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1 Department of Physiology and Biophysics, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada B3H 4H7; 2 Department of Pharmacology, College of Medicine, East Tennessee State University, Johnson City, Tennessee 37614-0577; and 3 Department of Physiology, University of South Alabama, Mobile, Alabama 36688-0002
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ABSTRACT |
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To determine whether intrinsic cardiac
neurons involved in cardiac regulation possess neurokinin (NK) receptor
subtypes, we administered selective NK receptor agonists individually
(100 µM; 0.1 ml) into the coronary arterial blood supply of right
atrial intrinsic cardiac neurons of 18 anesthetized dogs. The selective NK1 receptor agonist
[Sar9,Met(O2)11]-substance
P depressed the spontaneous activity of right atrial neurons (26.7 ± 6.7 to 13.0 ± 4.0 impulses/min;
P < 0.05) in 11 dogs and augmented
such activity in the other 5 dogs (8.0 ± 3.1 to 27.8 ± 8.7 impulses/min; P < 0.05). Local
administration of the selective
NK2 receptor agonist
[
-Ala8]-NKA-(4
10)
depressed right atrial neuronal activity (27.3 ± 6.4 to 14.7 ± 3.8 impulses/min; P < 0.05), whereas
the selective NK3 receptor agonist
senktide augmented such activity (18.9 ± 6.4 to 53.1 ± 12.0 impulses/min; P < 0.05). Left
ventricular chamber pressure fell when selective
NK1 and
NK2 receptor agonists were administered. Increases in heart rate and right ventricular
intramyocardial systolic pressure occurred when the selective
NK3 receptor agonist was studied.
Administration of a selective NK1
or NK2 receptor antagonist altered
neuronal activity, with no subsequent change in activity occurring
after administration of its respective receptor agonist. Receptor
autoradiography demonstrated tachykinin receptors associated with
ventral right atrial intrinsic cardiac neurons. It is concluded that
intrinsic cardiac neurons involved in cardiac regulation possess
NK1,
NK2, and
NK3 receptors and that some
intrinsic cardiac neurons receive tonic input via endogenously released NKs.
neurokinin
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INTRODUCTION |
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CARDIOVASCULAR AFFERENT neurons possess the neurokinins (NKs) substance P (SP) and NKA (16, 18, 25). Anatomic evidence indicates that the somata of some mammalian intrinsic cardiac neurons possess SP receptors (1, 14). Peptides such as SP modify the activity generated by some intrinsic cardiac neurons (4) such that concomitant changes in cardiodynamics occur in situ (6) and in vitro (22). It remains to be determined which NK receptor subtypes are associated with canine intrinsic cardiac neurons.
The present experiments evaluated whether
NK1,
NK2, and
NK3 receptors are associated with
canine intrinsic cardiac neurons. Neurons in the right atrial
ganglionated plexus were investigated because this population of
neurons is involved in cardiac regulation (28). To characterize
tachykinin-sensitive intrinsic cardiac neurons, we administered the
selective NK1 receptor agonist
[Sar9,Met(O2)11]-SP
(26), the selective NK2 receptor
agonist
[
-Ala8]-NKA-(4
10)
(19), and the selective NK3
receptor agonist senktide (19) individually to intrinsic right atrial
neurons via their local arterial blood supply. The selective
NK1 receptor antagonist Win-51708
(2) and the selective NK2 receptor
antagonist L-659877 (19) were then administered sequentially to
determine whether selective tachykinin receptor blockade influences
intrinsic cardiac neuronal activity in situ. Agonists were administered
in the presence of these NK receptor antagonists to determine whether
the NK1- or
NK2-selective NK receptor
antagonists modify the effects induced by receptor-selective agonists.
Finally, receptor autoradiography was used to determine the
distribution of neurons possessing NK receptors throughout the right
atrial ganglionated plexus. In this manner, we sought to determine
whether mammalian intrinsic cardiac neurons involved in cardiac
regulation possess NK1,
NK2, and
NK3 receptors and, if so, the
capacity of neurons associated with such receptors to influence
cardiodynamics.
