WISP

CRISPR-Cas9 Gene Editing for Sickle Cell Disease and β-Thalassemia

Did you know that the most common monogenic diseases, that is, concerning a single gene, are beta-thalassemia (TDT) and sickle cell disease (SCD)? Affecting around 360 000 people worldwide, up until recently these diseases were largely non-treatable or had ineffective treatment plans. Both of them concern the hemoglobin β subunit gene (HBB). TDT has deformed or absent beta chains, while SCD replaces the sixth amino acid, glutamic acid, for valine. Now, treatments using gene editing represent a pivotal point. Both TDT and SCD treatments primarily focus on pain management and reducing side effects of blood transfusions such as iron buildup. What is intriguing is that symptoms emerge one year after birth. Why is that? A baby’s hemoglobin in their first year of life still has significant levels of gamma globin. This is a chain that binds oxygen strongly. It discharges it to tissues less effectively than beta globin. All this is in relation to the ever increasing oxygen needs of developing bodies. Babies are asymptomatic in the beginning because their hemoglobin has no beta chains, an observation that became the foundation for treating the cause of these blood ailments. Beta chains, as a key component for hemoglobin function, support the quaternary structure of the oxygen-binding molecule. As adults we have a transcription factor called BCL11A. It suppresses gene expression of gamma globin chains, therefore we lack fetal globin. So, why do we stop producing it when it protects us from symptoms of TDT and SCD? Unfortunately, it’s packed with a plethora of risks such as blood clots and visceral ischemia. A fascinating phenomenon appears in adults with higher expression of BCL11A locus on chromosome 2, which has less severe manifestations. This occurs because they produce more fetal hemoglobin. This, in turn, protects them against these blood ailments.    What is CRISPR-Cas9 gene editing? CRISPR stands for Clustered  Regularly Interspaced Short Palindromic Repeats. It represents a family of DNA sequences of prokaryotic organisms. This DNA is derived from bacteriophages, viruses that infect bacteria. It can be used by prokaryotes to halt future attacks. Cas9 is an enzyme that links itself to CRISPR sequences. This serves as a guide to recognize and open up specific strands of DNA complementary to CRISPR making gene editing possible for living organisms. This technique allows for gene manipulation within a bacterial DNA which is then placed in a patient’s cell to activate gamma globin synthesis. This aspect made gene manipulation possible in humans, specifically in the BCL11A locus by reducing its function and restoring γ-globin synthesis. As far as the treatment goes, the target groups underwent myeloablation, suppression of erythroid cells, and received gene altered bone marrow from healthy subjects increasing their levels of fetal hemoglobin. Bone marrow extraction allows patients to produce gamma globin on their own. This decreases the need for blood transfusions and other treatments.    Scientific discoveries can only happen through commitment and perseverance. As a result of innovative studies and team effort we get to connect with one another all around the world. The field of gene editing, especially, is growing at a fast pace. If you found this article helpful and believe that knowledge is power, keep up to date with our work. Also, read the full text here! About the author… Hello, my name is Cristi, and I am a fourth year medical student passionate about research and trying to build a career in the medical field I can be proud of. Oh and I also play tennis and I have a chinchilla that loves apples.

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A New Breast Cancer Detection Tool – Free Methylated DNA

