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Long COVID: Complications, Underlying Mechanisms, and Treatment Strategies. 长冠肺炎:并发症、潜在机制和治疗策略。
Farigol Hakem Zadeh, Daniel R Wilson, Devendra K Agrawal

Long Covid is one of the most prevalent and puzzling conditions that arose with the Covid pandemic. Covid-19 infection generally resolves within several weeks but some experience new or lingering symptoms. Though there is no formal definition for such lingering symptoms the CDC boadly describes long Covid as persons having a wide range of new, recurring or sustained health issues four or more weeks after first being infected with SARS-CoV2. The WHO defines long Covid as the manifestation of symptoms from a "probable or confirmed" Covid-19 infection that start approximately 3 months after the onset of the acute infection and last for more than 2 months. Numerous studies have looked at the implications of long Covid on various organs. Many specific mechanisms have been proposed for such changes. In this article, we provide an overview of some of the main mechanisms by which long Covid induces end-organ damage proposed in recent research studies. We also review various treatment options, current clinical trials, and other potential therapeutic avenues to control long Covid followed by the information about the effect of vaccination on long Covid. Lastly, we discuss some of the questions and knowledge gaps in the present understanding of long Covid. We believe more studies of the effects long Covid has on quality of life, future health and life expectancy are required to better understand and eventually prevent or treat the disease. We acknowledge the effects of long Covid are not limited to those in this article but as it may affect the health of future offspring and therefore, we deem it important to identify more prognostic and therapeutic targets to control this condition.

长冠状病毒是新冠肺炎大流行期间出现的最普遍和最令人困惑的情况之一。Covid-19感染通常会在几周内消退,但有些人会出现新的或挥之不去的症状。虽然对这种持续的症状没有正式的定义,但疾病预防控制中心普遍将长冠状病毒描述为在首次感染SARS-CoV2后四周或更长时间内出现各种新的、复发的或持续的健康问题的人。世卫组织将长冠状病毒定义为“可能或确诊的”Covid-19感染的症状表现,在急性感染发病约3个月后开始,持续2个月以上。许多研究都研究了长冠状病毒对各种器官的影响。对于这种变化,已经提出了许多具体的机制。在本文中,我们概述了最近研究中提出的长冠状病毒诱导终器官损伤的一些主要机制。我们还回顾了各种治疗方案、当前的临床试验和其他控制长冠状病毒的潜在治疗途径,然后介绍了疫苗接种对长冠状病毒的影响。最后,我们讨论了目前对长冠状病毒理解中的一些问题和知识差距。我们认为,为了更好地了解并最终预防或治疗这种疾病,需要对长期Covid对生活质量、未来健康和预期寿命的影响进行更多的研究。我们承认,长冠状病毒病的影响不仅限于本文所述,还可能影响后代的健康,因此,我们认为确定更多的预后和治疗靶点来控制这种情况非常重要。
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引用次数: 0
Multi-Matrix Real Time PCR in 108 Patients with Polymorphic Signs Suggestive of Fibromyalgia or Related to A Tick Bite 108例提示纤维肌痛或与蜱虫叮咬相关的多态体征的多矩阵实时PCR分析
Pub Date : 2023-01-01 DOI: 10.26502/ami.936500124
Marie Mas, Alexis Lacout, Véronique Perronne, Yannick Lequette, Yves Gadiolet, Béatrice Rambeaud, Paul Trouillas, Michel Franck, Christian Perronne
Introduction: Ticks are frequently polyinfected and can thus transmit numerous micro-organisms. A large number of bacteria, parasites and viruses are transmitted by tick bites and could cause different signs and symptoms in patients. The main goal of this study was to search for these numerous micro-organisms in patients presenting with persistent polymorphic syndrome possibly due to a tick bite.