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METHODS |
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Adult mongrel dogs (n = 24) of either sex weighing between 16 and 24 kg were used in this study. Eighteen dogs were used for the in situ experiments, and six dogs were used for the anatomic studies. All experiments were performed in accordance with the National Institutes of Health "Guide for the Care and Use of Laboratory Animals." These experiments were approved by the institutional animal care and use committees of Dalhousie University and the University of South Alabama.
General methods.
Animals were anesthetized with a loading dose of Pentothal sodium
(15-20 mg/kg iv), followed with maintenance doses (5 mg/kg iv to
effect every 5-10 min) for the duration of the surgical procedures. Noxious stimuli were applied periodically to a paw throughout the experiments to ascertain the adequacy of the anesthesia. After anesthesia induction, animals were intubated and
positive-pressure ventilation was maintained with a Bird Mark 7A
ventilator using a gas mixture of 95%
O2 and 5%
CO2. After the initial surgical procedures were completed (see below), Pentothal sodium (a short-acting anesthetic agent) was replaced with
-chloralose (a long-lasting anesthetic) administered as a bolus (50 mg/kg iv), with repeat doses
(25 mg/kg iv) administered every hour or less throughout the
experiments as required. When neuronal activity was recorded, spontaneous activity was suppressed for 5-10 min after bolus
injections of
-chloralose due to the neuronal depressor effects of
this agent. Therefore, at least 10 min were allowed to elapse after such injections before recordings proceeded.
Neuronal recording.
The activity generated by neurons that lie embedded in subepicardial
fat on the ventral surface of the right atrium was recorded, as
described by us elsewhere (9). To minimize epicardial motion during
each cardiac beat, a circular ring of heavy-gauge wire was gently
placed around the epicardial fat of the ventral surface of the right
atrium. The recording microelectrode had a 10-µm diameter, an exposed
tip of 50 µm, and an impedance of 9-11 M
at 1,000 Hz. The fat
was explored with the tungsten microelectrode mounted on a
micromanipulator at depths ranging from the surface of the fat to
regions adjacent to cardiac musculature. Proximity to cardiac
musculature was indicated by increases in the amplitude of the ECG
artifact. The indifferent electrode was attached to the pericardium.
Chemical administration. Chemicals were administered as a bolus in 0.1-ml volumes into the regional arterial supply of the right atrial neurons studied. As previously described (4), a side branch of the right coronary artery that arises immediately proximal to the root of the sinus nodal artery supplying blood to neurons in the right atrial ganglionated plexus was cannulated with a PE-50 catheter; this catheter was secured in place by ligatures. Chemicals were delivered into the regional arterial blood perfusing right atrial neurons and other distal tissues via this catheter. To control for systemic effects of injected chemicals, we administered each agonist into the bloodstream of the descending aorta in the same doses as used for local coronary artery administration. Each agonist was administered into the local coronary artery and systemic blood at least two times due to the tachyphylaxis that they may exhibit.
The agonists, obtained from Research Biochemicals International (Natick, MA), were administered in pharmacological doses and in random order. The chemicals investigated were 1) the selective NK1 receptor agonist [Sar9,Met(O2)11]-SP (0.1 ml of a 100 µM solution), 2) the selective NK2 receptor agonists [
-Ala8]-NKA-(4
10)
(0.1 ml of a 100 µM solution) and GR-64349 (0.1 ml of a 100 µM
solution), and 3) the selective
NK3 receptor agonist senktide (0.1 ml of a 100 µM solution).
Because smaller doses of each chemical induced neuronal responses with
less consistency and because larger doses increased the likelihood that
each chemical would enter the systemic circulation in sufficient doses
to affect distant tissues, 0.1 ml of 100 µM doses of these selective
NK receptor agonists were used. Each receptor agonist was then studied
after individual administration of either the
NK1 receptor antagonist Win-51708
(0.1 ml of a 100 µM solution) or the
NK2 antagonist L-659877 (0.1 ml of
a 100 µM solution) into the regional arterial blood supply of the
right atrial ganglionated plexus. The effects of these selective
antagonists were investigated in random order. Systemic administration
of each agonist was also tested after local arterial administration of
an NK1 or
NK2 receptor antagonist.
