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A human anti-polysialic acid antibody as a potential treatment to improve function in multiple sclerosis patients. 一种人抗聚唾液酸抗体作为改善多发性硬化症患者功能的潜在治疗方法。
Pub Date : 2015-08-01
Jens O Watzlawik, Meghan M Painter, Bharath Wootla, Moses Rodriguez

We previously identified a human monoclonal antibody, termed HIgM12 that stimulates spontaneous locomotor activity in a chronically demyelinating mouse model of multiple sclerosis. When tested as a molecular substrate, HIgM12 stimulated neurite outgrowth in vitro. We recently reported that polysialic acid (PSA) attached to the neural cell adhesion molecule (NCAM) is one of the cellular antigens for HIgM12. Fluorescent double-labeling of astrocytes using HIgM12 and commercially available anti-PSA antibody showed dramatic co-localization. Neural tissue homogenates and primary CNS cultures from mice lacking the three major NCAM splice variants NCAM180, NCAM140 and NCAM120 (NCAM KO) were no longer able to bind HIgM12. Furthermore, enzymatic digestion of PSA on wild type (WT) glia abolished HIgM12-binding. Moreover, neurons and glia from NCAM KO animals did not attach to HIgM12-coated nitrocellulose in neurite outgrowth assays. We conclude that HIgM12 targets PSA attached to NCAM, and that the PSA moiety mediates neuronal and glial adhesion and subsequent neurite outgrowth in our in vitro assay. Therefore, this anti-PSA antibody may serve as a future therapeutic to stimulate functional improvement in multiple sclerosis patients and other neurodegenerative diseases.

我们之前发现了一种称为HIgM12的人单克隆抗体,可以刺激多发性硬化症慢性脱髓鞘小鼠模型的自发运动活动。当作为分子底物进行测试时,HIgM12刺激了体外神经突的生长。我们最近报道了神经细胞粘附分子(NCAM)上的聚唾液酸(PSA)是HIgM12的细胞抗原之一。利用HIgM12和市售抗psa抗体对星形胶质细胞进行荧光双标记,显示出明显的共定位。缺乏NCAM三种主要剪接变体NCAM180、NCAM140和NCAM120 (NCAM KO)的小鼠的神经组织匀浆和原代中枢神经系统培养物不再能够结合HIgM12。此外,酶解PSA在野生型(WT)胶质细胞上可以消除higm12的结合。此外,在神经突生长试验中,来自NCAM KO动物的神经元和胶质细胞没有附着在higm12包被的硝化纤维素上。我们在体外实验中得出结论,HIgM12靶向附着在NCAM上的PSA,并且PSA部分介导神经元和胶质的粘附以及随后的神经突生长。因此,这种抗psa抗体可能作为一种未来的治疗方法,刺激多发性硬化症患者和其他神经退行性疾病的功能改善。
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引用次数: 0
ELECTRICAL INSTABILITY DUE TO REGIONAL INCREASE IN EXTRACELLULAR POTASSIUM ION CONCENTRATION. 细胞外钾离子浓度区域性增加导致电不稳定。
Pub Date : 2015-08-01
Sunil M Kandel, Bradley J Roth

Introduction: Ventricular tachycardia and ventricular fibrillation are the two most dangerous arrhythmias. Both are related to reentrant electrical activity in the ventricles. Many studies of arrhythmias consider a homogeneous sheet of cardiac tissue. Since normal ventricular myocardium is inhomogeneous and inhomogeneities play an important role in the induction of reentry, we investigate the effect of a localized inhomogeniety developed at the border between normal and ischemic region.

Methods: We used the bidomain model to represent the electrical properties of cardiac tissue and a modified version of the dynamic Luo-Rudy (LRd) model to represent the active properties of the membrane. To investigate the effect of a localized inhomogeneity, the extracellular potassium [K]e concentration is raised to 10 mM from normal [K]e (4 mM) on the right half of the tissue.