蜱虫经常被多重感染,因此可以传播许多微生物。大量细菌、寄生虫和病毒通过蜱虫叮咬传播,并可能导致患者出现不同的体征和症状。本研究的主要目的是在可能由于蜱虫叮咬而出现持续多态综合征的患者中寻找这些众多的微生物。
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引用次数: 0
Distinguishing Swine Flu (H1N1) from COVID-19: Clinical, Virological, and Immunological Perspectives 区分猪流感(H1N1)与COVID-19:临床、病毒学和免疫学观点
Pub Date : 2023-01-01 DOI: 10.26502/ami.936500125
Irene Batta, Tejinder Kaur, Devendra K. Agrawal
This article provides an in-depth examination on the differences between the influenza A strain, H1N1 (also called Swine Flu) and Covid-19 focusing on the immune response and clinical symptoms. Flu symptoms due to influenza A strain, H1N1, were initially discovered in 2009. This variant of influenza A is believed to have emerged through reassortment, a process where the resulting virus inherits gene segments from each of its parental viruses. This reassortment event has resulted in a variant with altered characteristics, potentially affecting the level of immunity in humans. The symptoms of this strain typically manifest 1-4 days after exposure and include fever, cough, sore throat, runny/stuffy nose, body aches, fatigue, and gastrointestinal symptoms such as diarrhea. The transmission dynamics of this new variant, including human-to-human transmission, are still under investigation by health authorities. Individuals with weakened immune systems are generally more susceptible to severe illness. Risk factors associated with swine flu can include older adults, young children, pregnant women, and individuals with obesity. Historical variants of swine flu, such as the 2015 variant in India, have been associated with significant case numbers and deaths, often due to respiratory failure. Since the epidemic of Covid-19 due to SARS-CoV2 in early 2020, several symptoms of COVID-19 and swine flu overlap. In this article, we critically reviewed the differences and similarities in the immune response and clinical symptoms due to H1N1 virus and SARS-CoV2 in human.
本文深入探讨了甲型流感、H1N1(也称为猪流感)和Covid-19之间的差异,重点是免疫反应和临床症状。由甲型H1N1流感引起的流感症状最初是在2009年发现的。甲型流感的这种变体被认为是通过重组出现的,在这个过程中,产生的病毒从每个亲本病毒中继承了基因片段。这一重组事件导致具有改变特征的变体,可能影响人类的免疫水平。该菌株的症状通常在接触后1-4天出现,包括发烧、咳嗽、喉咙痛、流鼻涕/鼻塞、身体疼痛、疲劳和腹泻等胃肠道症状。卫生当局仍在调查这一新变种的传播动态,包括人与人之间的传播。免疫系统较弱的人通常更容易患严重疾病。与猪流感相关的危险因素包括老年人、幼儿、孕妇和肥胖者。猪流感的历史变种,如2015年印度的变种,与大量病例和死亡有关,通常是由于呼吸衰竭。自2020年初由SARS-CoV2引起的Covid-19流行以来,Covid-19和猪流感的几种症状重叠。在这篇文章中,我们批判性地回顾了H1N1病毒和SARS-CoV2在人体内引起的免疫反应和临床症状的异同。
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引用次数: 0
Neutrophils and Pregnancy-Associated Malaria 中性粒细胞与妊娠相关疟疾
Pub Date : 2023-01-01 DOI: 10.26502/ami.936500119
Moussa Djimde, Kassoum Kayentao, Charles Arama, Alassane Dicko, Petra F. Mens, Henk H.D.F. Schallig
Purpose: Pregnant women living in areas with transmission of Plasmodium falciparum are exposed to malaria and its harmful consequences on pregnancy outcomes. Neutrophils are the most abundant white blood cells (WBC) in the bloodstream and are innate immune key effectors against infections. Substantial work has been done to study the role of neutrophils in malaria, but little on pregnancy-associated malaria (PAM). This review focuses on neutrophil responses to malaria during pregnancy that may help us to understand their dynamics and effects on pregnancy outcomes.