Breast cancer is the most frequent type of cancer in women. Even though mammography is an excellent screening tool, it may still not be enough for early detection of breast cancer. Could there be any other form of early identification? Scientists discovered that dissemination of cancerous cells starts at the very early stages. This means that they can be found in the blood. Taking advantage of this event, these cells’ DNA can be a tool for identifying breast cancer even a year prior to the manifestations that could be detected by the mammogram! A story about methylated DNA At first, they took samples of cancerous tissue and White Blood Cells (WBC) in order to extract DNA. Then, using Reduced Representation Bisulfite Sequencing (a method that cuts DNA into specific segments, then sequences it) together with PCR and methyltransferases (in order to maintain the methylation sequences) they found tumor-specific methylation patterns (18 to be exact). And one of them is the region called EFC#93. Methylated DNA has now entered the discourse. But what even is a methylation pattern? Our DNA has some regions called CpG islands – regions formed of cytosine followed by a guanine that repeats every few bases. A methyl radical can be attached to these C-G repeats, forming methylation patterns. EFC#93 contains 5 C-Gs. Some of these patterns are specific to cancer cells (the more methylated ones) and some are WBC specific (the less methylated). This is important, because in the bloodstream, the most cell-free DNA comes from WBC, and it is necessary to have a clear distinction between them.  The scientists then compared these results to DNA extracted from the serum of cancer patients and discovered a correlation between the presence of EFC#93 methylation pattern and the disease prognosis. If present, the prognosis is unfortunately worse. Furthermore if Circulating Tumor Cells (CTCs) are also present, the chances of survival become less and less favorable. But it is not just bad news! EFC#93 presence in seemingly healthy people could indicate a very early diagnosis of breast cancer, thus enabling earlier diagnosis and  treatment.  If you found this article interesting and want to take part in shaping the future, stay tuned and stay curious with us! Read the full text here. See ya’ later! About the author… Hi, my name’s Teodor, a second year medical student. I am a science enthusiast, amateur speedcuber, and hardcore metalhead.

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Researchers grow human embryo kidneys inside pigs!

Transplantation is a very helpful, yet ethically ambiguous practice. Despite its betterment of millions of lives worldwide, transplantation is an elusive treatment: only 10% of patients in need of a transplant actually receive it, according to the Global Observatory on Donation and Transplantation (GODT). The demand for transplants is steadily increasing, while the supply is limited and swiftly declining; this creates a surge in human trafficking with the purpose of unlawfully obtaining organs. In addition to that, whether or not you receive the treatment depends on a series of factors. Those include age, gender (with women being more likely to be living donors while men are the vast majority of recipients), socioeconomic status, ethnicity, place of residence, according to the European Public Health Alliance. What can be done to mend this disparity? One solution is growing humanised organs in animal embryos. Although growing mouse organs inside rat embryos was possible, the growth of human organs inside pigs was seen as unmanageable, until recently. Researchers have found a way to grow human embryo kidneys inside pig chimeras. That is, “an organism containing a mixture of genetically different tissues, formed by processes such as fusion of early embryos, grafting, or mutation”, according to Oxford Languages. This is an outstanding feat since pig cells and human cells have different physiological needs. Moreover, the pig cells compete with the human cells for resources, thus inhibiting the growth of the latter.  Innovation in genetic engineering  The way the researchers came over this issue truly is astounding. First, they genetically engineered a single-cell embryo that was missing the genes needed for kidney development. Thus, they created a space in which the human cells could grow uninhibited by the pig cells. Then, they engineered human pluripotent cells (cells that have the capacity to form any other cell type). They increased the cell’s ability to integrate into a different organism. At the same time this decreased its chances to self-destruct. The researchers grew the chimeras in an environment that provided the specific nutrients for both pig and human cells. Last but not least, they implanted the chimeras in the surrogate sows. After 25 to 28 days they terminated the gestation. The researchers found that after this period the embryos had structurally normal kidneys, in the mesonephros stage. The kidneys were composed of 50-60% human cells. They also assessed whether human cells migrated to neural or germinal tissues. It was found that the human cells were mostly localised in the kidneys. The next step is to let the embryos develop further and to assess the kidneys at every stage. However, it is still a long way before this study may be used clinically: the kidneys developed in the chimeras still have pig blood vessels, meaning they are not suitable for transplantation. Read the full text here. As always, if you found this study interesting, stay tuned and stay curious with us! About the author… Hello 🙂 My name is Ilinca and I am a third year medical student that dabbles in a little bit of everything. I have an undying thirst for knowledge and a great talent for procrastination. Oh and I love hairless cats with all my heart!

