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Published in: BMC Cancer 1/2005

Open Access 01-12-2005 | Research article

Maspin overexpression modulates tumor cell apoptosis through the regulation of Bcl-2 family proteins

Authors: Weiguo Zhang, Heidi Y Shi, Ming Zhang

Published in: BMC Cancer | Issue 1/2005

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Abstract

Background

Maspin is a member of serpin family with tumor suppressing activity. Recent studies of maspin in animal models strongly support maspin's role as an inhibitor against the growth of primary tumor sand the process of metastasis. However, the molecular mechanism underlying this inhibition has not been fully elucidated. In this report, we analyze the effect of maspin on tumor cell apoptosis under several stress conditions.

Methods

Stable clones overexpressing maspin are established in the mouse mammary tumor TM40D cells. They are treated with staurosporine, TNF-alpha, and serum starvation. The rates of cell apoptosis are analyzed by TUNEL assay. Inhibitors against caspase 8 and 9 are used in the apoptosis assay. Western blot analysis and ribonuclease protection assay (RPA) are performed to examine the expression of Bcl2 family genes.

Results

We report that maspin expressing tumor cells have increased rate of apoptosis when they are treated with staurosporine and serum starvation. The effect is not through extracellular maspin. Maspin-mediated apoptosis is partially blocked by caspase 8 and 9 inhibitors, and is accompanied by changes in the Bcl-2 family proteins. Maspin-expressing tumor cells have a reduced level of anti-apoptotic protein Bcl-2, and an increased level of pro-apoptotic protein Bax. The regulation is not controlled at the transcriptional level but is through selective control of Bcl-2 and Bax protein stability.

