(Hypertension. 2003;41:737.)
© 2003 American Heart Association, Inc.
Scientific Contributions |
From the Department of Physiology and Biophysics, Institute of Biological Sciences (R.A.S.S., A.S.H., M.J.C.-S., R.D.P., S.V.B.P., M.d.F.L., V.S.L., D.M.R.S., M.T.G.), and the Department of Pediatrics, School of Medicine (A.C.S.e.S.), Federal University of Minas Gerais, Minas Gerais, Brazil, and the Cleveland Clinic Foundation (M.C.K.), Cleveland, Ohio.
Correspondence to Robson A.S. Santos, MD, PhD, Department of Physiology and Biophysics, Institute of Biological Sciences, Federal University of Minas Gerais, 31270-901, Belo Horizonte, MG, Brazil. E-mail marrob{at}dedalus.Lcc.ufmg.br
| Abstract |
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Key Words: angiotensin antagonists angiotensin II angiotensin-(17) D-Pro7-Ang-(17) diuresis
| Introduction |
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Among these putative RAS mediators, Ang-(17) is particularly interesting because of its selectivity, probably owing to the absence of the C-terminal phenylalanine (Phe).2,10 The importance of Phe at the C-terminal is well illustrated by the lack of an Ang-(17) pressor effect after peripheral or intracerebroventricular administration.11 Ang-(17) is a major product derived from Ang I by a route that is independent of the angiotensin-converting enzyme (ACE).12,13 It can also be formed from Ang II by removal of the C-terminal Phe by ACE-2,12 prolylendopeptidase,13 and prolylcarboxypeptidase.14 Ang-(17) plasma concentration is usually lower than that of Ang II, ranging in rats from 10 to 40 fmol/mL.7
Ang-(17) has been shown to produce selective central and peripheral biological effects that can be similar to or often opposite those of Ang II.2,48,15 A role for Ang-(17) in the control of hydroelectrolyte balance has been suggested by its vasopressin secretagogue action in vitro,5 its dense immunostaining in the supraoptic and paraventricular nuclei of the hypothalamus and neurohypophysis,6 and its potent antidiuretic effect in water-loaded rats.7 There is also evidence that Ang-(17) interacts with kinins and augments bradykinin (BK)-induced vasodilator responses (see Santos et al2 for a review). In vascular smooth muscle cells, Ang-(17) caused an antiproliferative response, inhibiting mitogen-stimulated [3H]thymidine incorporation and reducing serum-stimulated cell growth, counteracting Ang II effects.8
Although these observations indicate that Ang-(17) is an important mediator of the RAS, a more meaningful evaluation of its physiological role requires the study of the effects of selective blockade of this angiotensin. We have previously shown that an Ang-(17) synthetic analog, D-Ala7-Ang-(17) (A-779), is a potent and selective Ang-(17) antagonist.16 This compound antagonizes several actions of Ang-(17), including its antidiuretic effect7,16 and the changes in mean arterial pressure produced by Ang-(17) microinjection into the dorsomedial and ventrolateral medulla.16 A-779 also produces selective blockade of the Ang-(17) stimulatory effect on neuronal activity in the paraventricular nucleus.17
With the use of this compound, several findings support the existence of a distinct Ang-(17) receptor2,7,18 and for establishing the biological relevance of endogenous Ang-(17).7,1922 However, one may argue that some of the effects obtained with A-779 could be due to an agonistic effect or interference with the actions of other peptides, although these are unlikely possibilities.16 The availability of other Ang-(17) antagonists would be an important tool to confirm and extend the evidence obtained with A-779. In this study, we report the partial characterization of a new antagonist selective for Ang-(17), D-Pro7-Ang-(17).
