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Sp1-Mettl14 Feedback Loop Promotes Ferroptosis in Mycobacterium tuberculosis–Infected Microglia by Activating Acsl4 Sp1-Mettl14反馈环通过激活Acsl4促进结核分枝杆菌感染的小胶质细胞铁凋亡
IF 3.3 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-16 DOI: 10.1111/bcpt.70183
Junhao Chu, Quansheng Liu, Xue Chen, Aili Jia, Xing Chen

Central nervous system tuberculosis (CNS-TB) represents a critical form of extrapulmonary tuberculosis, characterized by high mortality and morbidity. The infection of microglia by Mycobacterium tuberculosis (Mtb) is a crucial factor in the progression of CNS-TB. Ferroptosis plays a significant role in various neurological disorders. However, it remains unclear whether Mtb can induce ferroptosis in microglia and what mechanisms underlie this process. This study demonstrated that Mtb H37Rv infection can induce ferroptosis in microglia, which is characterized by the accumulation of ferrous ions, increased levels of lipid ROS, depletion of glutathione, enhanced lipid peroxidation and reduced expression of Slc7a11 and Gpx4. Additionally, Mtb infection upregulated Sp1 expression, and Sp1 knockdown led to a suppression of ferroptosis induced by Mtb. Mechanistically, we found that Sp1 enhanced the transcription of Mettl14. Subsequently, the N6-methyladenosine modification mediated by Mettl14 stabilized the mRNA of Acsl4, ultimately inducing ferroptosis. Mettl14 also was found to enhance the stability of Sp1 mRNA, establishing a positive regulatory feedback loop. Moreover, knockdown of Acsl4 attenuated Sp1- or Mettl14-mediated ferroptosis in Mtb-infected microglia. Overall, our findings establish a connection between Mtb infection and ferroptosis and delineate a novel mechanism through which H37Rv induces ferroptosis in microglia via the Sp1-Mettl14-Acsl4 axis, offering new insights into the pathogenesis of CNS-TB.

中枢神经系统结核(CNS-TB)是肺外结核的一种重要形式,其特点是高死亡率和发病率。结核分枝杆菌(Mtb)感染小胶质细胞是CNS-TB进展的关键因素。上睑下垂在多种神经系统疾病中起重要作用。然而,Mtb是否能诱导小胶质细胞铁下垂以及这一过程背后的机制尚不清楚。本研究表明,Mtb H37Rv感染可诱导小胶质细胞铁凋亡,其特征是亚铁离子积累,脂质ROS水平升高,谷胱甘肽消耗,脂质过氧化增强,Slc7a11和Gpx4表达降低。此外,结核分枝杆菌感染上调Sp1表达,Sp1敲低导致结核分枝杆菌诱导的铁下垂受到抑制。在机制上,我们发现Sp1增强了Mettl14的转录。随后,Mettl14介导的n6 -甲基腺苷修饰稳定Acsl4 mRNA,最终诱导铁下垂。Mettl14还增强了Sp1 mRNA的稳定性,建立了一个正调节反馈回路。此外,敲除Acsl4可减轻Sp1或mettl14介导的mtb感染小胶质细胞中的铁下垂。总之,我们的研究结果建立了结核分枝杆菌感染与铁死亡之间的联系,并描绘了H37Rv通过Sp1-Mettl14-Acsl4轴诱导小胶质细胞铁死亡的新机制,为CNS-TB的发病机制提供了新的见解。
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引用次数: 0
Fall Risk Awareness and Experiences Among Adult Users of Opioids in Denmark: A Community Pharmacy-Based Questionnaire Pilot Study 丹麦成人阿片类药物使用者的跌倒风险意识和经验:一项基于社区药房的问卷调查试点研究。
IF 3.3 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-07 DOI: 10.1111/bcpt.70186
Juliane Maria Rosendahl, Jesper Ryg, Carina Lundby
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引用次数: 0
Metformin Attenuates ox-LDL-Induced Macrophage Senescence and Inflammation via NR4A1-Mediated Mitophagy Regulation 二甲双胍通过nr4a1介导的线粒体自噬调节减轻ox- ldl诱导的巨噬细胞衰老和炎症。
IF 3.3 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-06 DOI: 10.1111/bcpt.70188
Luling Li, Xiuting Huang, Pei Li