Conclusion

Maspin overexpression modulates tumor cell apoptosis through the regulation of Bcl2 family proteins. Such change results in an increased release of cytochrome c from mitochondria, thus the increased apoptosis in maspin-expressing cells. This evidence strongly suggests that the induction of apoptosis in maspin-overexpressing cells represents a major mechanism by which maspin inhibits breast tumor progression.
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Literature
1.
go back to reference Zou Z, Anisowicz A, Hendrix MJ, Thor A, Neveu M, Sheng S, Rafidi K, Seftor E, Sager R: Maspin, a serpin with tumor-suppressing activity in human mammary epithelial cells [see comments]. Science. 1994, 263: 526-529.CrossRefPubMed Zou Z, Anisowicz A, Hendrix MJ, Thor A, Neveu M, Sheng S, Rafidi K, Seftor E, Sager R: Maspin, a serpin with tumor-suppressing activity in human mammary epithelial cells [see comments]. Science. 1994, 263: 526-529.CrossRefPubMed
2.
go back to reference Sager R, Sheng S, Pemberton P, Hendrix MJ: Maspin: a tumor suppressing serpin. Curr Top Microbiol Immunol. 1996, 213: 51-64.PubMed Sager R, Sheng S, Pemberton P, Hendrix MJ: Maspin: a tumor suppressing serpin. Curr Top Microbiol Immunol. 1996, 213: 51-64.PubMed
3.
go back to reference Zhang M, Maass N, Magit D, Sager R: Transactivation through Ets and Ap1 transcription sites determines the expression of the tumor-suppressing gene maspin. Cell Growth Differ. 1997, 8: 179-186.PubMed Zhang M, Maass N, Magit D, Sager R: Transactivation through Ets and Ap1 transcription sites determines the expression of the tumor-suppressing gene maspin. Cell Growth Differ. 1997, 8: 179-186.PubMed
4.
go back to reference Zou Z, Gao C, Nagaich AK, Connell T, Saito S, Moul JW, Seth P, Appella E, Srivastava S: p53 regulates the expression of the tumor suppressor gene maspin. J Biol Chem. 2000, 275: 6051-6054. 10.1074/jbc.275.9.6051.CrossRefPubMed Zou Z, Gao C, Nagaich AK, Connell T, Saito S, Moul JW, Seth P, Appella E, Srivastava S: p53 regulates the expression of the tumor suppressor gene maspin. J Biol Chem. 2000, 275: 6051-6054. 10.1074/jbc.275.9.6051.CrossRefPubMed
5.
go back to reference Futscher BW, Oshiro MM, Wozniak RJ, Holtan N, Hanigan CL, Duan H, Domann FE: Role for DNA methylation in the control of cell type specific maspin expression. Nat Genet. 2002, 31: 175-179. 10.1038/ng886.CrossRefPubMed Futscher BW, Oshiro MM, Wozniak RJ, Holtan N, Hanigan CL, Duan H, Domann FE: Role for DNA methylation in the control of cell type specific maspin expression. Nat Genet. 2002, 31: 175-179. 10.1038/ng886.CrossRefPubMed
6.
go back to reference Sheng S, Pemberton PA, Sager R: Production, purification, and characterization of recombinant maspin proteins. J Biol Chem. 1994, 269: 30988-30993.PubMed Sheng S, Pemberton PA, Sager R: Production, purification, and characterization of recombinant maspin proteins. J Biol Chem. 1994, 269: 30988-30993.PubMed
7.
go back to reference Zhang M, Volpert O, Shi YH, Bouck N: Maspin is an angiogenesis inhibitor. Nat Med. 2000, 6: 196-199. 10.1038/72303.CrossRefPubMed Zhang M, Volpert O, Shi YH, Bouck N: Maspin is an angiogenesis inhibitor. Nat Med. 2000, 6: 196-199. 10.1038/72303.CrossRefPubMed
8.
go back to reference Zhang M, Shi Y, Magit D, Furth PA, Sager R: Reduced mammary tumor progression in WAP-TAg/WAP-maspin bitransgenic mice. Oncogene. 2000, 19: 6053-6058. 10.1038/sj.onc.1204006.CrossRefPubMed Zhang M, Shi Y, Magit D, Furth PA, Sager R: Reduced mammary tumor progression in WAP-TAg/WAP-maspin bitransgenic mice. Oncogene. 2000, 19: 6053-6058. 10.1038/sj.onc.1204006.CrossRefPubMed
9.
