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Lipid synthesis, transport, and metabolism in oxidative stress and neuroinflammation for neurodegenerative diseases. 神经退行性疾病中氧化应激和神经炎症中的脂质合成、转运和代谢。
IF 3.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-10-23 DOI: 10.1080/13813455.2026.2749922
Himangshu S Bose, Hugo Fernandes, Ana Maria Buga
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引用次数: 0
Novel insights of Wnt/β-catenin/eNOS pathway and potassium channel in alleviation of testicular ischaemic injury by nicorandil in rats. Wnt/β-catenin/eNOS通路和钾通道在尼可地尔减轻大鼠睾丸缺血损伤中的新发现。
IF 3.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-10-15 DOI: 10.1080/13813455.2026.2734847
Marwa Monier Mahmoud Refaie, Nahla Mohammed Abd El Hameed, Asmaa A Hasan, Asmaa A Muhammed, Sayed Shehata, Aml Mohamed Soliman, Hoda S Sherkawy, Amr Alam-Eldin Ahmed, Hassaan Ali Gad, Fatma Farrag Ali, Doaa Mohamed Elroby Ali

Testicular ischaemia is a remarkable urological health problem affecting young males and needs immediate surgical intervention. Its incidence is about 4.5 in 100,000 males aged from 1-25 years. Finding more ameliorative medical treatment becomes mandatory to mitigate the harmful effects of testicular ischaemia reperfusion (TIR). This directed us to evaluate for the first time the impact of nicorandil (NIC) in TIR induced testicular and cardiac damage. We divided the Wistar albino rats into five groups; Sham, untreated TIR, treated TIR+NIC, TIR+NIC + ω-nitro-l-arginine (L.NNA), TIR+NIC+glimepiride (GLP). Interestingly, NIC succeeded to ameliorate TIR induced biochemical and histopathological changes. Compared to TIR, NIC increased serum testosterone by 3.9-fold and decreased cardiac troponin I 1.9-fold, CK-MB 2.4-fold, and LDH 1.3-fold. Testicular malondialdehyde (MDA) was diminished by 2.4-fold, and reduced glutathione (GSH) increased 3.1-fold. Cardiac MDA decreased 2.1-fold, and GSH rose 2.9-fold. NIC also reduced nuclear factor kappa B (NF-κB) (cardiac 1.8-fold; testicular 2-fold) and increased VEGF-A (cardiac 2.1-fold; testicular 2-fold). L.NNA or glimepiride reversed these effects (p < 0.05). NIC mitigates TIR-induced testicular and cardiac damage via the K_ATP channel opening, eNOS enhancement, and Wnt/β-catenin regulation. NIC may be a future medical therapy alongside surgery for TIR.

睾丸缺血是影响年轻男性的重要泌尿系统健康问题,需要立即进行手术干预。其发病率约为每10万名1-25岁男性中有4.5人。为了减轻睾丸缺血再灌注(TIR)的有害影响,寻找更多的改良药物治疗变得势在必行。这指导我们首次评估尼可地尔(nicorandil, NIC)对TIR诱导的睾丸和心脏损伤的影响。我们将Wistar白化大鼠分为五组;假手术、未治疗TIR、治疗TIR+NIC、TIR+NIC+ ω-硝基精氨酸(L.NNA)、TIR+NIC+格列美脲(GLP)。有趣的是,NIC成功地改善了TIR诱导的生化和组织病理学变化。与TIR相比,NIC使血清睾酮升高3.9倍,心肌肌钙蛋白I降低1.9倍,CK-MB降低2.4倍,LDH降低1.3倍。睾丸丙二醛(MDA)降低2.4倍,还原性谷胱甘肽(GSH)升高3.1倍。心脏MDA降低2.1倍,GSH升高2.9倍。NIC还降低了核因子κB (NF-κB)(心脏1.8倍,睾丸2倍),增加了VEGF-A(心脏2.1倍,睾丸2倍)。nna或格列美脲可逆转这些作用(p
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引用次数: 0
Expression, immune infiltration, prognostic value, and clinical validation of RGS gene family in cancer: comprehensive analysis based on cellular metabolism. RGS基因家族在肿瘤中的表达、免疫浸润、预后价值及临床验证:基于细胞代谢的综合分析
IF 3.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-10-07 DOI: 10.1080/13813455.2026.2713454
Pengyu Chen, Bang Liu, Peiyao Wang, Zhaoxiong Zhang, Xin Liu, Shilong Li, Feng Zhu

