cancer among females worldwide. Various factors may contribute to the pathogenesis of colorectal cancer such as adenomatous polyps and personal history of chronic inflammatory bowel disease. Early colorectal carcinoma is usually asymptomatic. Bleeding from the rectum is the most common presenting symptom. Intestinal obstruction and distant metastasis are life threatening complications of colorectal carcinoma. Accurate diagnosis is achieved by sampling of areas of the colon suspicious for possible tumor development during colonoscopy or sigmoidoscopy. Lines of treatment include surgery, chemotherapy, radiotherapy and biologic treatment. This review sheds light on colorectal carcinoma regarding its prevalence, etiology, clinical presentation, diagnosis and possible lines of management.
结直肠癌是一种预后较差的胃肠道恶性肿瘤。它是男性中最常见的癌症之一,也是全球女性中第三常见的癌症。多种因素可能导致结直肠癌的发病机制,如腺瘤性息肉和慢性炎症性肠病的个人病史。早期结直肠癌通常无症状。直肠出血是最常见的症状。肠梗阻和远处转移是大肠癌危及生命的并发症。在结肠镜检查或乙状结肠镜检查期间,通过对结肠可疑区域进行取样来实现准确的诊断。治疗方法包括手术、化疗、放疗和生物治疗。本文综述了结直肠癌的患病率、病因、临床表现、诊断和可能的治疗方法。
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引用次数: 2
Inhibition of the Inositol Requiring Protein 1α- X-Box Binding Protein-1 Pathway as a Promising Therapeutic Target for Human Prostate Cancer 抑制肌醇需求蛋白1α- X-Box结合蛋白1途径作为人类前列腺癌的有希望的治疗靶点
Pub Date : 2018-09-03 DOI: 10.12691/JCRT-6-3-3
A. Khalil, A. Alghadi, Rahaf M. T. Shahen, Jehad W. Elasad, K. Jawasreh
Prostate cancer (PCa) has been associated with endoplasmic reticulum stress (ERS) which activates the inositol requiring protein 1α- X-box binding protein-1 (IREα-XBP-1) pathway. The aim of the study was to investigate the role of this pathway in three human PCa cell lines (LNCaP, PC-3, and DU-145) by evaluating the expression of XBP-1 and glucose-regulated protein 78 (GRP78) genes. The effect of two ERS inducers (Thapsigargin, Tg and tunicamycin, Tm) alone and in combination with an inhibitor of the IRE1α RNase inhibitor (STF-083010) on expression profiling was followed using Quantitative-PCR. In vitro treatment of PCa cells with ERS inducers upregulated expression of XBP-1 gene. STF-083010 inhibited IRE1α-induced splicing of the gene and increased cytotoxicity. Inhibition of IRE1α RNase activity significantly decreased expression of chaperon protein GRP78. The results confirm and extend the concept that selective targeting of IRE1α-XBP-1 pathway might be a novel therapeutic approach that curbs PCa cell progression.
前列腺癌(PCa)与内质网应激(ERS)有关,内质网应激激活了肌醇需要蛋白1α- X-box结合蛋白-1 (IREα-XBP-1)途径。本研究的目的是通过评估XBP-1和葡萄糖调节蛋白78 (GRP78)基因的表达,探讨该途径在三种人PCa细胞系(LNCaP、PC-3和DU-145)中的作用。采用定量pcr方法观察两种ERS诱导剂(Thapsigargin, Tg和tunicamycin, Tm)单独使用和与IRE1α RNase抑制剂(STF-083010)联合使用对表达谱的影响。体外用ERS诱导剂处理PCa细胞可上调XBP-1基因的表达。STF-083010抑制ire1 α-诱导的基因剪接,增加细胞毒性。抑制IRE1α RNase活性可显著降低伴侣蛋白GRP78的表达。结果证实并扩展了选择性靶向IRE1α-XBP-1通路可能是抑制PCa细胞进展的新治疗方法的概念。
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引用次数: 0
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The Journal of Cancer Research
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