go back to reference Sternlicht MD, Kedeshian P, Shao ZM, Safarians S, Barsky SH: The human myoepithelial cell is a natural tumor suppressor. Clin Cancer Res. 1997, 3: 1949-1958.PubMed Sternlicht MD, Kedeshian P, Shao ZM, Safarians S, Barsky SH: The human myoepithelial cell is a natural tumor suppressor. Clin Cancer Res. 1997, 3: 1949-1958.PubMed
10.
go back to reference Zhang M, Magit D, Botteri F, Shi Y, He K, Li M, Furth P, Sager R: Maspin plays an important role in mammary gland development. Developmental Biology. 1999, 215: 278-287. 10.1006/dbio.1999.9442.CrossRefPubMed Zhang M, Magit D, Botteri F, Shi Y, He K, Li M, Furth P, Sager R: Maspin plays an important role in mammary gland development. Developmental Biology. 1999, 215: 278-287. 10.1006/dbio.1999.9442.CrossRefPubMed
11.
go back to reference Jiang N, Meng Y, Zhang S, Mensah-Osman E, Sheng S: Maspin sensitizes breast carcinoma cells to induced apoptosis. Oncogene. 2002, 21: 4089-4098. 10.1038/sj.onc.1205507.CrossRefPubMed Jiang N, Meng Y, Zhang S, Mensah-Osman E, Sheng S: Maspin sensitizes breast carcinoma cells to induced apoptosis. Oncogene. 2002, 21: 4089-4098. 10.1038/sj.onc.1205507.CrossRefPubMed
12.
go back to reference Shi HY, Zhang W, Liang R, Abraham S, Kittrell FS, Medina D, Zhang M: Blocking tumor growth, invasion, and metastasis by maspin in a syngeneic breast cancer model. Cancer Res. 2001, 61: 6945-6951.PubMed Shi HY, Zhang W, Liang R, Abraham S, Kittrell FS, Medina D, Zhang M: Blocking tumor growth, invasion, and metastasis by maspin in a syngeneic breast cancer model. Cancer Res. 2001, 61: 6945-6951.PubMed
13.
go back to reference Latha K, Zhang W, Cella N, Shi HY, Zhang M: Maspin Mediates Increased Tumor Cell Apoptosis upon Induction of the Mitochondrial Permeability Transition. Mol Cell Biol. 2005, 25: 1737-1748. 10.1128/MCB.25.5.1737-1748.2005.CrossRefPubMedPubMedCentral Latha K, Zhang W, Cella N, Shi HY, Zhang M: Maspin Mediates Increased Tumor Cell Apoptosis upon Induction of the Mitochondrial Permeability Transition. Mol Cell Biol. 2005, 25: 1737-1748. 10.1128/MCB.25.5.1737-1748.2005.CrossRefPubMedPubMedCentral
14.
go back to reference Kulik G, Carson JP, Vomastek T, Overman K, Gooch BD, Srinivasula S, Alnemri E, Nunez G, Weber MJ: Tumor necrosis factor alpha induces BID cleavage and bypasses antiapoptotic signals in prostate cancer LNCaP cells. Cancer Res. 2001, 61: 2713-2719.PubMed Kulik G, Carson JP, Vomastek T, Overman K, Gooch BD, Srinivasula S, Alnemri E, Nunez G, Weber MJ: Tumor necrosis factor alpha induces BID cleavage and bypasses antiapoptotic signals in prostate cancer LNCaP cells. Cancer Res. 2001, 61: 2713-2719.PubMed
15.
go back to reference Kluck RM, Bossy-Wetzel E, Green DR, Newmeyer DD: The release of cytochrome c from mitochondria: a primary site for Bcl-2 regulation of apoptosis. Science. 1997, 275: 1132-1136. 10.1126/science.275.5303.1132.CrossRefPubMed Kluck RM, Bossy-Wetzel E, Green DR, Newmeyer DD: The release of cytochrome c from mitochondria: a primary site for Bcl-2 regulation of apoptosis. Science. 1997, 275: 1132-1136. 10.1126/science.275.5303.1132.CrossRefPubMed
16.
go back to reference Takahashi A, Hirata H, Yonehara S, Imai Y, Lee KK, Moyer RW, Turner PC, Mesner PW, Okazaki T, Sawai H, Kishi S, Yamamoto K, Okuma M, Sasada M: Affinity labeling displays the stepwise activation of ICE-related proteases by Fas, staurosporine, and CrmA-sensitive caspase-8. Oncogene. 1997, 14: 2741-2752. 10.1038/sj.onc.1201131.CrossRefPubMed Takahashi A, Hirata H, Yonehara S, Imai Y, Lee KK, Moyer RW, Turner PC, Mesner PW, Okazaki T, Sawai H, Kishi S, Yamamoto K, Okuma M, Sasada M: Affinity labeling displays the stepwise activation of ICE-related proteases by Fas, staurosporine, and CrmA-sensitive caspase-8. Oncogene. 1997, 14: 2741-2752. 10.1038/sj.onc.1201131.CrossRefPubMed