Metformin alleviates oxidized low-density lipoprotein (ox-LDL)-induced macrophage senescence, a key process in atherosclerosis. Our in vitro findings demonstrate that metformin suppresses ox-LDL-induced overexpression of the nuclear receptor NR4A1 in macrophages. This inhibition subsequently reduces excessive mitophagy, improves mitochondrial membrane potential and decreases reactive oxygen species (ROS) production. The amelioration of this mitochondrial dysfunction directly attenuated cellular senescence markers and reduced the secretion of inflammatory cytokines. Furthermore, we identified Caveolin-1 as a critical regulator of metformin's protective effects. Overexpression of Caveolin-1 was shown to reverse metformin-mediated improvements in mitochondrial function. These results establish that metformin mitigates macrophage senescence by targeting the NR4A1–mitophagy pathway, with Caveolin-1 serving as an essential modulator. This NR4A1–mitophagy axis represents a promising therapeutic target, positioning metformin as a potential candidate for slowing atherosclerosis progression by preserving mitochondrial health in macrophages.

二甲双胍减轻氧化低密度脂蛋白(ox-LDL)诱导的巨噬细胞衰老,这是动脉粥样硬化的一个关键过程。我们的体外研究结果表明,二甲双胍抑制ox- ldl诱导的巨噬细胞核受体NR4A1的过表达。这种抑制随后减少过度的线粒体自噬,提高线粒体膜电位,减少活性氧(ROS)的产生。这种线粒体功能障碍的改善直接减弱了细胞衰老标志物,减少了炎症细胞因子的分泌。此外,我们发现Caveolin-1是二甲双胍保护作用的关键调节因子。Caveolin-1过表达可逆转二甲双胍介导的线粒体功能改善。这些结果表明,二甲双胍通过靶向NR4A1-mitophagy通路来减轻巨噬细胞衰老,而Caveolin-1是一种重要的调节剂。这个nr4a1 -线粒体自噬轴代表了一个有希望的治疗靶点,将二甲双胍定位为通过保持巨噬细胞线粒体健康来减缓动脉粥样硬化进展的潜在候选者。
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引用次数: 0
Pharmacogenetic Predictors of Postoperative Opioid-Related Adverse Events: A Systematic Review 术后阿片类药物相关不良事件的药物遗传预测因素:系统综述。
IF 3.3 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-04 DOI: 10.1111/bcpt.70154
Selma Pedersen Kjartansdóttir, Caroline Folkersen, Ida Houtved Rasmussen, Pernille Bjersand Sunde, Atena Saito, Mathias Maagaard, Michael Asger Andersen, Kim Peder Dalhoff, Anders Peder Højer Karlsen

Backgrounds/Aims

This systematic review aimed to assess associations between genotypes and the risk of experiencing postoperative opioid-related adverse drug events (ORADEs).

Methods

Following PRISMA guidelines and registered with PROSPERO, we searched MEDLINE, Embase and CENTRAL for studies assessing genetic predictors of ORADEs within 24 h postoperatively. Eligible studies included English-written retrospective and prospective cohort studies as well as randomised trials. Risk of bias was assessed using the QUIPS tool. Data were extracted in duplicate, and relative risks with 95% confidence intervals were calculated. Meta-analyses were conducted when ≥ 2 studies assessed the same genetic predictor and ORADE relationship.

Results

Of the 119 523 citations, 27 studies (5279 patients) met inclusion criteria. All included studies ranked high risk of bias. Of the 28 investigated predictors, 17 significantly increased or decreased ORADE risk in individual studies. Of the 31 meta-analyses, only two demonstrated significant associations (p < 0.05; COMT rs4680 AA and nausea, and CYP2D6 IM and hyperhidrosis).