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Forget Me Not! Scientists Develop Tiny Brains in a Dish that Unlock Clues to Fighting Dementia and Strokes

Did you know that tiny leaks in your brain’s blood vessels can lead to dementia and stroke?  These leaks are caused by damage to the supporting structure of the vessels. They are kind of like faulty pipes in your house. But scientists at Cambridge University have grown miniaturized versions of these vessels in a lab. As such, they’re using them to find ways to plug the leaks and prevent these devastating conditions. Imagine millions of tiny pipes delivering vital blood throughout your brain. That’s the job of small blood vessels. When these pipes get damaged and leaky, blood seeps out, harming brain tissue. This damage, called cerebral small vessel disease (SVD), is a major cause of both stroke and vascular dementia, affecting nearly half of all dementia cases worldwide. Dementia is a general term for a decline in thinking, memory, and reasoning skills that interferes with daily life. SVD disrupts the blood flow needed for healthy brain function, contributing to this decline. Searching for clues in the fight against dementia Until now, understanding SVD has been tricky. While some similarities exist, animal brains differ significantly from human brains. These differences are particularly pronounced in areas related to higher-order thinking and complex cognitive functions. This limits the usefulness of animal models in replicating the specific ways SVD disrupts blood flow in humans. That’s where the lab-grown blood vessels come in. These mini-vessels are created from reprogrammed skin cells of patients with SVD.  By studying these tiny replicas, scientists have discovered that the leaks are caused by damage to the scaffolding around the blood vessels.  This scaffolding, called the extracellular matrix, is crucial for keeping the vessels strong and leak-proof.  In SVD, the matrix breaks down, allowing blood to escape. The culprit behind this breakdown?  Molecules called metalloproteinases (MMPs).  Normally, MMPs help keep the scaffolding healthy, but when there are too many, they wreak havoc, like overzealous apprentices with too many brooms! The good news is that the scientists were able to stop the leaks by treating the lab-grown vessels with drugs that target MMPs.  While these specific drugs have side effects and aren’t suitable for treatment, they prove that targeting MMPs is a promising approach.  The scientists can now use their mini-vessels to test new drugs aimed at preventing these leaks and protecting our brains. This research offers a glimmer of hope for millions struggling with the effects of SVD.  By understanding the leaky pipes in the brain, we can develop treatments to keep blood flowing and our minds sharp. Read the full text here. Until next time, stay curious! About the author… Salutations, fellow enthusiasts! I’m Dumitrita, a history and board games aficionada with a fascination for butterflies. Oh, and whenever I feel sad I watch Quokka photos, 10/10 would recommend!

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Modifying mRNA to resist immune response

The Nobel Prize is the most prestigious award in science. Katalin Karikó, PhD and Drew Weissman, PhD had the great honor of receiving 2023’s prize in Medicine and Physiology for their work on modifying mRNA in order to resist the immune response. It led to the production of the COVID-19 vaccine, undoubtedly one of the most influential inventions of the last few years.  But what did the winners actually discover? Well, let’s dive into the wonderful molecular world of our bodies. We have a protein called PKR (RNA-dependent protein kinase), a soldier of our immune response. The researchers found that it does not efficiently bind RNA with modified bases. Here is how it works. Into the world of proteins PKR is a protein that inhibits translation of mRNA. PKR is activated by many kinds of foreign RNAs, be it double or single stranded, long or short (like those that could be found in RNA viruses). On the one hand, this protein is useful for our immune response. It is able to stop translation of mRNAs into foreign, maybe harmful proteins. On the other hand, it prevents the human body from receiving lab-made helpful mRNA. The laureates found that pseudouridine (Ψ) enriched mRNA is translated more efficiently than unmodified mRNA. They theorized that it may have something to do with PKR, so they started testing. At first, they transcribed some mRNAs in vitro, using modified nucleotides. Then they compared modified with unmodified mRNA. mRNA enriched with Ψ activated PKR less. Therefore its translation is less inhibited. However, when PKR was inactive/absent in the cell, there was no difference in the rate of translation of modified and unmodified mRNA. Moreover, they confirmed that modified mRNA is not a competitive inhibitor (it doesn’t bind well to PKR). This means that if there is a mixture of both types of foreign mRNAs, translation would still be inhibited. Even though there are some differences between in vitro and in vivo, it is needless to say that this paper had pioneered a new way of treating pathologies. We now managed to get our bodies to produce proteins that we want quickly and without the scare of genetic alterations.  If you found this article interesting and want to take part in shaping the future, stay tuned and stay curious with us! You can find the full article here. See ya’ later! About the author… Hi, my name’s Teodor, a second year medical student. I am a science enthusiast, amateur speedcuber, hardcore metalhead, and dedicated weeb.