| Methods |
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In Vivo Experiments
Intravenous Bolus Injections
One day before the experiment the rats were anesthetized with ether, and a polyethylene catheter (PE-10 connected to PE-50) was inserted into the abdominal aorta through the femoral artery for blood pressure measurements. For intravenous injections, a polyethylene cannula was implanted into the femoral vein. The arterial blood pressure was monitored by a solid-state strain-gauge transducer (model TP-200T, Nihon Khoden) while the heart rate was determined with a heart rate counter (model AT-601G, Nihon Khoden), triggered by the arterial pressure wave. All variables were recorded continuously on a direct-writing Nihon Khoden polygraph (model CP-640G) or on a computer through a data acquisition system (CODAS, Dataq Instruments Inc). BK, 1 or 2 µg, was injected alone or combined with 1, 2, or 20 µg D-Pro7-Ang-(17). A minimum interval of 3 minutes was allowed between injections. Each dose of BK or BK associated with D-Pro7-Ang-(17) was injected twice (0.1 mL per injection). The effect obtained with the second injection was used for calculations.
Medullary Microinjection Procedures
The rats were anesthetized with urethane (1.2 g/kg body weight [BW] IP), and a tracheostomy was performed. Catheters were inserted into the femoral artery and vein for blood pressure measurement and drug injection, respectively. Next, the animals were placed in a stereotaxic frame, and the dorsal surface of the medulla oblongata was exposed. The peptides or saline was microinjected (200 nL) into the rostral ventrolateral medulla (RVLM; 2.0 mm anterior, 1.8 mm lateral to the obex) just above the pia mater by using a stainless steel needle (30 gauge), as described elsewhere.23 The cardiovascular effects produced by (1) Ang-(17), 25 pmol (n=6); (2) D-Pro7-Ang-(17), 50 pmol (n=5); (3) Ang-(17), 25 pmol combined with D-Pro7-Ang-(17), 50 pmol (n=9); (4) Ang II, 25 pmol (n=4); (5) Ang II, 25 pmol combined with D-Pro7-Ang-(17), 50 pmol (n=6); or (6) saline (0.9% NaCl, 200 nL, n=6) were tested. Each rat received a single microinjection.
Water Diuresis
Water diuresis was induced by water loading (5 mL/100 g BW by gavage) in awake rats. Immediately after water loading, the rats were treated subcutaneously with (1) vehicle (0.9% NaCl, 0.05 mL/100 g BW, n=6); (2) Ang-(17), 40 pmol/100 g BW (n=6); (3) D-Pro7-Ang-(17), 1 µg/100 g BW (n=6); or (4) D-Pro7-Ang-(17), 1 µg/100 g BW combined with Ang-(17), 40 pmol/100 g BW (n=6). The urinary volume was measured for 60 minutes after water loading. Urine osmolality was measured with a freezing-point Osmometer (Fiske Osmomether, Fiske Associates Inc).
Water Intake
Four days before the experiments, the rats were anesthetized with tribromoethanol (250 mg/kg BW IP) and placed in a stereotactic frame to allow implantation of guide cannulas in the direction of the lateral ventricle. The following coordinates were used: 0.8 mm caudal to the bregma, 1.5 mm lateral to the midline, and 3.6 mm below the skull surface of the bregma. The cannula tip was positioned
2 mm above the lateral ventricle. The guide cannula was fixed to the skull with methacrylate and watch screws and then closed with an occluder until the time for the experiments. Intramuscular antibiotic (Pentabiotico, Fontoura-Wyeth, 0.2 mL/rat) was given to assist postoperative recovery. Water intake was measured for a 1-hour period after microinjection of saline (n=5); D-Pro7-Ang-(17), 2 nmol (n=5); Ang II, 25 pmol (n=5); or Ang II combined with D-Pro7-Ang-(17) (n=5) into the lateral ventricle. The total microinjection volume was 2 µL.