Conclusion

While finding two significant associations, we would expect one to two significant associations at random given the 31 meta-analyses. Findings were limited by heterogeneity, few studies and small sample sizes. The current evidence does not suggest that genotypes should have a central place in the risk stratification of the occurrence of postoperative ORADEs.

背景/目的:本系统综述旨在评估基因型与术后阿片类药物相关不良事件(ORADEs)风险之间的关系。方法:遵循PRISMA指南并在PROSPERO注册,我们检索MEDLINE、Embase和CENTRAL,以评估术后24小时内ORADEs的遗传预测因素。符合条件的研究包括英语写作的回顾性和前瞻性队列研究以及随机试验。使用QUIPS工具评估偏倚风险。数据一式两份提取,以95%置信区间计算相对风险。当≥2项研究评估相同的遗传预测因子和ORADE关系时,进行meta分析。结果:在119523次引用中,27项研究(5279例患者)符合纳入标准。所有纳入的研究均为高偏倚风险。在28个被调查的预测因素中,17个在个别研究中显著增加或降低ORADE风险。在31项荟萃分析中,只有两项显示出显著关联(p结论:虽然发现了两个显著关联,但我们预计在31项荟萃分析中随机出现一到两个显著关联。研究结果受到异质性、研究较少和样本量小的限制。目前的证据并不表明基因型应该在术后发生ORADEs的风险分层中占有中心地位。
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引用次数: 0
Drug-Induced Liver Injury Associated With Moxifloxacin: A Pharmacovigilance Analysis of the FDA Adverse Event Reporting System and a Real-World Retrospective Study 与莫西沙星相关的药物性肝损伤:FDA不良事件报告系统的药物警戒分析和现实世界回顾性研究。
IF 3.3 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-31 DOI: 10.1111/bcpt.70187
Yanqing Song, Chunzi Li, Xiaoyue Liu, Huan Gao

Objective

While current studies have focused on the incidence of moxifloxacin-associated liver injury, risk factors and clinical characteristics for moxifloxacin-induced liver injury in hospitalized patients remain unexplored.

Methods

We analysed antibiotic-induced liver injury using the US Food and Drug Administration Adverse Event Reporting System (FAERS) database. A retrospective observational study was further conducted on 1265 hospitalized patients treated with moxifloxacin for infections. Independent risk factors for moxifloxacin-induced DILI were identified via multivariable logistic regression.

Results

FAERS data indicated that moxifloxacin-induced liver injury exacerbates clinical outcomes, prolongs hospitalization, and may be life-threatening. Infections were the primary indication for fluoroquinolone use, with gender-specific differences observed in liver injury profiles across quinolones. Retrospective analyses revealed gender as an independent protective factor (p = 0.003). Risk factors included hypoalbuminemia (p = 0.003), hepatic comorbidities (fatty liver, p = 0.013; pre-existing liver injury, p < 0.013), elevated baseline alkaline phosphatase (ALP, p < 0.001) and concomitant use of traditional Chinese medicine or respiratory drugs (p < 0.001).

Conclusion

Despite widespread clinical use, moxifloxacin's safety profile requires systematic evaluation. Clinicians should monitor liver function and integrate risk stratification, including albumin levels, gender and concomitant medications into prescribing practices. Elucidating DILI mechanisms and high-risk populations may optimize therapeutic decision-making and patient safety.