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Groundbreaking Discovery: potential cure for preeclampsia!

Preeclampsia is one of the many deadly diseases that can occur during pregnancy. What is even more daunting about it, though, is the fact that it cannot be cured without delivering the baby early. But what if I told you that the same protein thought to cause Alzheimer’s disease (cis P-tau) is also the culprit behind preeclampsia? Yes, you read that right. The cis P-tau protein was found for the first time outside the brain: in the blood and placenta of women suffering from preeclampsia. This not only gives insight into the connection between preeclampsia and brain health, but also leads to the discovery of a potential cure. Isn’t that amazing? A disease that caused 10% of maternal deaths worldwide could be treated without inducing birth! Behind the scenes of preeclampsia But what exactly is the cis P-tau protein and how does the body synthesise it? Well, until now, it was considered a biomarker for Alzheimer’s, strokes and other neurological disorders. And what is even more fascinating about it, is that it’s also linked to cancer! Essentially, the body produces an enzyme called Pin1, that keeps all the proteins in check. This is a stress enzyme, meaning it changes its structure depending on the environment, toxins, physiological changes, etc. Pin1 increases its activity in cancers, so it is found in cancerous stem cells in particular. In neurological diseases and preeclampsia, Pin1 becomes inactive. Thus, the normal tau protein, which was previously kept in shape by Pin1, becomes its misshapen form: cis P-tau. To sum up, too much Pin1 leads to cancer, while too little causes neurological diseases and preeclampsia. Having discovered cis P-tau’s implication in the disease, researchers have tested an antibody that targets the protein in mice with preeclampsia. The results were truly remarkable, as all the symptoms of preeclampsia were reversed and the protein was significantly depleted.   Science is the path to the future and all the people involved are the ones paving it. It is not everyday that we get to see a discovery that has the potential to save so many lives. If you found this article interesting and want to take part in shaping the future, stay tuned and stay curious with us! You can read the full article here. See you next time. About the author… Hello! My name is Ilinca and I am a third year medical student that dabbles in a little bit of everything. I have an undying thirst for knowledge and a great talent for procrastination. Oh and I love hairless cats with all my heart!

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Astrocytes: the key to losing weight while eating more

 Did you know that 42% of Americans are obese? Moreover, did you know that 53% of European adults are overweight? The situation is so dire, that the World Health Organisation has coined the term “globesity”, referring to the “escalating global epidemic of overweight and obesity”. Obesity: the 21st century pandemic Obesity is a complex disease that can’t be boiled down to just eating too much and not moving enough. It also involves genetics, the environment one lives in, stress, etc. Thus, it is no wonder that several organisations, including the American Medical Association, now consider it a chronic disease. Obesity also increases the risk of several other afflicitions, including type 2 diabetes, osteoarthritis, heart disease and some cancers. But how can we even begin to control the ongoing obesity epidemic? The science behind dietless weightloss Recently, researchers discovered a new drug that burns fat while the subject is maintaining a high calorie intake. They named it KDS2010 and the way it works truly is fascinating. Neurons in the lateral hypothalamus regulate fat metabolism. Researchers now discovered that the hypothalamus contains a cluster of neurons that have receptors for an inhibitory neurotransmitter, called GABA (Gamma-Aminobutyric Acid). The researchers observed that in obese mice the neurons that have GABA receptors have a slower pacemaker firing, so the neurotransmitter inhibits them. In turn, less energy is consumed in the brown fat tissue and therefore less heat is produced. So, the mouse lost less weight. MAO, or Monoamine Oxidase B, holds a key role in the production of GABA (and many other neurotransmitters). Reactive astrocytes can produce this enzyme. A surprising discovery was that astrocytes actually regulate the activity of the GABA receptors and so, in the obese mice, the MAO enzyme is overproduced, thus the GABA quantity increases and the receptors are inhibited. Therefore, the obese mice lose less fat and less weight. KDS2010 is a MAO-B gene inhibitor, so basically it reverses the process mentioned before: there is less MAO, so less GABA, the GABA receptor neurons are active.  KDS2010 is now undergoing clinical trials. Researchers also tested the drug on an obese mouse model and it yielded astonishing results: KDS2010 supressed weight gain without affecting the appetite and without changing the calorie intake. If you found this article interesting, stay tuned and stay curious with us! You can read the article here. See you next time. About the author… Hello! My name is Ilinca and I am a third year medical student that dabbles in a little bit of everything. I have an undying thirst for knowledge and a great talent for procrastination. Oh and I love hairless cats with all my heart!