目的:生活在恶性疟原虫传播地区的孕妇暴露于疟疾及其对妊娠结局的有害后果。中性粒细胞是血液中最丰富的白细胞(WBC),是对抗感染的先天免疫关键效应器。研究中性粒细胞在疟疾中的作用已经做了大量的工作,但对妊娠相关性疟疾(PAM)的研究却很少。这篇综述的重点是中性粒细胞在妊娠期间对疟疾的反应,这可能有助于我们了解它们的动态和对妊娠结局的影响。
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引用次数: 0
Analysis of Antibody Responses of Vaccinated Persons with Coronavac 冠状病毒疫苗接种者抗体反应分析
Pub Date : 2023-01-01 DOI: 10.26502/ami.936500122
Aydin BALCI, Muhammed Emin DÜZ, Sibel Günay
Introduction: Vaccination is the most efficient method available to combat the COVID-19 pandemic. However, vaccine production and logistics problems bring the dose-comparing approach to mind to protect the most people in the shortest time.
疫苗接种是抗击COVID-19大流行的最有效方法。然而,疫苗生产和后勤问题使人们想到了剂量比较方法,以便在最短的时间内保护大多数人。
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引用次数: 0
Tafazzin Knockdown in Murine Mesenchymal Stem Cells Enhances the Tafazzin Knockdown Mediated Elevation in Interleukin-10 Secretion from Murine B Lymphocytes Tafazzin敲低小鼠间充质干细胞增强Tafazzin敲低介导的小鼠B淋巴细胞白细胞介素-10分泌升高
Pub Date : 2023-01-01 DOI: 10.26502/ami.936500111
Hana M. Zegallai, Ejlal Abu-El-Rub, Grant M. Hatch
Barth Syndrome is a rare X-linked genetic disorder caused by mutations in the TAFAZZIN gene. We recently demonstrated that tafazzin (Taz) protein deficiency in murine mesenchymal stems (MSCs) reduces immune function of activated wild type (WT) B lymphocytes. Interleukin-10 (IL-10) is a key anti-inflammatory cytokine capable of exerting immunosuppressive effects on myeloid cells. Here we examined if Taz deficiency in murine MSCs altered proliferation and IL-10 production in Taz deficient lipopolysaccharide (LPS)-activated murine B lymphocytes. Bone marrow MSCs and splenic B lymphocytes were isolated from WT or Taz knockdown (TazKD) mice. WT or Taz deficient MSCs were co-cultured with either LPS-activated WT or LPS-activated Taz deficient B lymphocytes for 24 h and B cell proliferation and IL-10 production determined. Taz deficient MSCs exhibited increased phosphatidylinositol-3-kinase (PI3K) mRNA expression compared to WT MSCs indicative of enhanced immunosuppression. Co-culture of Taz deficient MSCs with Taz deficient LPS-activated B cells resulted in a greater reduction in proliferation of B cells compared to Taz deficient MSCs co-cultured with LPS-activated WT B cells. In addition, co-culture of Taz deficient MSCs with Taz deficient LPS-activated B cells resulted in an enhanced production of IL-10 compared to Taz deficient MSCs co-cultured with LPS-activated WT B cells. Thus, Taz deficiency in murine MSCs potentiates the Taz knockdown-mediated elevation in IL-10 secretion from LPS-activated Taz knockdown B lymphocytes. These data suggest that Taz deficient MSCs may modulate the activity of other Taz deficient immune cells potentially promoting an enhanced immunosuppressive state.