Data analysis. Heart rate, peak systolic left atrial pressure, peak systolic intramyocardial pressure (right and left), and peak systolic left ventricular chamber pressure were measured for 30-s periods before and after chemical administration. Their means ± SE were calculated. Individual action potentials were identified as described in Neuronal recording and counted for 30-s periods. This was done immediately before (baseline control) and during maximal responses elicited after each chemical application. Data obtained at the point of maximum change after administration of a chemical were compared with baseline control data using the two-tailed Student's t-test for paired data.
Histological studies.
After anesthesia and surgical preparation as described in
General
methods, right atrial tissue including
the right atrial ganglionated plexus and underlying myocardium was
removed from six animals not previously exposed to NK receptor agonists
or antagonists. These tissues were placed on specimen plates using OCT compound (Ted Pella, Redding, CA), frozen rapidly with
powdered dry ice, placed immediately in 50-ml plastic tubes, and stored at
80°C. Subsequently, these tissues were removed and
20-µm serial sections were cut from them using a microtome cryostat
held at
20°C. Groups of three adjacent sections obtained
from serial tissue sections were thaw mounted onto separate glass
slides that had been coated two times with chrome alum-gelatin. Two to
four adjacent sections were placed on each glass slide. After the
sections had dried, the slides containing adjacent sections from each
set of tissue were stored at
20°C, awaiting subsequent
staining with hematoxylin and eosin. These stained sections were used
to determine which samples contained intrinsic cardiac ganglia to know
which adjacent sections could be used for the autoradiographic studies. The remaining sections were stored at
80°C for subsequent
autoradiographic analysis.
Receptor autoradiography. NK receptors associated with right atrial tissues were identified using the following compounds: 125I-labeled NKA, 125I-labeled eledoisin (20, 23), and 125I-labeled [MePhe7]-NKB (2,200 Ci/mmol; NEN, Boston, MA). Although none of these radioligands is specific for a single receptor subtype, 125I-labeled NKA has been shown to be more selective for NK1 and NK2 receptors, whereas 125I-labeled eledoisin is highly selective for the NK3 receptor (21, 23). 125I-labeled [MePhe7]-NKB has also been shown to be selective for NK3 receptors (23). However, very high amounts of nonspecific binding of 125I-labeled [MePhe7]-NKB to tissues were observed, and thus we did not study the binding characteristics of this radioligand further. Slide-mounted sections were preincubated in 50 mM Tris · HCl (pH 7.4) for 10 min at room temperature before being incubated in buffer and radioligand. To determine total binding of the radioligand, we incubated one slide in each set for 2 h at room temperature in 50 mM Tris · HCl buffer (pH 8.0) containing 3 mM MnCl2, 0.02% BSA, 40 mg/l bacitracin, 2 mg/l chymostatin, 4 mg/l leupeptin, and 0.1 nM 125I-labeled NKA or 125I-labeled eledoisin. Slides with adjacent sections were also incubated in the same buffer with the addition of 1 µM unlabeled NKA or [MePhe7]-NKB (Peninsula, Belmont, CA) so that nonspecific binding of 125I-labeled NKA and 125I-labeled eledoisin, respectively, to tissues could be analyzed. After incubation with the radioligand, slides were rinsed four times for 5 min each in 50 mM Tris · HCl (pH 7.4) at 4°C and then dipped briefly into cold deionized water. Excess water remaining on the slides was carefully removed with gauze. These sections were dried at room temperature using an electric fan. Subsequently, these slides were placed in X-ray cassettes with 125I microscales and Hyperfilm-3H (Amersham, Arlington Heights, IL). Films were processed by standard methods after exposure for 4 wk (125I-labeled NKA) or 8 wk (125I-labeled eledoisin) at 4°C. These slides were stained with hematoxylin and eosin to identify the ganglia in each tissue studied. A microcomputer-assisted imaging device (Imaging Research) was used to quantify the signals obtained from each film autoradiogram. Stained sections were evaluated to determine whether specific binding sites were localized to ganglia, blood vessels, atrial myocardium, or adipose tissue.