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How engineered bacteria can track tumours

There is a common misconception that bacteria are freaky microscopic monsters that only mean to harm us. However, after a short lesson in microbiology, you might find out that’s not entirely true! Bacteria also live to aid the human body, playing a huge role in digestion. Nowadays bacteria can live to serve an even higher purpose: tracking tumours before any other modern screening method.  This study, specifically, targets the early diagnosis of colorectal cancer, which is the third leading cause of death in men and women alike. Although the survival rates have risen over the last decade, the prevalence in patients 50 and under has also been ascending. So, it is becoming more and more important to detect tumours as early as possible. Static screening methods, such as imaging, may offer the positive results too late, since they detect the cancer itself and not the real activity of cancer cells. Our microscopic friends come to the rescue!  This is where bio-sensors come in. They are generally “devices that measure biological or chemical reactions by generating signals proportional to the concentration of an analyte in the reaction” according to the National Institutes of Health. They are also not a new or revolutionary concept: L.L. Clark discovered and used the first ever biological sensor in 1950. Bacteria have long been used to detect the metabolic activity of different cells. What is, however, new and riveting about this discovery is that the genetically engineered new bacteria (Acinetobacter Baylyi) can now detect tumour DNA. This was not thought to be possible for mammalian DNA until now.  So how does this work? Essentially, A. baylyi can ingest the cancerous DNA shed by the tumour. The genetically engineered A. baylyi only survives after ingesting the aforementioned DNA. So, if there is a tumour, the modified bacteria will survive and produce a signal accordingly, therefore the person will test positive for colorectal cancer. If the test is negative, the bacteria will die and therefore it would not produce a signal.   It is important to note, however, that this is only the beginning of cancer DNA research, since further testing on this matter is needed. Who would have thought that such a small organism could have such a big impact? If you found this article interesting, stay tuned for more and stay curious with us! Oh, and remember: bacteria are not always foes, they can also be friends! You can read the entire article here. About the author… Hello! My name is Ilinca and I am a third year medical student that dabbles in a little bit of everything. I have an undying thirst for knowledge and a great talent for procrastination. Oh and I love hairless cats with all my heart!

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AI Discovers an Antibiotic Targeting Acinetobacter Baumanii