Background: The regulator of G protein signalling (RGS) gene family is instrumental in tumour progression. However, the role of the RGS gene family in gastric cancer (GC) remains to be further elucidated.

Methods: A risk score model was constructed using least absolute shrinkage and selection operator (LASSO) regression, and nomogram integrating clinicopathological parameters was developed. Pathological information was collected from 115 patients with GC. Expression levels of relevant RGS genes were measured using absolute quantitative PCR to validate the accuracy of the model and nomogram.

Results: High expression of RGS1, RGS2, RGS4, and RGS5 correlated with shorter overall survival (OS). Five-gene risk models (RGS2, RGS3, RGS4, RGS5, and RGS16) effectively stratified patients into high- and low-risk groups, with patients in the high-risk group showing significantly shorter OS.

Conclusion: The RGS gene family is a prognostic biomarker and influences the immune microenvironment in GC. The developed risk model and nomogram are valuable personalised prognostic prediction.

背景:G蛋白信号(RGS)基因家族的调节因子在肿瘤进展中起重要作用。然而,RGS基因家族在胃癌(GC)中的作用仍有待进一步阐明。方法:采用最小绝对收缩和选择算子(LASSO)回归建立风险评分模型,并综合临床病理参数建立nomogram。收集115例胃癌患者的病理资料。采用绝对定量PCR法检测相关RGS基因的表达水平,验证模型和图的准确性。结果:RGS1、RGS2、RGS4和RGS5高表达与总生存期(OS)缩短相关。五基因风险模型(RGS2、RGS3、RGS4、RGS5和RGS16)有效地将患者分为高危组和低危组,高危组患者的生存期明显缩短。结论:RGS基因家族是影响胃癌患者免疫微环境的预后生物标志物。所建立的风险模型和nomogram是一种有价值的个体化预后预测方法。
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引用次数: 0
Effects of probiotic Lactobacillus casei on streptozotocin diabetic rats via decreasing oxidative stress, inflammation and inhibiting Nrf-2/bcl-2/NF-κB/TLR-4 and caspase-3 signalling pathway. 益生菌干酪乳杆菌通过降低氧化应激、炎症和抑制Nrf-2/bcl-2/NF-κB/TLR-4和caspase-3信号通路对链脲佐菌素糖尿病大鼠的影响
IF 3.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-09-21 DOI: 10.1080/13813455.2026.2734591
Betul Apaydin Yildirim, Enes Tercanli, Kubra Asena Terim Kapakin, Tuba Karaarslan

This study aimed to investigate the beneficial effects of Lactobacillus casei (LC) against diabetes (DM). The levels of serum glucose, HbA1c, pancreatic tissue MDA, TNF-α, and IL-1β were increased in the diabetes group compared with the non-diabetic control group, while serum insulin levels, CAT, and SOD activities were lower in the diabetes group. LC reduced the levels of NF-κB, TLR-4, and caspase-3, whereas Bcl-2 and Nrf-2 were elevated. Based on biochemical parameters and histopathological findings, LC, as determined in preliminary studies, effectively lowered blood glucose, HbA1c levels in diabetic rats, reduced lipid peroxidation, enhanced antioxidant enzyme activity, and mitigated oxidative stress. Furthermore, since limited studies have investigated the impact of Lactobacillus casei on NF-κB, Tlr-4 and the Bcl-2, caspase-3, and Nrf-2 signalling pathways in STZ-induced diabetic pancreatic tissue, this study serves as a pioneering contribution to the literature.