Barth综合征是一种罕见的由TAFAZZIN基因突变引起的x连锁遗传疾病。我们最近证明,小鼠间充质干(MSCs)缺乏他法津(Taz)蛋白会降低激活的野生型(WT) B淋巴细胞的免疫功能。白细胞介素-10 (IL-10)是一种重要的抗炎细胞因子,能够对髓细胞产生免疫抑制作用。在这里,我们研究了小鼠间充质干细胞中Taz缺乏是否会改变Taz缺乏脂多糖(LPS)激活的小鼠B淋巴细胞的增殖和IL-10的产生。从WT或Taz敲低(TazKD)小鼠中分离骨髓间充质干细胞和脾B淋巴细胞。将WT或Taz缺陷MSCs与lps激活的WT或lps激活的Taz缺陷B淋巴细胞共培养24小时,并测定B细胞增殖和IL-10的产生。与WT MSCs相比,Taz缺陷MSCs表现出磷脂酰肌醇-3激酶(PI3K) mRNA表达增加,表明免疫抑制增强。与Taz缺陷MSCs与lps激活的WT B细胞共培养相比,Taz缺陷MSCs与Taz缺陷lps激活的B细胞共培养导致B细胞增殖的更大减少。此外,与与lps激活的WT B细胞共培养的Taz缺陷MSCs相比,Taz缺陷MSCs与Taz缺陷lps激活的B细胞共培养导致IL-10的产生增加。因此,小鼠间充质干细胞中Taz缺失增强了lps激活的Taz敲低B淋巴细胞中Taz敲低介导的IL-10分泌升高。这些数据表明,Taz缺陷MSCs可能调节其他Taz缺陷免疫细胞的活性,潜在地促进增强的免疫抑制状态。
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引用次数: 0
A Novel Peptide that Disrupts the Lck-IP3R Protein-Protein Interaction Induces Widespread Cell Death in Leukemia and Lymphoma. 一种破坏Lck-IP3R蛋白-蛋白相互作用的新型肽诱导白血病和淋巴瘤的广泛细胞死亡。
Pub Date : 2023-01-01 Epub Date: 2023-08-30 DOI: 10.26502/ami.936500114
Michael W Harr, Andrew Lavik, Karen McColl, Fei Zhong, Ben Haberer, Khadijah Aldabbagh, Vivien Yee, Clark W Distelhorst

There is increasing evidence that the T-cell protein, Lck, is involved in the pathogenesis of chronic lymphocytic leukemia (CLL) as well as other leukemias and lymphomas. We previously discovered that Lck binds to domain 5 of inositol 1,4,5-trisphosphate receptors (IP3R) to regulate Ca2+ homeostasis. Using bioinformatics, we targeted a region within domain 5 of IP3R-1 predicted to facilitate protein-protein interactions (PPIs). We generated a synthetic 21 amino acid peptide, KKRMDLVLELKNNASKLLLAI, which constitutes a domain 5 sub-domain (D5SD) of IP3R-1 that specifically binds Lck via its SH2 domain. With the addition of an HIV-TAT sequence to enable cell permeability of D5SD peptide, we observed wide-spread, Ca2+-dependent, cell killing of hematological cancer cells when the Lck-IP3R PPI was disrupted by TAT-D5SD. All cell lines and primary cells were sensitive to D5SD peptide, but malignant T-cells were less sensitive compared with B-cell or myeloid malignancies. Mining of RNA-seq data showed that LCK was expressed in primary diffuse large B-cell lymphoma (DLBCL) as well as acute myeloid leukemia (AML). In fact, LCK shows a similar pattern of expression as many well-characterized AML oncogenes and is part of a protein interactome that includes FLT3-ITD, Notch-1, and Kit. Consistent with these findings, our data suggest that the Lck-IP3R PPI may protect malignant hematopoietic cells from death. Importantly, TAT-D5SD showed no cytotoxicity in three different non-hematopoietic cell lines; thus its ability to induce cell death appears specific to hematopoietic cells. Together, these data show that a peptide designed to disrupt the Lck-IP3R PPI has a wide range of pre-clinical activity in leukemia and lymphoma.