Results and discussion: A train of cathodal stimuli are applied from the lower left corner of the tissue with different basic cycle lengths (BCL). At certain BCL, the spatial heterogeneity created with regional elevation of [K]e can lead to action potential instability (alternans) in the normal and border regions, and 2:1 conduction block in the ischemic region. We observed the reentry when local heterogeneity in [K]e is changed from 10 to 12 mM on the right half of the virtual ventricular myocardium sheet.

Conclusion: Electrical alternans occur during high heart rates and are observed in patients suffering from ventricular tachycardia. It is an early indication of left ventricular systolic impairment. This study will help to evaluate alternans as a predictor and guide for antiarrhythmic therapy.

导言室性心动过速和室颤是两种最危险的心律失常。两者都与心室的再发性电活动有关。许多关于心律失常的研究都认为心肌组织是均匀的。由于正常心室心肌是不均匀的,而不均匀性在诱发再入中起着重要作用,因此我们研究了在正常和缺血区域交界处形成的局部不均匀性的影响:我们使用双域模型表示心脏组织的电特性,并使用改进版的动态罗-鲁迪(LRd)模型表示膜的活性特性。为了研究局部不均匀性的影响,将组织右半部的细胞外钾[K]e浓度从正常[K]e(4 mM)提高到 10 mM:从组织左下角施加一连串阴极刺激,基本周期长度(BCL)各不相同。在一定的 BCL 下,[K]e 的区域性升高所产生的空间异质性会导致正常区域和边界区域的动作电位不稳定(交替),以及缺血区域的 2:1 传导阻滞。当虚拟心室心肌片右半部的[K]e局部异质性从10毫摩尔变为12毫摩尔时,我们观察到了再入:结论:高心率时会出现电交替,在室性心动过速患者中也能观察到。这是左心室收缩功能受损的早期征兆。这项研究将有助于评估交替作为抗心律失常治疗的预测和指导的作用。
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引用次数: 0
Does Electrodiagnostic Confirmation of Radiculopathy Predict Pain Reduction after Transforaminal Epidural Steroid Injection? A Multicenter Study. 神经根病的电诊断证实能预测经椎间孔硬膜外类固醇注射后疼痛减轻吗?一项多中心研究。
Pub Date : 2015-08-01
Zachary McCormick, Daniel Cushman, Mary Caldwell, Benjamin Marshall, Leda Ghannad, Christine Eng, Jaymin Patel, Steven Makovitch, Samuel K Chu, Ashwin N Babu, David R Walega, Christina Marciniak, Joel Press, David J Kennedy, Christopher Plastaras

Objective: Minimal definitive literature identifies patients with radicular pain who would benefit most from epidural steroid injection (ESI). This study investigated if electromyographic (EMG) confirmation of radiculopathy with active or chronic denervation predicts a positive treatment outcome following ESI.

Design: Longitudinal cohort study of adults who underwent EMG and subsequent transforaminal ESI within 6 months. The proportion of individuals who experienced >50% pain relief and mean change in daily morphine equivalents (DME) were calculated.

Results: 170 individuals with respective mean (Standard Deviation) age and duration of symptoms of 55 (15) years and 36 (56) months were included. Mean time to <30 day and >30 day follow-up post-injection were 18 (6) and 99 (130) days, respectively. At >30 day follow-up, a larger proportion of EMG-confirmed individuals (37.7%) reported >50% pain reduction compared to EMG-negative individuals (17.8%) (p=0.03). This was significant for lumbosacral (40% vs. 15%, p=0.01) but not cervical symptoms (p>0.05). Mean decrease in DME at long-term follow-up in EMG-confirmed compared to EMG-negative individuals trended toward significance (-4 vs. -1, p=0.11). There was no significant relationship between myotomal spontaneous activity and pain or opioid use.

Conclusions: Needle EMG predicts long-term pain reduction from transforaminal ESI in patients with lumbosacral radiculopathy, regardless of the presence of active denervation.