17.
go back to reference Ashkenazi A, Dixit VM: Apoptosis control by death and decoy receptors. Curr Opin Cell Biol. 1999, 11: 255-260. 10.1016/S0955-0674(99)80034-9.CrossRefPubMed Ashkenazi A, Dixit VM: Apoptosis control by death and decoy receptors. Curr Opin Cell Biol. 1999, 11: 255-260. 10.1016/S0955-0674(99)80034-9.CrossRefPubMed
18.
go back to reference Tewari M, Dixit VM: Fas- and tumor necrosis factor-induced apoptosis is inhibited by the poxvirus crmA gene product. J Biol Chem. 1995, 270: 3255-3260. 10.1074/jbc.270.28.16526.CrossRefPubMed Tewari M, Dixit VM: Fas- and tumor necrosis factor-induced apoptosis is inhibited by the poxvirus crmA gene product. J Biol Chem. 1995, 270: 3255-3260. 10.1074/jbc.270.28.16526.CrossRefPubMed
19.
go back to reference Bird CH, Sutton VR, Sun J, Hirst CE, Novak A, Kumar S, Trapani JA, Bird PI: Selective regulation of apoptosis: the cytotoxic lymphocyte serpin proteinase inhibitor 9 protects against granzyme B-mediated apoptosis without perturbing the Fas cell death pathway. Mol Cell Biol. 1998, 18: 6387-6398.CrossRefPubMedPubMedCentral Bird CH, Sutton VR, Sun J, Hirst CE, Novak A, Kumar S, Trapani JA, Bird PI: Selective regulation of apoptosis: the cytotoxic lymphocyte serpin proteinase inhibitor 9 protects against granzyme B-mediated apoptosis without perturbing the Fas cell death pathway. Mol Cell Biol. 1998, 18: 6387-6398.CrossRefPubMedPubMedCentral
20.
go back to reference Sheng S, Carey J, Seftor EA, Dias L, Hendrix MJ, Sager R: Maspin acts at the cell membrane to inhibit invasion and motility of mammary and prostatic cancer cells. Proc Natl Acad Sci U S A. 1996, 93: 11669-11674. 10.1073/pnas.93.21.11669.CrossRefPubMedPubMedCentral Sheng S, Carey J, Seftor EA, Dias L, Hendrix MJ, Sager R: Maspin acts at the cell membrane to inhibit invasion and motility of mammary and prostatic cancer cells. Proc Natl Acad Sci U S A. 1996, 93: 11669-11674. 10.1073/pnas.93.21.11669.CrossRefPubMedPubMedCentral
21.
go back to reference Li H, Zhu H, Xu CJ, Yuan J: Cleavage of BID by caspase 8 mediates the mitochondrial damage in the Fas pathway of apoptosis. Cell. 1998, 94: 491-501. 10.1016/S0092-8674(00)81590-1.CrossRefPubMed Li H, Zhu H, Xu CJ, Yuan J: Cleavage of BID by caspase 8 mediates the mitochondrial damage in the Fas pathway of apoptosis. Cell. 1998, 94: 491-501. 10.1016/S0092-8674(00)81590-1.CrossRefPubMed
22.
go back to reference Li X, Marani M, Mannucci R, Kinsey B, Andriani F, Nicoletti I, Denner L, Marcelli M: Overexpression of BCL-X(L) underlies the molecular basis for resistance to staurosporine-induced apoptosis in PC-3 cells. Cancer Res. 2001, 61: 1699-1706.PubMed Li X, Marani M, Mannucci R, Kinsey B, Andriani F, Nicoletti I, Denner L, Marcelli M: Overexpression of BCL-X(L) underlies the molecular basis for resistance to staurosporine-induced apoptosis in PC-3 cells. Cancer Res. 2001, 61: 1699-1706.PubMed
23.
go back to reference Yang J, Liu X, Bhalla K, Kim CN, Ibrado AM, Cai J, Peng TI, Jones DP, Wang X: Prevention of apoptosis by Bcl-2: release of cytochrome c from mitochondria blocked. Science. 1997, 275: 1129-1132. 10.1126/science.275.5303.1129.CrossRefPubMed Yang J, Liu X, Bhalla K, Kim CN, Ibrado AM, Cai J, Peng TI, Jones DP, Wang X: Prevention of apoptosis by Bcl-2: release of cytochrome c from mitochondria blocked. Science. 1997, 275: 1129-1132. 10.1126/science.275.5303.1129.CrossRefPubMed
24.