本研究旨在探讨干酪乳杆菌(LC)对糖尿病(DM)的有益作用。与非糖尿病对照组相比,糖尿病组血清葡萄糖、HbA1c、胰腺组织MDA、TNF-α和IL-1β水平升高,而糖尿病组血清胰岛素水平、CAT和SOD活性降低。LC降低了NF-κB、TLR-4和caspase-3的水平,而Bcl-2和Nrf-2升高。根据生化参数和组织病理学结果,初步研究确定LC能有效降低糖尿病大鼠的血糖、HbA1c水平,减少脂质过氧化,增强抗氧化酶活性,减轻氧化应激。此外,由于研究干酪乳杆菌对stz诱导的糖尿病胰腺组织中NF-κB、Tlr-4以及Bcl-2、caspase-3和Nrf-2信号通路的影响的研究有限,因此本研究是对文献的开创性贡献。
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引用次数: 0
Diagnostic insights into Trisomy 21: a case of abnormal Inhibin A, beta-hCG, AFP, and ultrasound findings. 21三体的诊断见解:1例异常抑制素a, β - hcg, AFP和超声结果。
IF 3.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-09-18 DOI: 10.1080/13813455.2026.2734608
Anin G S Queency Stylin, B Shanthi, Anin G S Jenolin, L M Sweety

Background: Trisomy 21, caused by the presence of an extra chromosome 21, results in Down syndrome (DS). Maternal biochemical markers and prenatal sonographic findings are valuable for assessing the risk of Trisomy 21, although they are not definitive for diagnosis. Case Presentation: The biochemical markers evaluated included Inhibin A, β-hCG, and alpha-fetoprotein (AFP). Elevated Inhibin A and β-hCG levels and reduced AFP levels are associated with an increased risk of Trisomy 21. Sonographic findings, including an echogenic cardiac focus and mild renal pelvicalyceal prominence, may represent normal variants but can be associated with a slightly increased risk of chromosomal abnormalities. In the present case, the combination of these sonographic findings and abnormal serum marker levels raised suspicion of Trisomy 21 or other fetal conditions. Genetic counselling was advised, with further diagnostic evaluation by amniocentesis or chorionic villus sampling (CVS). Conclusion: The combined interpretation of maternal serum biochemical markers and prenatal sonographic findings may assist in identifying pregnancies at increased risk of Trisomy 21 and guide the need for further diagnostic evaluation.

背景:21三体是由额外的21号染色体引起的,导致唐氏综合征(DS)。母体生化标志物和产前超声检查结果对评估21三体的风险有价值,尽管它们不是诊断的决定性因素。病例介绍:评估的生化指标包括抑制素A, β-hCG和甲胎蛋白(AFP)。抑制素A和β-hCG水平升高以及AFP水平降低与21三体患病风险增加有关。超声检查结果,包括心脏回声灶和轻度肾盂肾盂突出,可能代表正常变异,但可能与染色体异常的风险略有增加有关。在本病例中,结合这些超声检查结果和异常的血清标志物水平,怀疑是21三体或其他胎儿疾病。建议进行遗传咨询,并通过羊膜穿刺术或绒毛膜绒毛取样(CVS)进行进一步的诊断评估。结论:结合母体血清生化指标和产前超声检查结果,可以帮助识别21三体风险增加的妊娠,并指导进一步的诊断评估。
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引用次数: 0
Post transcriptional modification regulation of skeletal muscle TFEB protein nuclear cytoplasmic transport based on different exercise modes in computer biomedical research. 计算机生物医学研究中基于不同运动模式的骨骼肌TFEB蛋白核质转运的转录后修饰调控
IF 3.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-09-17 DOI: 10.1080/13813455.2026.2734604
Wang Dan

Background: The nuclear cytoplasmic transport and post transcriptional modification of TFEB protein in skeletal muscle are the core links regulating the autophagy lysosome system and mitochondrial function, and their response mechanisms to different motor modes are not fully understood.