目的:虽然目前的研究主要集中在莫西沙星相关肝损伤的发生率上,但莫西沙星致住院患者肝损伤的危险因素和临床特征尚未探讨。方法:我们使用美国食品和药物管理局不良事件报告系统(FAERS)数据库分析抗生素引起的肝损伤。对1265例使用莫西沙星治疗感染的住院患者进行回顾性观察研究。通过多变量logistic回归确定莫西沙星诱导DILI的独立危险因素。结果:FAERS数据显示莫西沙星引起的肝损伤加重了临床结果,延长了住院时间,并可能危及生命。感染是氟喹诺酮类药物使用的主要指征,不同喹诺酮类药物的肝损伤情况存在性别差异。回顾性分析显示,性别是独立的保护因素(p = 0.003)。危险因素包括低白蛋白血症(p = 0.003)、肝脏合并症(脂肪肝,p = 0.013)、既往肝损伤(p)。结论:尽管临床广泛使用莫西沙星,但其安全性需要系统评估。临床医生应监测肝功能,并将危险分层纳入处方实践,包括白蛋白水平、性别和伴随用药。阐明DILI机制和高危人群可以优化治疗决策和患者安全。
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引用次数: 0
A Clinical Medication Review Focused on Deprescribing in Older Patients With Hyperpolypharmacy: A Mixed-Methods Feasibility Study 一项针对老年过度用药患者开处方的临床药物综述:一项混合方法的可行性研究。
IF 3.3 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-28 DOI: 10.1111/bcpt.70184
Gert Baas, Mette Heringa, Sanne Verdoorn, Henk-Frans Kwint, Eman Badawy, Jacobijn Gussekloo, Marcel Bouvy

To address challenges in deprescribing, we investigated the feasibility of an intervention consisting of a clinical medication review (CMR) focused on deprescribing, supported by a training programme for healthcare providers (HCPs) among older patients with hyperpolypharmacy (≥ 10 chronic medications) in primary care. A mixed-methods feasibility study was conducted in six Dutch community pharmacies using Bowen's framework. The intervention comprised HCP training and a five-step deprescribing-focused CMR. Within 6 Bowen domains, 18 outcomes were assessed through (patient) questionnaires, interviews (patients, HCPs), process parameters, and medication dispensing data. Five pharmacists conducted CMRs with 24 patients (median age: 84.5 years). The intervention was well accepted by patients and HCPs. However, barriers emerged regarding implementation and practicality. Consultations lacked complete discussion of patient concerns, and pharmacists reported varying levels of confidence in making deprescribing decisions. Time constraints limited the incorporation of deprescribing into CMRs. On average, 1.3 medications per patient were deprescribed. Within a setting of motivated and CMR-experienced HCPs, adding a focus on deprescribing to CMRs for older patients with hyperpolypharmacy was feasible and well received. Feasibility was supported by high acceptability and deprescribing potential, though barriers in implementation and practicality indicate the need for further evaluation in broader primary care settings.

为了解决处方减少方面的挑战,我们研究了一种干预措施的可行性,该干预措施包括以处方减少为重点的临床药物回顾(CMR),并辅以对初级保健中使用多种药物(≥10种慢性药物)的老年患者的医疗保健提供者(HCPs)的培训计划。使用Bowen的框架在六个荷兰社区药房进行了一项混合方法可行性研究。干预包括HCP培训和五步以处方为重点的CMR。在6个Bowen域内,通过(患者)问卷调查、(患者、HCPs)访谈、工艺参数和药物分配数据评估了18个结果。5名药师对24例患者(中位年龄84.5岁)进行cmr。该干预措施得到了患者和医务人员的广泛接受。但是,在执行和实用性方面出现了障碍。咨询缺乏对患者关切的完整讨论,药剂师报告在制定处方决定时信心不一。时间限制限制了将处方纳入cmr。平均每位患者开了1.3种药物。在一组有动力和有cmr经验的HCPs中,增加对老年多药患者cmr处方的关注是可行的,并且得到了很好的接受。可行性得到了高可接受性和处方潜力的支持,尽管在实施和实用性方面存在障碍,表明需要在更广泛的初级保健环境中进行进一步评估。
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引用次数: 0
Hypersensitivity to Opioids: Prevalence, Mechanisms, Diagnosis and Management 阿片类药物过敏:患病率,机制,诊断和管理。
IF 3.3 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-25 DOI: 10.1111/bcpt.70182
Kenneth Skov, Eva Aggerholm Sædder, Gitte Krogh Madsen, Peter Gaarsdal Uhrbrand, Andreas Halgreen Eiset, Lene Heise Garvey