目的:很少有明确的文献确定神经根痛患者从硬膜外类固醇注射(ESI)中获益最多。这项研究调查了肌电图(EMG)是否证实了神经根病伴有活动性或慢性去神经支配,预测了ESI后的积极治疗结果。设计:对6个月内接受肌电图和经椎间孔ESI的成年人进行纵向队列研究。计算疼痛缓解>50%的个体比例和每日吗啡当量(DME)的平均变化。结果:共纳入170例患者,平均(标准差)年龄为55(15)岁,症状持续时间为36(56)个月。注射后至随访30天的平均时间分别为18(6)天和99(130)天。在>30天的随访中,与肌电图阴性者(17.8%)相比,肌电图确诊者(37.7%)报告疼痛减轻>50%的比例更大(p=0.03)。腰骶部症状(40% vs. 15%, p=0.01)显著高于颈椎症状(p>0.05)。与肌电图阴性个体相比,肌电图证实的长期随访中DME的平均下降趋势有统计学意义(-4 vs -1, p=0.11)。肌瘤自发活动与疼痛或阿片类药物使用之间无显著关系。结论:针刺肌电图预测腰骶神经根病患者经椎间孔ESI的长期疼痛减轻,无论是否存在主动去神经支配。
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引用次数: 0
Microbiome-generated amyloid and potential impact on amyloidogenesis in Alzheimer's disease (AD). 微生物产生的淀粉样蛋白及其对阿尔茨海默病(AD)淀粉样蛋白形成的潜在影响。
Pub Date : 2015-07-01
Yuhai Zhao, Walter J Lukiw

According to the 'amyloid cascade hypothesis of Alzheimer's disease' first proposed about 16 years ago, the accumulation of Aβ peptides in the human central nervous system (CNS) is the primary influence driving Alzheimer's disease (AD) pathogenesis, and Aβ peptide accretion is the result of an imbalance between Aβ peptide production and clearance. In the last 18 months multiple laboratories have reported two particularly important observations: (i) that because the microbes of the human microbiome naturally secrete large amounts of amyloid, lipopolysaccharides (LPS) and other related pro-inflammatory pathogenic signals, these may contribute to both the systemic and CNS amyloid burden in aging humans; and (ii) that the clearance of Aβ peptides appears to be intrinsically impaired by deficits in the microglial plasma-membrane enriched triggering receptor expressed in microglial/myeloid-2 cells (TREM2). This brief general commentary-perspective paper: (i) will highlight some of these very recent findings on microbiome-secreted amyloids and LPS and the potential contribution of these microbial-derived pro-inflammatory and neurotoxic exudates to age-related inflammatory and AD-type neurodegeneration in the host; and (ii) will discuss the contribution of a defective microglial-based TREM2 transmembrane sensor-receptor system to amyloidogenesis in AD that is in contrast to the normal, homeostatic clearance of Aβ peptides from the human CNS.

根据大约16年前首次提出的“阿尔茨海默病的淀粉样蛋白级联假说”,Aβ肽在人类中枢神经系统(CNS)中的积累是驱动阿尔茨海默病(AD)发病的主要影响因素,而Aβ肽的积累是Aβ肽产生和清除之间不平衡的结果。在过去的18个月里,多个实验室报告了两个特别重要的观察结果:(i)由于人类微生物组的微生物自然分泌大量的淀粉样蛋白、脂多糖(LPS)和其他相关的促炎性致病信号,这些可能有助于衰老人类的全身和中枢神经系统淀粉样蛋白负担;(ii) Aβ肽的清除似乎受到小胶质/髓细胞2 (TREM2)表达的小胶质质膜富集触发受体缺陷的内在损害。这篇简短的一般性评论观点论文:(i)将重点介绍微生物组分泌的淀粉样蛋白和脂多糖的一些最新发现,以及这些微生物衍生的促炎和神经毒性渗出物对宿主年龄相关的炎症和ad型神经变性的潜在贡献;(ii)将讨论基于小胶质细胞的tre2跨膜传感器受体系统的缺陷对AD淀粉样蛋白形成的贡献,这与人类中枢神经系统正常的、稳态的a β肽清除形成对比。
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引用次数: 0
Progressive Myopia and Lid Suture Myopia are Explained by the Same Feedback Process: a Mathematical Model of Myopia. 渐进性近视和眼睑缝合性近视由相同的反馈过程解释:近视的数学模型。
Pub Date : 2015-06-01
Antonio Medina, Peter R Greene

Objective: Progressive myopia in humans and lid-sutured myopia in primates have been considered to be different processes. This report seeks to establish the connection between progressive myopia in humans and lid suture myopia in macaque monkeys.