越来越多的证据表明,T细胞蛋白Lck参与了慢性淋巴细胞白血病(CLL)以及其他白血病和淋巴瘤的发病机制。我们之前发现Lck与肌醇1,4,5-三磷酸受体(IP3R)的结构域5结合以调节Ca2+稳态。利用生物信息学,我们靶向了IP3R-1结构域5内的一个区域,该区域被预测为促进蛋白质-蛋白质相互作用(PPIs)。我们产生了一种合成的21个氨基酸的肽KKRMDLVLELKNNASKLLLAI,它构成了IP3R-1的结构域5亚结构域(D5SD),通过其SH2结构域特异性结合Lck。通过添加HIV-TAT序列来实现D5SD肽的细胞渗透性,我们观察到当TAT-D5SD破坏Lck-IP3R PPI时,血液学癌症细胞的大范围、Ca2+依赖性细胞杀伤。所有细胞系和原代细胞都对D5SD肽敏感,但与B细胞或髓系恶性肿瘤相比,恶性T细胞的敏感性较低。RNA-seq数据的挖掘表明,LCK在原发性弥漫性大B细胞淋巴瘤(DLBCL)和急性髓性白血病(AML)中均有表达。事实上,LCK显示出与许多表征良好的AML癌基因相似的表达模式,并且是包括FLT3-ITD、Notch-1和Kit的蛋白质相互作用组的一部分。与这些发现一致,我们的数据表明,Lck-IP3R PPI可能保护恶性造血细胞免于死亡。重要的是,TAT-D5SD在三种不同的非造血细胞系中没有显示出细胞毒性;因此其诱导细胞死亡的能力似乎是造血细胞所特有的。总之,这些数据表明,一种旨在破坏Lck-IP3R PPI的肽在白血病和淋巴瘤中具有广泛的临床前活性。
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引用次数: 1
After Years of Medical Wandering, A Diagnosis of Chronic Babesiosis Saves A Patient 经过多年的医疗流浪,慢性巴贝斯虫病的诊断挽救了病人
Pub Date : 2023-01-01 DOI: 10.26502/ami.936500123
Alexis LACOUT, Ahed ZEDAN, Christian PERRONNE
This is the case of a 36-year-old immunocompetent, non-splenectomized female patient presenting with a "polymorphic persistent syndrome after a possible tick bite" (SPPT), a syndrome officially recognized by the French High Authority for health (HAS). The patient’s syndrome combined major asthenia, neurological and cognitive disorders (concentration and memory difficulties) and polymorphic somatic signs (muscular, joint and neurological pain, night sweats, chills, etc.) which had been evolving for several years. Babesia serology and PCR were positive. After an initial exacerbation of symptoms, a combined treatment was spectacularly effective. The patient has now been in complete remission for several years
这是一名36岁的免疫功能正常,未切除脾的女性患者,在可能的蜱叮咬后表现出“多态持续性综合征”(SPPT),这是法国卫生高级当局(HAS)正式认可的综合征。患者的症状包括严重的虚弱,神经和认知障碍(集中和记忆困难)和多态躯体体征(肌肉、关节和神经疼痛、盗汗、寒战等),这些症状已持续数年。巴贝斯虫血清学和PCR阳性。在最初症状加重后,联合治疗效果惊人。这个病人现在已经完全缓解好几年了
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引用次数: 0
Characterization of GATA3 and Mammaglobin in breast tumors from African American Women. 非裔美国妇女乳腺肿瘤中GATA3和Mammaglobin的特征。
Pub Date : 2023-01-01 DOI: 10.26502/ami.936500101
Luisel J Ricks-Santi, Kristianna Fredenburg, Moein Rajaei, Ashwin Esnakula, Tammey Naab, J Tyson McDonald, Yasmine Kanaan

GATA3 and Mammaglobin are often used in the clinic to identify metastases of mammary origin due to their robust and diffuse expression in mammary tissue. However, the expression of these markers has not been well characterized in tumors from African American women. The goal of this study was to characterize and evaluate the expression of GATA3 and mammaglobin in breast tumors from African American women and determine their association with clinicopathological outcomes including breast cancer subtypes. Tissue microarrays (TMAs) were constructed from well preserved, morphologically representative tumors in archived formalin-fixed, paraffin-embedded (FFPE) surgical blocks from 202 patients with primary invasive ductal carcinoma. Mammaglobin and GATA3 expression was assessed using immunohistochemistry (IHC). Univariate analysis was carried out to determine the association between expression of GATA3, mammaglobin and clinicopathological characteristics. Kaplan-Meier estimates of overall survival and disease-free survival were also plotted and a log-rank test performed to compare estimates among groups. GATA3 expression showed statistically significant association with lower grade (p<0.001), ER-positivity (p<0.001), PR-positivity (p<0.001), and the luminal subtype (p<0.001). Mammaglobin expression was also significantly associated with lower grade (p=0.031), ER-positivity (p=0.007), and PR-positivity (p=0.022). There was no association with recurrence-free or overall survival. Our results confirm that GATA3 and mammaglobin demonstrate expression predominantly in luminal breast cancers from African American women. Additional markers with improved specificity and sensitivity are warranted for triple negative breast tumors given the high prevalence in women of African descent.