Methods: The study analysed the subcellular localisation of TFEB using immunofluorescence technology, detected TFEB phosphorylation (Ser142/Ser211) levels and mTOR, AMPK/ULK1 signalling pathway related protein expression by Western blot, detected autophagy related genes (LC3B, Beclin-1, Atg5, etc.) mRNA levels by qPCR, and simultaneously detected lysosome and mitochondrial functional indicators.

Results: After exercise intervention, the expression of autophagy related genes was upregulated, lysosome function was enhanced. The above changes were most significant in the high-intensity interval group (P < 0.01).

Conclusion: Different exercise modes differentially regulate TFEB phosphorylation modification and nuclear cytoplasmic transport, mediate mTOR-AMPK/ULK1 signalling pathway imbalance. Among them, high-intensity interval exercise has significant advantages in regulating TFEB signalling pathway and enhancing skeletal muscle metabolic adaptation.

背景:骨骼肌中TFEB蛋白的核质转运和转录后修饰是调控自噬溶酶体系统和线粒体功能的核心环节,其对不同运动模式的响应机制尚不完全清楚。方法:采用免疫荧光技术分析TFEB的亚细胞定位,采用Western blot检测TFEB磷酸化(Ser142/Ser211)水平和mTOR、AMPK/ULK1信号通路相关蛋白表达,采用qPCR检测自噬相关基因(LC3B、Beclin-1、Atg5等)mRNA水平,同时检测溶酶体和线粒体功能指标。结果:运动干预后,自噬相关基因表达上调,溶酶体功能增强。结论:不同运动模式对TFEB磷酸化修饰和核质转运有不同的调节作用,介导mTOR-AMPK/ULK1信号通路失衡。其中,高强度间歇运动在调节TFEB信号通路、增强骨骼肌代谢适应方面具有显著优势。
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引用次数: 0
Precise resistance training alleviates osteosarcopenia via the GLP-1/myostatin path: a 32-week randomized controlled trial and molecular mechanism study. 精确的阻力训练通过GLP-1/肌肉生长抑制素途径缓解骨少症:一项32周的随机对照试验和分子机制研究
IF 3.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-09-17 DOI: 10.1080/13813455.2026.2734595
Lingshu Sun, Peijie Zhao, Xiaopeng Fan, Anna Puig-Ribera, Jordi Sole-Casals

Background: With the ageing of the global population, osteoporosis poses a serious challenge to elderly health.

Purpose: The aim is to explore the intervention effect and molecular mechanism of resistance training (RT) based on precise mechanical load monitoring on patients with primary osteoporosis complicated with muscle atrophy.

Methods: Recruiting 98 elderly patients, they were randomly divided into an intervention group (n = 49) and a control group (n = 49). Molecular level studies have confirmed that the increase in endogenous GLP-1 secretion induced by RT (+46.9%) is significantly correlated with the downregulation of MSTN expression (-41.7%).

Results: In vitro experiments further elucidated that MSTN mature peptides inhibit muscle regeneration by inducing G2/M phase blockade in myoblasts, and the GLP-1 mediated signalling pathway can effectively alleviate this blockade effect.

Conclusion: Precise resistance training has synergistically improved the musculoskeletal structure and function of elderly patients through the "GLP-1/MSTN axis", providing important biological evidence for clinical precision intervention in skeletal muscle atrophy.