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RESULTS |
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Identification of active sites.
Spontaneous activity generated by intrinsic cardiac neurons was
recorded from one locus in each right atrial ganglionated plexus
studied. Three to five spontaneously active units, as determined by the
amplitudes of individual action potentials, were identified at each
locus. The activity generated by a single unit as determined by
amplitude was used for later analysis. When saline was administered into the coronary artery, which supplied blood to the ventral right
atrial ganglionated plexus, neuronal activity and cardiac indexes were
unaffected. Systemic administration of the selective NK1 receptor agonist
[Sar9,Met(O2)11]-SP
or the selective NK2 receptor
agonist [
-Ala8]-NKA
induced minor systemic vascular hypotension after the first, but not
the second, administration. Thus neuronal activity, cardiac indexes,
and aortic pressure were not changed overall when each selective NK
agonist was administered individually into the systemic circulation in
the doses studied.
Neuronal responses to agonists. One or more of the selective NK receptor agonists modified the spontaneous activity generated by neurons within the ventral right atrial ganglionated plexus of every animal studied (Table 1). In some animals, previously quiescent neurons were recruited as well (Fig. 1). Neuronal responses elicited during the second administration of each agonist were similar to those previously induced.
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-Ala8]-NKA
was administered to the right atrial ganglionated plexus, the activity
generated by neurons therein decreased by 46% in 10 of 15 animals,
increasing in the other 5 dogs studied (Table 1). As with the
NK1 receptor agonist, a minor
reduction in left ventricular chamber systolic pressure occurred (137 ± 9 to 113 ± 10 mmHg; P < 0.05) concurrently with induced neuronal activity changes. Remaining
recorded cardiac variables did not change significantly. The
NK2 receptor agonist GR-64349 did
not affect the spontaneous activity generated by intrinsic cardiac neurons overall when administered to six animals.
Senktide enhanced the activity generated by intrinsic cardiac neurons
by 181% in 14 dogs (Fig. 1 and Table 1) while decreasing the activity
generated by such neurons in the remaining 4 dogs. Local coronary
artery administration of senktide increased right ventricular
intramyocardial systolic pressure (29 ± 2 to 35 ± 3 mmHg;
P < 0.01) without affecting other
recorded cardiovascular variables, including heart rate.
Antagonist administration. When the selective NK1 receptor antagonist Win-51708 was administered into the regional arterial blood supply of right atrial neurons (Table 1; 5 animals), the activity generated by them increased (18.4 ± 6.4 to 34.6 ± 10.5 impulses/min; P < 0.05). Cardiac indexes remained unaffected. In contrast, neuronal activity decreased (24.3 ± 5.5 to 6 ± 2.1 impulses/min; P < 0.05) in seven animals when the selective NK2 receptor antagonist L-659877 was administered into their local coronary arterial blood supply (Table 1 and Fig. 2). The change in neuronal activity induced by L-659877 was accompanied by a minor reduction in left ventricular chamber systolic pressure (118 ± 5.5 to 101 ± 5.5 mmHg; P < 0.05). Other recorded cardiac variables remained unchanged.