Many patients report being allergic to opioids and/or have allergy warnings documented in their medical records. However, the reasoning behind these warnings is often unclear and frequently lacks clinical validation. Reported reactions may include skin rashes, itching, severe vomiting, fainting or respiratory arrest occurring during postoperative recovery where opioids were administered. In many cases, there is also uncertainty about which specific opioid was used. An allergy warning to one opioid further raises the question of whether the patient can tolerate other opioids. In this review, we address the exceedingly rare IgE-mediated opioid allergy and cross-reactivity between opioids, along with non–immune-mediated histamine release and other adverse effects of opioids that patients or clinicians may mistake for allergic reactions. We propose a simple risk stratification algorithm for the clinical management of patients labelled as opioid allergic—helping to distinguish who should be referred for allergy evaluation and who can safely be treated with opioids with or without antihistamine pre-treatment.

许多患者报告对阿片类药物过敏和/或在其医疗记录中记录了过敏警告。然而,这些警告背后的原因往往不清楚,而且往往缺乏临床验证。报告的反应可能包括在给予阿片类药物的术后恢复期间发生的皮疹、瘙痒、严重呕吐、昏厥或呼吸停止。在许多情况下,还不确定使用了哪种特定的阿片类药物。对一种阿片类药物的过敏警告进一步提出了患者是否能耐受其他阿片类药物的问题。在这篇综述中,我们讨论了极其罕见的ige介导的阿片类药物过敏和阿片类药物之间的交叉反应,以及非免疫介导的组胺释放和阿片类药物的其他副作用,这些副作用可能被患者或临床医生误认为是过敏反应。我们提出了一种简单的风险分层算法,用于临床管理被标记为阿片类药物过敏的患者,帮助区分谁应该进行过敏评估,谁可以安全地接受阿片类药物治疗,或不进行抗组胺预处理。
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引用次数: 0
BCPT 2025 Prizes and Awards BCPT 2025奖项和奖励。
IF 3.3 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-21 DOI: 10.1111/bcpt.70185
Jens Lykkesfeldt, Ulf Simonsen
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引用次数: 0
Development and Application of an LC–MS Method for the Pharmacokinetics and Pharmacodynamics of Oral Therapeutic Efficacy of Nalfurafine 液相色谱-质谱法测定口服纳氟萘芬药动学和药效学疗效的建立与应用。
IF 3.3 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-17 DOI: 10.1111/bcpt.70178
Sven Sondhauss, Mackenzie Kiernan, Julia Morizzi, Phil Wright, Thomas E. Prisinzano, Bronwyn M. Kivell, Katharina Robichon, Anne Camille La Flamme

Multiple sclerosis (MS) is a chronic autoimmune disease characterized by central nervous system demyelination, leading to sensory and motor dysfunction. Previous studies have demonstrated that the kappa opioid receptor agonist nalfurafine (Nalf) reduces disease severity and promotes remyelination in the experimental autoimmune encephalomyelitis (EAE) model of MS. However, the pharmacokinetics of Nalf and its optimal administration route for clinical translation remain unexplored. To investigate Nalf's pharmacokinetics and identify an effective oral delivery strategy, we successfully optimized a liquid chromatography–mass spectrometry (LC–MS) method for detecting Nalf in plasma and brain tissues of mice treated via intraperitoneal (ip) or oral administration. Nalf exhibited similar pharmacokinetic profiles following both ip and oral administration, with the oral route achieving almost 70% bioavailability and a longer elimination half-life compared to ip. Nalf effectively reached the brain and significantly reduced a range of disease parameters in EAE in a dose-dependent manner. Our findings demonstrate that oral administration of Nalf is pharmacokinetically favourable and effectively reduces disease disability and promotes remyelination in the EAE model. This study supports the clinical development of oral Nalf as a potential treatment for MS, offering an effective and noninvasive alternative to injections.