背景:随着全球人口的老龄化,骨质疏松症对老年人的健康构成了严重的挑战。目的:探讨基于精密机械负荷监测的阻力训练(RT)对原发性骨质疏松合并肌肉萎缩患者的干预效果及分子机制。方法:招募98例老年患者,随机分为干预组(n = 49)和对照组(n = 49)。分子水平研究证实,RT诱导的内源性GLP-1分泌增加(+46.9%)与MSTN表达下调(-41.7%)显著相关。结果:体外实验进一步阐明MSTN成熟肽通过诱导成肌细胞G2/M期阻滞抑制肌肉再生,而GLP-1介导的信号通路可有效缓解这种阻滞作用。结论:精准抗阻训练通过“GLP-1/MSTN轴”协同改善老年患者肌肉骨骼结构和功能,为临床精准干预骨骼肌萎缩提供重要生物学依据。
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引用次数: 0
Heart rate variability and sleep monitoring using single-channel PPG signal analysis: techniques and applications. 使用单通道PPG信号分析的心率变异性和睡眠监测:技术和应用。
IF 3.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-09-16 DOI: 10.1080/13813455.2026.2730352
Yue Zhang, Yongbo Liang, Yanhua Guo

Introduction: Heart Rate Variability (HRV) is the variation in Inter Beat Intervals (IBIs) of a heart signal and a measure of the cardiovascular system's flexibility to changes not expected from other factors. Traditional methods use electrocardiography (ECG) and polysomnography (PSG), which are invasive, costly, and unsuitable for continuous monitoring. Single-channel Photoplethysmography (PPG) is a wearable alternative but is noisy and prone to motion artefacts.

Methods: The proposed Single-Channel PPG-Based Hybrid HRV-Sleep Analysis (SCH-HSA) method applies Variational Mode Decomposition (VMD) to enhance signal quality. Peaks are identified, the Hilbert transform calculates IBIs, and sample entropy extracts nonlinear HRV features. Particle Swarm Optimisation (PSO) retains the most relevant features, while a Bidirectional Long Short-Term Memory (Bi-LSTM) model learns temporal patterns and categorises sleep stages.

Results: Experimental evaluation achieved 94.6% HRV estimation accuracy and 95.2% sleep-stage classification accuracy, outperforming Gudi et al., GOA-IBI, SleepPPG-Net, and SC-PPG for real-time wearable healthcare applications.

Conclusion: Experimental evaluation achieved 94.6% HRV estimation accuracy and 95.2% sleep-stage classification accuracy, outperforming Gudi et al., GOA-IBI, SleepPPG-Net, and SC-PPG for real-time wearable healthcare applications.

简介:心率变异性(HRV)是心脏信号的搏动间隔(IBIs)的变化,是衡量心血管系统对其他因素预期之外的变化的灵活性。传统的方法使用心电图(ECG)和多导睡眠图(PSG),这是有创的,昂贵的,不适合连续监测。单通道光电容积脉搏波(PPG)是一种可穿戴的替代方案,但它有噪声,容易产生运动伪影。方法:提出的基于单通道ppg的混合hrv -睡眠分析(SCH-HSA)方法采用变分模态分解(VMD)来提高信号质量。识别峰值,希尔伯特变换计算ibi,样本熵提取非线性HRV特征。粒子群优化(PSO)保留了最相关的特征,而双向长短期记忆(Bi-LSTM)模型学习时间模式并对睡眠阶段进行分类。结果:实验评估HRV估计准确率为94.6%,睡眠阶段分类准确率为95.2%,优于Gudi等、GOA-IBI、sleeppppg - net和SC-PPG等实时可穿戴医疗应用。结论:实验评估HRV估计准确率为94.6%,睡眠阶段分类准确率为95.2%,优于Gudi等、GOA-IBI、sleeppppg - net和SC-PPG等实时可穿戴医疗应用。
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引用次数: 0
Oral-systemic metabolic crosstalk linking periodontal inflammation to energy homeostasis dysregulation. 口腔-全身代谢串扰将牙周炎症与能量稳态失调联系起来。
IF 3.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-09-15 DOI: 10.1080/13813455.2026.2730360
Yu Zhang, Zhen Cai, Jingfei Zhang, Baixin Gao