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Receptor autoradiography. Right atrial ganglionated plexuses and adjacent atrial tissues obtained from three dogs were analyzed by autoradiography for specific 125I-labeled NKA binding sites. 125I-labeled NKA was found to be associated with the relatively large local coronary arteries identified in right atrial fat and adjacent atrial tissue. No association of this radioligand with intrinsic cardiac ganglia, adipose tissue, or atrial myocytes was detected (Fig. 3, A-D, and Table 2). Specific binding of 125I-labeled NKA to canine tracheal tissue (not shown) was identified. Sections of tissue obtained from three different dogs were evaluated for 125I-labeled eledoisin binding. Specific sites for this radioligand were associated with right atrial ganglia and local blood vessels (Fig. 3, E-K, and Table 2). Although most ganglia contained specific binding sites for 125I-labeled eledoisin, some ganglia in each fat pad studied remained unlabeled. Labeling within individual intrinsic cardiac ganglia also was not uniform, being found in one or more regions of some intrinsic cardiac ganglia. The density of 125I-labeled eledoisin binding sites was less in canine intrinsic cardiac ganglia than in adjacent blood vessels. The specific binding of 125I-labeled NKA to coronary arteries was greater than that of 125I-labeled eledoisin (Table 2).
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DISCUSSION |
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The functional data obtained from the investigation reported herein support the concept that canine intrinsic cardiac neurons possess NK receptors, such neurons being sensitive to exogenously applied selective NK1, NK2, or NK3 receptor agonists (Table 1 and Fig. 1). That neuronal effects induced by NK1 or NK2 receptor agonists no longer occurred in the presence of NK1 or NK2 receptor antagonists, respectively, supports the contention that NK receptor subtypes are associated with intrinsic cardiac neurons. Because some intrinsic cardiac neurons were modified by more than one NK agonist, it appears that some intrinsic cardiac neurons may possess more than one NK receptor subtype.
The selective NK1 receptor agonist
[Sar9,Met(O2)11]-SP
decreased right atrial neuronal activity in more animals than the
number of animals in which it activated neurons (Table 1). The
selective NK2 receptor agonist
[
-Ala8]-NKA induced
similar responses. On the other hand, senktide enhanced the activity
generated by intrinsic cardiac neurons in most animals studied
(n = 14 dogs), depressing neuronal
activity in only four dogs. Thus, although there were relatively equal
numbers of intrinsic cardiac neurons whose activities were influenced
by the NK1,
NK2, or
NK3 receptor agonists (Table 1),
the response characteristics of neurons possessing
NK1 and
NK2 receptors differed from those expressing NK3 receptors.
Local arterial administration of an NK1 or NK2 receptor antagonist modified the spontaneous activity generated by many investigated right atrial neurons (Table 1 and Fig. 2). These data indicate that some intrinsic cardiac neurons receive tonic input via endogenously liberated NKs. NK1 or NK2 receptor agonists no longer affected the activity generated by ventral right atrial neurons in the presence of their selective antagonists. These data further support the contention that intrinsic cardiac neurons possess NK receptor subtypes.
Recent physiological evidence indicates that SP as well as other tachykinin receptor-selective agonists are capable of modifying cardiac neurons in intrathoracic extrinsic (3) and intrinsic (6, 12) cardiac ganglia that are involved in cardiac regulation. Anatomic and functional data indicate that mammalian intrinsic cardiac neurons (6, 7) and primary cardiac afferent neurons (4, 6) possess NK receptors. For example, Hardwick and colleagues (12) demonstrated that SP, NKA, and senktide depolarized guinea pig intracardiac neurons in vitro via a nonspecific cationic inward current (12). Furthermore, using specific tachykinin receptor blockers, they found that these tachykinins activated such neurons via NK3 receptors. Although our data demonstrating neuronal depressing effects induced by the more specific NK1 and NK2 receptor agonists differ from that found in their study, our results on the effects observed in situ of senktide activation via NK3 receptors support their findings observed in vitro. Thus NKs influence intrinsic cardiac neurons in vitro (11, 13, 17) as well as in situ (4).