In Vitro Experiments
Mouse Aortic Ring Preparation and Mounting
Rings (2 to 3 mm) from the descending thoracic aorta, free of fat and connective tissue, were set up in gassed (95% O2 and 5% CO2) Krebs-Henseleit solution (mmol/L): NaCl 110.8, KCl 5.9, NaHCO3 25.0, MgSO4 1.07, CaCl2 2.49, NaH2PO4 2.33, and glucose 11.51, at 37°C under a tension of 0.5 g for a 1-hour equilibration period. During this period, the incubation medium was changed every 15 minutes. After the equilibration period, 2 contractile responses were evoked by submaximal concentrations of phenylephrine (0.3 µmol/L) to elicit reproducible responses. The effect of D-Pro7-Ang-(17) (0.1 µmol/L) on the vasorelaxant activity of Ang-(17) was measured in aortic rings containing a functional endothelium precontracted with 0.1 µmol/L phenylephrine. Ang-(17) (0.0001 to 0.3 µmol/L) was added in increasing cumulative concentrations once the response to phenylephrine had stabilized. The effect of D-Pro7-Ang-(17) was determined by adding the analog to the bath 1 minute before starting the Ang-(17) dose-response curve. The presence of a functional endothelium was assessed by the ability of acetylcholine (10 µmol/L) to induce >70% relaxation of vessels precontracted with phenylephrine (0.3 µmol/L). Mechanical activity, recorded isometrically by a force transducer (World Precision Instruments Inc) was fed to an amplifier-recorder (model TMB-4, World Precision Instruments Inc) and a personal computer equipped with an analog-to-digital converter board (AD16JR, World Precision Instruments Inc) equipped with CVMS data acquisition/recording software (World Precision Instruments Inc).
ACE Assay
Plasma ACE activity was measured by a fluorometric method with Hip-His-Leu as the substrate, as previously described (Santos et al24). Duplicate aliquots of a pool of rat plasma (10 µL) were incubated with 490 µL of 1.25 mmol/L Hip-His-Leu in 0.4 mol/L sodium borate buffer, pH 8.3, containing 0.9 mol/L NaCl for 15 minutes at 37°C. The reaction was stopped by the addition of 1.2 mL of 0.34 mol/L NaOH; 100 µL orthophthaldehyde (20 mg/mL in methanol) was added, and after 10 minutes at room temperature, 200 µL of 3N HCl was added. After centrifugation at 800g for 5 minutes, fluorescence of the supernatant solution (365-nm excitation and 495-nm emission) was measured against water. Blanks were prepared by inverting the order of addition of rat plasma and NaOH. To test the ACE inhibitory activity of D-Pro7-Ang-(17), the peptide at final concentrations ranging from 10-8 to 10-5 mol/L was added to the assay solution before addition of the rat plasma.
Binding of 125I-Angiotensins in Whole Cells
Binding of 125IAng II was performed by incubating angiotensin type 1 (AT1) receptorstably transfected Chinese hamster ovary cells (a gift from Dr José E. Krieger, INCOR-USP, São Paulo, Brazil) at 25°C with 100 pmol/L 125IAng II (2200 Ci/mmol) for 1 hour in HEPES-buffered RPMI containing 0.1% bovine serum albumin, 1 mmol/L 1,10-phenanthrolene, and 1 mmol/L bacitracin. Nonspecific binding and displacement were determined in parallel culture dishes by using the same concentration of 125IAng II in the presence of a 1000-fold excess of nonradioactive Ang II. The ability of D-Pro7-Ang-(17) to displace 125IAng II binding was tested by preincubating (10 minutes) the peptide with D-Pro7- Ang-(17). The incubation period was terminated by 3 1-mL washes with ice-cold buffer and lysis of the cells with 3% (wt/vol) Triton X-100 in 10 mmol/L HEPES and 10 mmol/L EGTA (pH 7.4). The amount of bound 125IAng II was determined after 1 hour of incubation by counting the
-radiation in a Packard Cobra II gamma counter.
Binding of 125I-Angiotensins in Membrane Preparation
Crude membrane fractions of rat adrenal glands were prepared as follows. Adrenal medulla tissue was homogenized in 40 volumes of ice-cold, hypotonic Tris-HCl buffer (50 mmol/L, pH 7.4, containing 5 mmol/L Na2EDTA). The homogenates were centrifuged at 1000g for 10 minutes at 4°C. The supernatant was then centrifuged at 40 000g for 30 minutes. The pellet was resuspended in 40 volumes of hypotonic buffer and recentrifuged. The pellet was then resuspended in 40 volumes of assay buffer (50 mmol/L Tris-HCl buffer, pH 7.4, containing 150 mmol/L NaCl, 5 mmol/L Na2EDTA, 10 mmol/L phenylmethylsulfonyl fluoride, 1 µg/mL bacitracin, and 0.1% bovine serum albumin) and recentrifuged at 40 000g for 30 minutes. The pellet was resuspended in 8 volumes of assay buffer with a final protein concentration of 0.4 mg/mL. Protein concentration was estimated by the method of Bradford.25 Binding assays were performed by incubating aliquots of freshly prepared membrane fractions with 100 pmol/L 125IAng II and 1 µmol/L angiotensin antagonists in a final volume of 0.25 mL assay buffer. After incubation for 60 minutes at 25°C, the bound and free radioactivity was rapidly separated by filtration through glass fiber filters (GF/B, Whatman). The trapped radioactivity was determined with a gamma counter.