Methods: We followed the axial length of 4 lid-sutured macaque monkeys over an 18 month period. Their axial length is directly related to myopia. We also studied the myopia progression in corrected human subjects. Macaques and humans exhibit a linear time course of myopia progression when lid-sutured or corrected with lenses, respectively.

Results: A linear progression is observed in lid-sutured eyes of four macaques, r = 0.94, p < 0.05. Human progressive myopia and lid-suture myopia can be modeled by the same feedback process. In both cases the functional equivalent is the opening of the feedback loop.

Conclusions: The open loop feedback process predicts a linear progression of myopia. This prediction was confirmed in human subjects and it is now confirmed in our macaque subjects. This process also explains the very rapid rate of myopia progression of lid sutured eyes.

目的:人类的渐进性近视和灵长类动物的睑板缝合性近视一直被认为是不同的过程。本报告旨在建立人类渐进性近视与猕猴睑缝近视之间的联系:方法:我们对 4 只睑缝猕猴的轴长进行了 18 个月的跟踪观察。它们的轴长与近视直接相关。我们还研究了矫正后的人类的近视进展情况。猕猴和人类的近视度数分别在眼睑缝合或镜片矫正后呈现线性发展过程:四只猕猴的眼睑缝合后近视度数呈线性发展,r = 0.94,p < 0.05。人类渐进性近视和睑板缝合近视可以用相同的反馈过程来模拟。在这两种情况下,其功能等同于反馈环的打开:结论:开环反馈过程预测了近视的线性发展。这一预测在人类受试者身上得到了证实,现在在我们的猕猴受试者身上也得到了证实。这一过程也解释了睑板缝合眼近视发展速度非常快的原因。
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引用次数: 0
The Essential WalK Histidine Kinase and WalR Regulator Differentially Mediate Autolysis of Staphylococcus aureus RN4220. 必需WalK组氨酸激酶和WalR调节因子差异介导金黄色葡萄球菌RN4220的自溶。
Pub Date : 2015-06-01
Li Zheng, Meiying Yan, Frank Fan, Yinduo Ji

The two-component regulatory system, WalR/WalK is necessary for growth of different gram-positive bacteria, including Staphylococcus aureus. In present study, we confirmed the essentiality of both the histidine kinase protein WalK and the response regulator WalR for growth using S. aureus RN4220 strain and demonstrated that the histidine kinase protein WalK and the response regulator WalR function differently in regulation of staphylococcal autolysis. The down-regulation of walR expression effectively inhibited Triton X-100-induced lysis and had a weak impact on bacterial tolerance to penicillin induced cell lysis. In contrast, the down-regulation of walK expression had no influence on either Triton X-100- or penicillin-caused autolysis. Moreover, we determined the effect of WalR and WalK on bacterial hydrolase activity using a zymogram analysis. The results showed that the cell lysate of down-regulated walR expression mutant displayed several bands of decreased cell wall hydrolytic activities; however, the down-regulation of WalK had no dramatic impact on the hydrolytic activities. Furthermore, we examined the impact of WalR on the transcription of cidA associated with staphylococcal autolysis, and the results showed that the down-regulation of WalR led to decreased transcription of cidA in the log phase of growth. Taken together, the above results suggest that the essential WalR response regulator and the essential WalK histidine kinase might differently control bacterial lysis in RN4220 strain.