As has been shown with respect to SP-sensitive intrinsic cardiac neurons studied in vitro (22) or in situ (4), cardiovascular variables were modified in some instances when NK-sensitive right atrial neurons were affected, particularly when senktide was tested. When a sufficient population of intrinsic cardiac neurons is modified by SP, enhancement of cardiac variables occurs via activation of cardiac sympathetic efferent neurons (4). That enhancement of right ventricular intramyocardial systolic pressure occurred when senktide was tested presumably was due to the fact that some sympathetic efferent cardiac neurons that innervate the right ventricle were directly or indirectly activated (4). The effects induced by senktide presumably were not the result of direct modification of the regional arterial blood supply because the NK receptors identified on these vessels by autoradiography were presumed to be the NK1 receptor subtype (10, 15). On the other hand, the effects that [Sar9,Met(O2)11]-SP induced may have been due in part to alterations in the local arterial blood supply to intrinsic cardiac neurons mediated via the NK1 receptors that are associated with such arteries. That neuronal activity and, for that matter, cardiovascular variables were not affected significantly when each agonist was administered individually in the same doses into the systemic circulation indicates that the neuronal responses induced by local coronary arterial administration were not secondary to the chemical entering the systemic circulation in sufficient quantities to affect distant tissues such as resistance arteries. Rather, neuronal responses induced when chemicals were administered to right atrial neurons via their regional coronary arterial blood supply appeared to be due to chemical modification of local somata and/or dendrites as opposed to distant tissues, including ventricular myocytes.
Our anatomic data support the hypothesis that some intrinsic cardiac neurons possess NK receptors (Fig. 3, E and F). Definitive statements concerning the subtypes of NK receptors associated with canine intrinsic cardiac ganglia cannot be made based on our autoradiographic findings because 125I-labeled NKA and 125I-labeled eledoisin label more than one receptor subtype (21, 23, 24). Data obtained using 125I-labeled eledoisin indicate that NK receptors are associated with canine intrinsic cardiac ganglia (Fig. 3). It is known that 125I-labeled eledoisin binds with highest affinity to NK3 receptors (24). That senktide was most effective in activating canine intrinsic cardiac neurons (Table 1) supports our data that 125I-labeled eledoisin NK3 receptors are associated with a significant population of intrinsic cardiac neurons. Although the functional data indicate that NK2 receptors are associated with canine intrinsic cardiac neurons, we were unable to detect such receptors using 125I-labeled NKA binding. Because this radioligand has a significant affinity for NK1 and NK2 receptor subtypes, these NK receptors may be expressed on intrinsic cardiac neurons at levels below our limit of detection. On the other hand, a significant amount of 125I-labeled NKA binding was associated with regional coronary blood vessels. These sites presumably were NK1 receptors that have been implicated in mediating coronary vasodilator responses to tachykinins (10, 14).
Perspectives
Tachykinins are a family of neuropeptides widely distributed in the mammalian central and peripheral nervous systems. Their release from sensory nerves is responsible for many physiological activities, including neurogenic inflammation, pain transmission, central cardiovascular regulation, and other autonomic reflexes. The results of the present investigation indicate that populations of intrinsic cardiac neurons also possess NK1, NK2, and/or NK3 receptors. Furthermore, data obtained using selective NK receptor antagonists indicate that some intrinsic cardiac neurons receive tonic input via NKs in situ. That tachykinin-sensitive intrinsic cardiac neurons can activate cardiac sympathetic efferent neurons should be taken into account when considering modifying cardiac augmentor responses elicited during periods of stress such as that which occurs during myocardial ischemia. Furthermore, because such neurons also have the capacity to generate tachydysrhythmias, tachykinin receptor blockade may prove to be of therapeutic benefit in modifying cardiac dysrhythmias.| |
ACKNOWLEDGEMENTS |
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The authors gratefully acknowledge the technical assistance of Richard Livingston.
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FOOTNOTES |
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This work was supported by Medical Research Council of Canada Grant MT-10122, the National Heart, Lung, and Blood Institute (Grants HL-54633 and HL-58140), and a grant-in-aid from the American Heart Association.
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. §1734 solely to indicate this fact.
Address for reprint requests: J. A. Armour, Dept. of Physiology and Biophysics, Faculty of Medicine, Dalhousie Univ., Halifax, Nova Scotia, Canada B3H 4H7.
Received 8 April 1998; accepted in final form 6 August 1998.
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1993
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