Binding of 125I-Angiotensins in Kidney Slices
Mouse kidneys (n=3) were sectioned in a cryostat at a temperature of -22°C. Serial slices starting from the central area of the kidney with a thickness of 16 µm were prepared, mounted on gelatinized glass microscope slides, and dried at 4°C before the binding assay. Experiments were performed in duplicate or quadruplicate. All slices were preincubated with 400 µL of 10 mmol/L sodium phosphate buffer, pH 7.4, containing 120 mmol/L NaCl, 5 mmol/L MgCl2, 0.2% bovine serum albumin, and 0.005% bacitracin for 10 minutes. Thereafter, the slices were immersed in the same buffer containing 10-7 mol/L phenylmethylsulfonyl fluoride and 5x10-7 mol/L orthophenanthrolene. For slices (n=20) used to determine nonspecific binding, 10-5 mol/L A-779 or Ang-(17) was added to the preincubation and incubation buffers. D-Pro7-Ang-(17) (10-5 mol/L) was added to the preincubation and incubation buffers to determine the displacement of 125IAng-(17) (n=20 slices). Total binding was determined by incubation of the slices (n=20) in 400 µL of 10 mmol/L sodium phosphate buffer, pH 7.4, complemented with the same enzyme inhibitors as above and 0.5 nmol/L 125IAng-(17) for 60 minutes. Peptides were labeled with 125I by the chloramine T method and purified by high-performance liquid chromatography, as described by Neves et al.26 The binding reaction was stopped by washing the slices 3 times (30 seconds each) in 250 mL of ice-cold Tris-HCl, 50 mmol/L, pH 7.4, and finally for 30 seconds in ice-cold deionized water. After being dried at room temperature, the slices were exposed to autoradiographic film (Fuji Image Plate) for 1 to 2 days at room temperature. After exposure, the films were scanned (Bio-Imaging Analyzer, Fujifilm), and the optical density was quantified (Fujifilm BAS 1800 II). The illustrations were made with Osiris Medical Imaging software (version 3.12, University Hospital of Geneva, Switzerland).
Statistical Analysis
Results are presented as mean±SEM. Data were analyzed by 1-way ANOVA or Student t test. The level of significance was set at P<0.05.
| Results |
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We also examined the effect of D-Pro7-Ang-(17) in water-loaded awake rats. Confirming previous observations,7 Ang-(17) produced a significant decrease in water diuresis compared with vehicle-treated rats (1.27±0.33 vs 3.58±0.43 mL, P<0.05; Figure 2). The antidiuretic effect of Ang-(17) was associated with an increase in urine osmolality (287±23 compared with 170±16 mOsm/kg in saline-treated rats, P<0.05). In contrast, treatment of water-loaded animals with D-Pro7-Ang-(17) (1 µg/100 g BW) did not change water diuresis (3.08±0.80 vs 3.58±0.43 mL in saline-treated rats, P>0.05) and urine osmolality (174±20 vs 170±16 mOsm/kg in saline-treated rats, P>0.05). However, D-Pro7-Ang-(17) (1 µg/100 g BW) essentially abolished the antidiuretic effect of Ang-(17) (3.47±0.87 vs 1.27±0.33 mL, P<0.05), producing a significant reduction in urine osmolality compared with Ang-(17) alone (168±22 vs 287±23 mOsm/kg, P<0.05).