双组分调控系统,WalR/WalK是不同革兰氏阳性细菌生长所必需的,包括金黄色葡萄球菌。本研究以金黄色葡萄球菌RN4220菌株为研究对象,证实了组氨酸激酶蛋白WalK和反应调节因子WalR对葡萄球菌生长的重要性,并证明组氨酸激酶蛋白WalK和反应调节因子WalR在葡萄球菌自溶中的调节作用不同。下调walR表达可有效抑制Triton x -100诱导的细胞裂解,对细菌对青霉素诱导的细胞裂解的耐受性影响较弱。相比之下,walK表达下调对Triton X-100或青霉素引起的自溶均无影响。此外,我们通过酶谱分析确定了WalR和WalK对细菌水解酶活性的影响。结果表明,下调walR表达突变体的细胞裂解液出现细胞壁水解活性降低的条带;然而,WalK的下调对水解活性没有显著影响。进一步,我们检测了WalR对与葡萄球菌自溶相关的cidA转录的影响,结果表明,WalR的下调导致生长对数期cidA转录减少。综上所述,上述结果表明,必需的WalR反应调节因子和必需的WalK组氨酸激酶可能在RN4220菌株中不同程度地控制细菌裂解。
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引用次数: 0
A new way to detect the danger: Lysosomal cell death induced by a bacterial ribosomal protein. 一种检测危险的新方法:细菌核糖体蛋白诱导的溶酶体细胞死亡。
Pub Date : 2015-06-01
Wenhan Zhu, Zhao-Qing Luo

The death of immune cells in response to pathogens often dictates the outcome of an infection. In some contexts, pathogens specifically kill immune cells by producing highly potent toxins or by triggering host cell death pathways, thus ensuring successful infections. But for intracellular pathogens and viruses, the death of host cells normally is disastrous for their intracellular life cycle. Our recent experiments with the pathogen Legionella pneumophila revealed that the bacterial ribosomal protein RpsL is able to trigger lysosomal membrane permeabilization (LMP) and the subsequent macrophage cell death. Interestingly, a lysine to arginine mutation at the 88th residue, which also confers resistance to the antibiotic streptomycin, substantially impaired the cell death inducing activity of RpsL and allowed L. pneumophila to succeed in intracellular replication, suggesting the convergence of resistance mechanisms to innate immunity and antibiotics. The discovery of lysosomal cell death as an immune response to a bacterial ligand has expanded the spectrum of reactions that host cells can mount against bacterial infection; these observations provide a model to study the pathways that lead to the induction of LMP, a currently poorly understood cellular process involved in the development of many diseases.

免疫细胞对病原体的反应死亡往往决定了感染的结果。在某些情况下,病原体通过产生强效毒素或触发宿主细胞死亡途径特异性杀死免疫细胞,从而确保成功感染。但对于细胞内病原体和病毒来说,宿主细胞的死亡通常对它们的细胞内生命周期是灾难性的。我们最近对嗜肺军团菌的实验表明,细菌核糖体蛋白RpsL能够触发溶酶体膜渗透(LMP)和随后的巨噬细胞死亡。有趣的是,在第88个残基上的赖氨酸到精氨酸的突变,也赋予了对抗生素链霉素的抗性,大大削弱了RpsL诱导细胞死亡的活性,并使嗜肺乳杆菌在细胞内复制成功,这表明对先天免疫和抗生素的抗性机制趋同。溶酶体细胞死亡作为一种对细菌配体的免疫反应的发现,扩大了宿主细胞对抗细菌感染的反应范围;这些观察结果为研究导致LMP诱导的途径提供了一个模型,LMP是一个目前知之甚少的涉及许多疾病发展的细胞过程。
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引用次数: 0
Effect of Sodium Fluoride on the endogenous MMP Activity of Dentin Matrices. 氟化钠对牙本质基质内源性MMP活性的影响。
Pub Date : 2015-06-01
Martha Goël Brackett, Kelli A Agee, William W Brackett, William O Key, Camila Sabatini, Melissa T Kato, Marilia A R Buzalaf, Leo Tjäderhane, David H Pashley

Objectives: This study evaluated the effect of incorporating increasing concentrations of sodium fluoride in incubation media, on the loss of dry mass and solubilization of collagen from demineralized dentin beams incubated for up to 7 days. The effect of fluoride on the inhibition of matrix-bound metalloproteinases (MMPs) was also measured.

Methods: Dentin beams were completely demineralized in 10% phosphoric acid. After baseline measurements of dry mass, the beams were divided into six groups (n=10) and incubated at 37°C either in buffered media containing sodium fluoride (NaF) at 75, 150, 300, 450, 600 ppm or in fluoride-free media (control) for seven days. Following incubation, dry mass was re-measured. The incubation media was hydrolyzed with HCl for the quantitation of hydroxyproline (HYP) as an index of solubilization of collagen by endogenous dentin proteases. Increasing concentrations of fluoride were also evaluated for their ability to inhibit rhMMP-9.