Introduction: Periodontal inflammation is increasingly linked to systemic metabolic dysfunction, although its mechanism of involvement in energy balance is unclear. Microbial dysbiosis and chronic periodontitis cause inflammation and affect insulin signalling and lipid metabolism. Methods: This study introduces the PerioMet-HOMEOSTASIS framework to examine oral-systemic metabolic crosstalk using integrated physiological and biochemical methods, including periodontal assessment, cytokine profiling, microbial sequencing, and metabolomics. Results: XAI analysis reveals that severe periodontal inflammation leads to a 50-60% rise in pro-inflammatory cytokines and a 30-35% decrease in insulin sensitivity, with inflammation-driven pathways as key contributors. Conclusion: The proposed framework provides a mechanistically interpretable understanding of oral-systemic metabolic interactions. The integration of Explainable AI enhances transparency and supports early prediction and targeted intervention for metabolic disorders, aligning with the principles of integrative metabolism research.

牙周炎症越来越多地与全身代谢功能障碍联系在一起,尽管其参与能量平衡的机制尚不清楚。微生物生态失调和慢性牙周炎引起炎症并影响胰岛素信号和脂质代谢。方法:本研究引入周膜-体内平衡框架,利用综合的生理和生化方法,包括牙周评估、细胞因子谱、微生物测序和代谢组学,来检查口腔-全身代谢串扰。结果:XAI分析显示,严重的牙周炎症导致促炎细胞因子升高50-60%,胰岛素敏感性降低30-35%,炎症驱动通路是关键因素。结论:提出的框架提供了对口服-全身代谢相互作用的机制解释。可解释人工智能的整合提高了透明度,支持代谢紊乱的早期预测和有针对性的干预,符合综合代谢研究的原则。
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引用次数: 0
Preliminary clinical application of two-dimensional speckle tracking echocardiography in adult-onset glycogen storage disease type II. 二维散斑跟踪超声心动图在成人型糖原储存病中的初步临床应用。
IF 3.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-09-11 DOI: 10.1080/13813455.2026.2730369
Yin-Xia Li, Bi-Bo Tan, Yanxin Xu, Rui Shen

Objective: To explore the clinical value of two-dimensional speckle tracking echocardiography (2D-STE) in adult-onset glycogen storage disease type II (late-onset Pompe disease).

Methods: From January 2021 to January 2023, 8 diagnosed patients were enrolled. Data collected included gender, age, BMI, serum lactate dehydrogenase, creatine kinase, and creatinine. Transthoracic echocardiography assessed left ventricular ejection fraction (LVEF), left ventricular mass index (LVMI), interventricular septal thickness, E/A ratio, and E/e' ratio. 2D-STE measured global longitudinal strain (GLS). Data were analysed using SPSS 23.0 with descriptive statistics and scatter plots.

Results: Lactate dehydrogenase and creatine kinase levels were elevated. Conventional echocardiography showed no significant abnormalities. However, GLS values were reduced compared to normal populations. No significant correlations were found between GLS and age, BMI, echocardiographic parameters, or serum biomarkers.

Conclusion: Adult-onset type II glycogen storage disease may involve subclinical cardiac changes. 2D-STE shows advantages over conventional echocardiography in detecting these early alterations.

目的:探讨二维散斑追踪超声心动图(2D-STE)在成人型糖原沉积病(晚发型Pompe病)中的临床价值。方法:2021年1月至2023年1月,入选8例确诊患者。收集的数据包括性别、年龄、BMI、血清乳酸脱氢酶、肌酸激酶和肌酐。经胸超声心动图评估左室射血分数(LVEF)、左室质量指数(LVMI)、室间隔厚度、E/A比和E/ E′比。2D-STE测量了全局纵向应变(GLS)。数据分析采用SPSS 23.0,采用描述性统计和散点图。结果:乳酸脱氢酶和肌酸激酶水平升高。常规超声心动图未见明显异常。然而,与正常人群相比,GLS值有所降低。GLS与年龄、BMI、超声心动图参数或血清生物标志物之间无显著相关性。结论:成人发病的II型糖原储存病可能涉及亚临床心脏改变。2D-STE在检测这些早期病变方面比传统超声心动图更有优势。
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引用次数: 0
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