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We next tested the effect of D-Pro7-Ang-(17) on the endothelium-dependent relaxation produced by Ang-(17) in mouse aortic rings. As shown in Figure 3, the relaxation produced by Ang-(17) in the mouse aorta was completely blocked in the presence of 0.1 µmol/L D-Pro7-Ang-(17). The antagonist by itself was without effect in this preparation.
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Effect of D-Pro7-Ang-(17) on 125IAng-(17) and 125IAng II Binding
Binding assay experiments substantiated the evidence that D-Pro7-Ang-(17) is a specific Ang-(17) antagonist. As shown in Figure 4, D-Pro7-Ang-(17) (10-5 mol/L) displaced the binding of 125IAng-(17) to mice kidney slices. As demonstrated by the slightly negative specific binding in the presence of the antagonist, the displacement produced by D-Pro7-Ang-(17) was even higher than that obtained with an equimolar concentration of D-Ala7-Ang-(17).
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In Chinese hamster ovary cells stably transfected with AT1 receptors, D-Pro7-Ang-(17) did not compete with the specific binding of 125IAng II, even at concentrations up to 10-6 mol/L (Figure 5A). The IC50 of D-Pro7-Ang-(17) was higher than 10-5mol/L. In the same experiments, nonradioactive Ang II competed with 125IAng II binding with an IC50 of 2.39 nmol/L. In the experiments performed to determine the competition for angiotensin type 2 (AT2) binding sites of Ang II in adrenal gland membranes (Figure 5B), we observed that in the presence of losartan, an AT1 receptor antagonist,
30% of Ang II binding was inhibited. The remaining Ang II binding was completely abolished when 10-7mol/L CGP42112A, an AT2 ligand, was added together with losartan. No further inhibition was seen when 10-6mol/L D-Pro7-Ang-(17) was added to samples containing losartan.
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Specificity of D-Pro7-Ang-(17)
The evidence for D-Pro7-Ang-(17) specificity was further evaluated by in vivo and in vitro experiments. The effect of D-Pro7-Ang-(17) on the hypotensive response induced by BK is shown in Figure 6A. D-Pro7-Ang-(17) at 1, 2, or 20 µg did not change the BK hypotensive response, contrasting with the well-established BK-potentiating effect of Ang-(17).15 As observed for the BK hypotensive effect, D-Pro7-Ang-(17) did not change rat plasma ACE activity (basal values were 93±8 nmol His-Leu · min-1 · mL-1) at concentrations up to 10-5 mol/L. The estimated IC50 was
100 µmol/L.
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Figure 6B shows the effect of D-Pro7-Ang-(17) on the water intake induced by Ang II. The dipsogenic response produced by 25 pmol Ang II microinjection into the lateral ventricle (8.8±1.2 mL/h) was not changed by 2 nmol D-Pro7-Ang-(17) (11.4±1.15 mL/h). Microinjection of D-Pro7-Ang-(17) alone produced no significant effects on water intake compared with the saline microinjection group (0.3±0.05 vs 0.7±0.17 mL/h).
| Discussion |
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Antagonists are very useful tools for identification of receptors and for elucidating the physiopathological relevance of endogenous substances. For example, the development of peptide and nonpeptide Ang II antagonists, such as CGP 42112A, losartan (DUP 753), PD 123177, and related analogs, provided convincing evidence for the existence of at least 2 subtypes of angiotensin receptors.30 The AT1 receptor was defined by its sensitivity to DUP 753 (losartan) or its active metabolite EXP-3174, whereas AT2 receptors were initially characterized by their sensitivity to CGP 42112A, PD 123177, PD 123319, or related analogs.30 There is increasing evidence for the existence of other subtypes of angiotensin receptor.2,8,9,11,1518,31 In the present study, we have observed that D-Pro7-Ang-(17) blocked several effects of Ang-(17): the pressor effect at the RVLM, the antidiuretic effect in water-loaded rats, and the endothelium-dependent relaxation in aortic rings of mice, without interference with Ang II or BK effects, indicating the existence of a different angiotensin receptor. Ongoing experiments are showing that D-Pro7-Ang-(17) inhibits the BK-potentiating effect of Ang-(17) in awake rats (data not shown).