Did you know that the same algorithm that recognizes your face when you unlock your phone could find a new antibiotic for one of the most challenging pathogens out there? As unbelievable as that might sound, it is in fact true! And the concept behind both is one that has stirred quite the controversy in the modern media: artificial intelligence.   With the help of  trained neural networks, researchers have recently found a new antibiotic that specifically targets Acinetobacter baumannii – a Gram negative pathogen that causes severe nosocomial infections in patients with a weakened immune system. Finding a new antibiotic for A. baumanii has proven to be difficult through conventional screening techniques, since this particular group of germs has the ability to develop resistance swiftly by incorporating DNA from their environment. The ABCs of neural networks But what are neural networks and what do they do? Essentially, they are algorithms that function like the human brain does, but better: they are faster learners than their muse. There are several layers of interconnected “neurons”: first layer of neurons receives input, then sends the output to the second layer and so on. Each layer is receptive for a specific characteristic. For example, if such a network were to analyse an image, the first layer would collect information regarding the dark and light spots, the second layer would try to recognize the shapes created by the sharp edges of the picture, etc. And this all applies to several aspects of our daily lives: facial recognition softwares, driverless cars or even text suggestions.  And just as a neural network manages to process an image, it also manages to predict the antibiotic properties structurally new molecules have against A. baumanii.  How AI worked in our favour  The researchers trained the neural network to assess the activity of different molecules (off-patent drugs and synthethic molecules) that inhibit the growth of A. baumannii. Then, they used the collected data to train a binary classifier: an algorithm that places data in one of two categories. In this case, the categories for the binary classifier were: molecule that has antibiotic properties or molecule that does not have antibiotic properties. Using this algorithm the researchers predicted the antibacterial activity of compounds that were not initially used against the pathogen. The assesed compounds were provided by the Drug Repurposing Hub – “an open-access repository of more than 6,000 compounds”, according to their website. In the past, researchers created those compounds with the intention of treating several other diseases. However, the molecules ended up out of use, for one reason or another. The Hub offers those structures to researchers willing to find them another purpose. The trained neural network processed the 6,000 compounds, assessed whether they had antibacterial properties and whether they were structurally similar to already known antibiotics that work against A. baumanii. In the end, the molecules with the highest activity against the pathogen underwent in vitro testing. Abaucin proved itself to be the most suitable compound. Abaucin was also tested on a wounded mouse model, where it proved to be remarkably effective.   Although this is an astonishing step forward, it is still important to mention that structural analogs of abaucin need to be developed for enhanced activity in vivo. With the help of AI, the field of medicine could evolve at a stunning pace, providing a cure for the now deadly nosocomial infections. If you found this article interesting, stay tuned and stay curious with us! You can read the entire article here. About the author… Hello! My name is Ilinca and I am a third year medical student that dabbles in a little bit of everything. I have an undying thirst for knowledge and a great talent for procrastination. Oh and I love hairless cats with all my heart!

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Inflammatory Bowel Disease And Immunonutrition

You are standing in line at the most well-known fast-food in your city. You are already thinking how you are going to take a bite from that delicious sandwich and your stomach is rumbling. Have you ever thought of the idea that the sounds your stomach is making might not be a sign of your cravings, but one last call for help? Studies show that the so called “western diet” containing high levels of carbohydrates and fatty acids contributes to the genesis of one of the most widespread 21st century’s diseases: the inflammatory bowel disease (I.B.D.). And so, that delicious sandwich you have been dreaming of the whole day might become a triggering factor in the activation of the immune cells. This activation leads to an immune response followed by the inflammation of the gastrointestinal tract (GIT). As a result, the microbiota of the GIT is strongly affected and it leads to dysbiosis- meaning lack of benefic bacteria diversity but incoming growth of pathobionts like E. Coli. Now that we have a brief idea of what I.B.D. is, you must be wondering: what about the treatment? So far, there are three known approaches. The first one is represented by the PROBIOTICS. They are beneficial intestinal microbes which are administered in order to rejuvenate the microbiota of the GIT. Unfortunately, the desired effect of the probiotics is different from what is really happening in the gut. Our GITs are particularly different from one another and by that I mean that we all have various types of beneficial bacteria which are considered as “self” in an immune response. However, by administering a probiotic, which is a rather “one size fits all” approach due to the fact that the containing bacteria might be different from the ones of the patient, we generate an immune response in which the drug is considered “non self”. If our body rejects the probiotic, it will fail to replenish the stocks of beneficial bacteria. The second approach is represented by the administration of PREBIOTICS. How can a letter make such a difference in treating I.B.D.? First of all, the prebiotics differ from probiotics not only by one letter, but by the concept of how they act on the microbiota. A prebiotic is “a substrate that is selectively used by host microorganisms conferring a health benefit”. Basically, prebiotics offer to the existing bacteria in the microbiota a substrate on which they could prosper. The third approach consists of administering VITAMIN D. Patients with I.B.D. have shown a deficiency of the sunshine vitamin which is correlated to the dysbiosis. Vitamin D has an important role in maintaining the homeostasis of the intestinal barrier and the microbiota, thus a lack of this vitamin will lead to a worsened outcome in patients with I.B.D. Has this summary incited your appetite for science? If so, read the entire article linked below: https://onlinelibrary.wiley.com/doi/full/10.1111/imm.12939?fbclid=IwAR0E2FyrrwfGcp7THzkO0t3e9BFdkBUCtpJsPbW3Hw3x5if_OHF0L2DlAGo Catalina Sabina Cremeneanu – SOMS Wisp of Science

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