Results: Addition of NaF to the incubation media produced a progressive significant reduction (p<0.05) in the loss of mass of dentin matrices, with all concentrations demonstrating significantly less mass loss than the control group. Significantly less HYP release from the dentin beams was found in the higher fluoride concentration groups, while fluoride concentrations of 75 and 150 ppm significantly reduced rhMMP-9 activity by 6.5% and 79.2%, respectively.

Conclusions: The results of this study indicate that NaF inhibits matrix-bound MMPs and therefore may slow the degradation of dentin matrix by endogenous dentin MMPs.

目的:本研究评估了在培养培养基中加入浓度增加的氟化钠对培养长达7天的脱矿牙本质梁的干质量损失和胶原蛋白增溶的影响。测定了氟对基质结合金属蛋白酶(MMPs)的抑制作用。方法:牙本质梁在10%磷酸溶液中完全脱矿。在干质量基线测量后,将光束分为六组(n=10),并在37°C下,在含氟化钠(NaF)浓度为75、150、300、450、600 ppm的缓冲介质中或在无氟介质(对照)中孵育7天。孵育后,重新测量干质量。用盐酸水解培养培养基,定量测定羟脯氨酸(HYP),作为内源性牙本质蛋白酶对胶原增溶的指标。还评估了增加氟化物浓度对rhMMP-9的抑制能力。结论:本研究结果表明,NaF抑制基质结合的MMPs,因此可能减缓内源性牙本质MMPs对牙本质基质的降解。
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引用次数: 0
Subtype-dependent Morphological and Functional Degeneration of Retinal Ganglion Cells in Mouse Models of Experimental Glaucoma. 实验性青光眼小鼠视网膜神经节细胞亚型依赖性形态和功能退化。
Pub Date : 2015-05-01
Zhen Puyang, Hui Chen, Xiaorong Liu

In this short review, Puyang and her colleagues compared the results from three laboratories on the dendritic and functional degeneration of retinal ganglion cells (RGCs) in mouse models of experimental glaucoma [1-4]. Acute or chronic ocular hypertension was induced in mice, and different techniques were applied to identify RGC types. The dendritic alternations of RGCs were examined following the induction of ocular hypertension, and their light response properties were characterized by the multi-electrode array (MEA) recording. These studies support the notion that the morphological and functional degeneration of RGCs are subtype-dependent in experimental glaucoma.

在这篇简短的综述中,濮阳等比较了三个实验室对实验性青光眼小鼠模型中视网膜神经节细胞(RGCs)树突状变性和功能变性的研究结果[1-4]。小鼠急性或慢性高眼压诱导,采用不同技术鉴定RGC类型。观察高眼压诱导后RGCs的树突变化,并利用多电极阵列(MEA)记录其光响应特性。这些研究支持了实验性青光眼RGCs的形态和功能变性是亚型依赖的观点。
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引用次数: 0
Development and Validation of the Alzheimer's Questionnaire (AQ). 阿尔茨海默病问卷(AQ)的开发和验证。
Pub Date : 2015-05-01
Michael Malek-Ahmadi, Marwan N Sabbagh

The Alzheimer's Questionnaire (AQ) was developed to be brief and accurate informant-based assessment for primary care and geriatric physicians to use in screening for cognitive impairment. To date, several studies have been carried out and published establishing the diagnostic accuracy and psychometric validity of the AQ. This paper will provide a review of the studies that have been carried out to establish the AQ as a valid and accurate informant-based assessment of cognitive function.

阿尔茨海默氏症问卷(AQ)是一种简短而准确的基于信息的评估,用于初级保健和老年医生筛查认知障碍。到目前为止,已经有一些研究证实了AQ的诊断准确性和心理测量效度。本文将对已经开展的研究进行综述,以确定AQ是一种有效和准确的基于信息的认知功能评估。
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引用次数: 0
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