We18,23,29 and others28 have shown that Ang-(17) microinjection into the RVLM induces a significant increase in arterial pressure in anesthetized23,28 and conscious18 animals. This pressor effect is not affected by microinjection of losartan, an AT1 receptor antagonist, or PD 123319/CGP 42112A, AT2 receptor antagonists.2,18 As observed previously with A-779,16 D-Pro7-Ang-(17) completely blocked the pressor effect of Ang-(17) in the RVLM. Furthermore, D-Pro7-Ang-(17) did not interfere with the RVLM effect of Ang II. These data further support the existence of a selective receptor, different from classic AT1/AT2 receptor subtypes, at least for the effect of Ang-(17) at the RVLM.2 In addition, D-Pro7-Ang-(17) produced a significant hypotensive effect at the RVLM. This effect was similar to that observed for A-779 in a previous study16 and is probably related to the antagonism of endogenous Ang-(17) in this area.
In this study, we have confirmed our previous observation that Ang-(17) possesses a potent antidiuretic effect in water-loaded rats.7 Furthermore, we have shown that this effect can be completely blocked by the heptapeptide D-Pro7-Ang-(17). The fact that the Ang-(17) antagonists, A-779 and D-Pro7-Ang-(17), exert similar effects in water-loaded rats reinforces the existence of a kidney Ang-(17) receptor.2,7,16
We have recently obtained evidence that the G proteincoupled receptor Mas is necessary for the actions of Ang-(17) in the mouse aorta and kidney,32,33 suggesting that it is a functional Ang-(17) receptor. The vasorelaxation produced by Ang-(17) in aortic rings2,31,34 was abolished in Mas-deficient mice.33 Similarly, the antidiuretic effect of Ang-(17) administration after water loading is absent in Mas-knockout mice.32 The fact that D-Pro7-Ang-(17) blocked the vasorelaxation and the antidiuresis produced by Ang-(17) strongly suggests that this Ang-(17) analog is a Mas receptor antagonist or that it interferes with the MasAng-(17) interaction. The same appears to be true for A-779. The specific 125IAng-(17) binding to mouse kidney slices was completely displaced by D-Pro7-Ang-(17). In contrast, this analog did not compete for the binding of 125IAng II to AT1-transfected Chinese hamster ovary cells or to adrenal medulla, rich in the AT2 receptor subtype. These findings further substantiate the specificity of D-Pro7-Ang-(17) for the Ang-(17) binding sites. Whether the central effects of Ang-(17) are mediated through interaction with Mas or another receptor remains to be elucidated.
Functional experiments also aimed to evaluate the specificity of D-Pro7-Ang-(17) showed that this compound did not change the BK hypotensive effect, plasma ACE activity, the pressor effect of Ang II at the RVLM, or the central dipsogenic action of Ang II in rats. These observations combined with data obtained in binding experiments clearly indicate that D-Pro7-Ang-(17) is a selective Ang-(17) antagonist. The lack of well-known actions of Ang-(17), ACE inhibitory activity35 and BK-potentiating activity,15 of D-Pro7-Ang-(17) illustrates the key role of the C-terminal L-proline in the Ang-(17) effects.
Perspectives
In the present study, we described the Ang-(17) analog, D-Pro7-Ang-(17), as a new Ang-(17) antagonist. This peptide blocked several actions of Ang-(17) without changing Ang II or BK effects. Most of our current knowledge about the functional relevance of Ang-(17) is derived from experiments with the Ang-(17) antagonist A-779, and, to a lesser extent, with an Ang-(17) antibody. The availability of a new antagonist will be an important tool to confirm and extend the findings obtained with A-779. The recent description of AVE 0991,36 a nonpeptide mimic of the effects of Ang-(17), and the evidence that at least some Ang-(17) actions are dependent on interaction with the G proteincoupled receptor Mas give further support for the evidence that most if not all of the actions of Ang-(17) are receptor mediated. The use of D-Pro7-Ang-(17) will be important to clarify this issue.
| Acknowledgments |
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Received September 19, 2002; first decision November 13, 2002; accepted December 6, 2002.
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