多发性硬化症(MS)是一种以中枢神经系统脱髓鞘为特征的慢性自身免疫性疾病,导致感觉和运动功能障碍。先前的研究表明,kappa阿片受体激动剂纳氟萘芬(Nalf)在ms的实验性自身免疫性脑脊髓炎(EAE)模型中可降低疾病严重程度并促进髓鞘再生。然而,Nalf的药代动力学及其临床转化的最佳给药途径尚未探索。为了研究萘酚的药代动力学并确定有效的口服给药策略,我们成功地优化了液相色谱-质谱(LC-MS)方法,用于检测经腹腔或口服给药的小鼠血浆和脑组织中的萘酚。口服给药和口服给药后,alf表现出相似的药代动力学特征,与口服给药相比,口服途径的生物利用度接近70%,消除半衰期更长。alf有效到达大脑,并以剂量依赖的方式显著降低EAE的一系列疾病参数。我们的研究结果表明,在EAE模型中,口服alf在药代动力学上是有利的,可以有效地减少疾病残疾并促进髓鞘再生。该研究支持口服萘酚作为多发性硬化症潜在治疗方法的临床发展,提供了一种有效且无创的替代注射方法。
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引用次数: 0
Investigating the Effects of Apilarnil on Vincristine-Induced Testicular Toxicity in Rats 阿匹拉尼对长春新碱致大鼠睾丸毒性的影响。
IF 3.3 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-17 DOI: 10.1111/bcpt.70179
Metin Takkaç, Serkan Ali Akarsu, Gamze Uçak, Sefa Küçükler, Cihan Gür, Nurhan Akaras, Mustafa İleritürk, Fatih Mehmet Kandemir

Vincristine (VCR) is a common drug used for this purpose. Apilarnil is a substance known for its antioxidant, antidiabetic and chemoprotective properties with positive effects on the reproductive system. In this study, the effects of apilarnil against testicular damage in vincristine-treated rats were investigated. For this purpose, 35 male Sprague–Dawley rats were used in the study. The rats were divided into five groups as control, VCR, APL, VCR + APL 200 mg/kg of body weight and VCR + APL 400 mg/kg of body weight. VCR was administered intraperitoneally between days 1–6 and 9–14, while APL was administered by oral gavage for 14 days. After the study, rats were sacrificed, testicular tissues were removed and examined biochemically and histopathological, and epididymis tissue was used for spermatological analysis. VCR administration induced oxidative stress, endoplasmic reticulum stress, inflammation and apoptosis in testicular tissue, leading to changes in testicular histology and decreased epididymal sperm quality. APL administration, on the other hand, suppressed oxidative stress, apoptosis, ER stress and inflammation while preserving testicular histology and preventing the decrease in epididymal sperm quality. In conclusion, APL has protective effects against the damage caused during chemotherapy.

长春新碱(VCR)是用于此目的的常用药物。阿彼拉尼尔是一种以其抗氧化、抗糖尿病和化学保护特性而闻名的物质,对生殖系统有积极作用。本研究探讨了阿匹尼尔对长春新碱治疗大鼠睾丸损伤的影响。为此,研究中使用了35只雄性Sprague-Dawley大鼠。将大鼠分为对照组、VCR组、APL组、VCR + APL组200 mg/kg体重组和VCR + APL组400 mg/kg体重组。VCR于第1-6天和第9-14天腹腔注射,APL于第14天灌胃。实验结束后,处死大鼠,取睾丸组织进行生化和组织病理学检查,用附睾组织进行精子学分析。给药VCR引起睾丸组织氧化应激、内质网应激、炎症和细胞凋亡,导致睾丸组织学改变,附睾精子质量下降。另一方面,应用APL可抑制氧化应激、细胞凋亡、内质网络应激和炎症,同时保持睾丸组织学,防止附睾精子质量下降。综上所述,APL对化疗引起的损伤具有保护作用。
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引用次数: 0
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