由于GATA3和Mammaglobin在乳腺组织中表达强劲且弥漫性,因此在临床中经常用于鉴别乳腺转移灶。然而,这些标志物的表达在非裔美国妇女的肿瘤中尚未得到很好的表征。本研究的目的是表征和评估非裔美国妇女乳腺肿瘤中GATA3和乳蛋白的表达,并确定它们与包括乳腺癌亚型在内的临床病理结果的关系。组织微阵列(tma)是由202例原发性浸润性导管癌患者的福尔马林固定石蜡包埋(FFPE)手术块中保存完好、形态学具有代表性的肿瘤构建而成的。免疫组化(IHC)检测Mammaglobin和GATA3的表达。采用单因素分析确定GATA3、乳蛋白表达与临床病理特征的关系。Kaplan-Meier总生存期和无病生存期的估计值也被绘制出来,并进行对数秩检验来比较组间的估计值。GATA3表达与低年级有统计学意义(p
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引用次数: 0
Automated Image Analysis Pipeline Development to Monitor Disease Progression in Muscular Dystrophy Using Cell Profiler. 使用细胞剖面仪监测肌肉营养不良疾病进展的自动图像分析管道开发。
Pub Date : 2023-01-01 Epub Date: 2023-09-01 DOI: 10.26502/ami.936500115
Alexandra Brown, Brooklyn Morris, John Karanja Kamau, Abdullah A Alshudukhi, Abdulrahman Jama, Hongmei Ren

Muscular dystrophies are inherited disorders that are characterized by progressive muscle degeneration. These disorders are caused by mutations in the genes encoding structural elements within the muscle, which leads to increased vulnerability to mechanical stress and sarcolemma damage. Although myofibers have the capacity to regenerate, the newly formed myofibers still harbor genetic mutation, which induces continuous cycles of muscle fiber death and regeneration. This repeated cycling is accompanied by an inflammatory response which eventually provokes excessive fibrotic deposition. The histopathological changes in skeletal muscle tissue are central to the disease pathogenesis. Analysis of muscle histopathology is the gold standard for monitoring muscle health and disease progression. However, manual, or semi-manual quantification methods, are not only immensely tedious but can be subjective. Here, we present four image analysis pipelines built in CellProfiler which enable users without a background in computer vision or programming to quantitatively analyze biological images. These image analysis pipelines are designed to quantify skeletal muscle histopathological staining for membrane damage, the abundance and size distribution of regenerating muscle fibers, inflammation via quantification of CD68+ M1 macrophages, and collagen deposition. Additionally, we discuss methods to address common errors associated with the quantification of microscopy images. These automated tools can not only improve workflow efficiency but can provide a better understanding of the histopathological progression of muscular dystrophy.

肌肉营养不良是以进行性肌肉退化为特征的遗传性疾病。这些疾病是由肌肉内编码结构元件的基因突变引起的,这导致了对机械应力和肌膜损伤的易感性增加。尽管肌纤维具有再生能力,但新形成的肌纤维仍然存在基因突变,导致肌纤维死亡和再生的连续循环。这种反复循环伴随着炎症反应,最终引发过度的纤维沉积。骨骼肌组织的组织病理学变化是疾病发病机制的核心。肌肉组织病理学分析是监测肌肉健康和疾病进展的黄金标准。然而,手动或半手动量化方法不仅非常乏味,而且可能是主观的。在这里,我们介绍了CellProfiler中内置的四个图像分析管道,这些管道使没有计算机视觉或编程背景的用户能够定量分析生物图像。这些图像分析管道旨在量化骨骼肌组织病理学染色的膜损伤、再生肌纤维的丰度和大小分布、通过量化CD68+M1巨噬细胞的炎症以及胶原沉积。此外,我们还讨论了解决与显微镜图像量化相关的常见错误的方法。这些自动化工具不仅可以提高工作流程的效率,还可以更好地了解肌营养不良的组织病理学进展。
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引用次数: 0
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Archives of microbiology & immunology
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