go back to reference Dimmeler S, Breitschopf K, Haendeler J, Zeiher AM: Dephosphorylation targets Bcl-2 for ubiquitin-dependent degradation: a link between the apoptosome and the proteasome pathway. J Exp Med. 1999, 189: 1815-1822. 10.1084/jem.189.11.1815.CrossRefPubMedPubMedCentral Dimmeler S, Breitschopf K, Haendeler J, Zeiher AM: Dephosphorylation targets Bcl-2 for ubiquitin-dependent degradation: a link between the apoptosome and the proteasome pathway. J Exp Med. 1999, 189: 1815-1822. 10.1084/jem.189.11.1815.CrossRefPubMedPubMedCentral
25.
go back to reference Li P, Nijhawan D, Budihardjo I, Srinivasula SM, Ahmad M, Alnemri ES, Wang X: Cytochrome c and dATP-dependent formation of Apaf-1/caspase-9 complex initiates an apoptotic protease cascade. Cell. 1997, 91: 479-489. 10.1016/S0092-8674(00)80434-1.CrossRefPubMed Li P, Nijhawan D, Budihardjo I, Srinivasula SM, Ahmad M, Alnemri ES, Wang X: Cytochrome c and dATP-dependent formation of Apaf-1/caspase-9 complex initiates an apoptotic protease cascade. Cell. 1997, 91: 479-489. 10.1016/S0092-8674(00)80434-1.CrossRefPubMed
26.
go back to reference Reed JC: Cytochrome c: can't live with it--can't live without it. Cell. 1997, 91: 559-562. 10.1016/S0092-8674(00)80442-0.CrossRefPubMed Reed JC: Cytochrome c: can't live with it--can't live without it. Cell. 1997, 91: 559-562. 10.1016/S0092-8674(00)80442-0.CrossRefPubMed
27.
go back to reference Maki CG, Huibregtse JM, Howley PM: In vivo ubiquitination and proteasome-mediated degradation of p53(1). Cancer Res. 1996, 56: 2649-2654.PubMed Maki CG, Huibregtse JM, Howley PM: In vivo ubiquitination and proteasome-mediated degradation of p53(1). Cancer Res. 1996, 56: 2649-2654.PubMed
28.
go back to reference Kramer ER, Scheuringer N, Podtelejnikov AV, Mann M, Peters JM: Mitotic regulation of the APC activator proteins CDC20 and CDH1. Mol Biol Cell. 2000, 11: 1555-1569.CrossRefPubMedPubMedCentral Kramer ER, Scheuringer N, Podtelejnikov AV, Mann M, Peters JM: Mitotic regulation of the APC activator proteins CDC20 and CDH1. Mol Biol Cell. 2000, 11: 1555-1569.CrossRefPubMedPubMedCentral
29.
go back to reference Yethon JA, Epand RF, Leber B, Epand RM, Andrews DW: Interaction with a membrane surface triggers a reversible conformational change in Bax normally associated with induction of apoptosis. J Biol Chem. 2003, 278: 48935-48941. 10.1074/jbc.M306289200.CrossRefPubMed Yethon JA, Epand RF, Leber B, Epand RM, Andrews DW: Interaction with a membrane surface triggers a reversible conformational change in Bax normally associated with induction of apoptosis. J Biol Chem. 2003, 278: 48935-48941. 10.1074/jbc.M306289200.CrossRefPubMed
30.
go back to reference Malina HZ, Hess OM: Xanthurenic acid translocates proapoptotic Bcl-2 family proteins into mitochondria and impairs mitochondrial function. BMC Cell Biol. 2004, 5: 14-10.1186/1471-2121-5-14.CrossRefPubMedPubMedCentral Malina HZ, Hess OM: Xanthurenic acid translocates proapoptotic Bcl-2 family proteins into mitochondria and impairs mitochondrial function. BMC Cell Biol. 2004, 5: 14-10.1186/1471-2121-5-14.CrossRefPubMedPubMedCentral
31.
go back to reference Chen JS, Konopleva M, Andreeff M, Multani AS, Pathak S, Mehta K: Drug-resistant breast carcinoma (MCF-7) cells are paradoxically sensitive to apoptosis. J Cell Physiol. 2004, 200: 223-234. 10.1002/jcp.20014.CrossRefPubMed Chen JS, Konopleva M, Andreeff M, Multani AS, Pathak S, Mehta K: Drug-resistant breast carcinoma (MCF-7) cells are paradoxically sensitive to apoptosis. J Cell Physiol. 2004, 200: 223-234. 10.1002/jcp.20014.CrossRefPubMed
32.
go back to reference Lajmanovich A, Irisarri M, Molens JP, Pasquier MA, Sotto JJ, Bensa JC, Leroux D, Plumas J: Impairment of death-inducing signalling complex formation in CD95-resistant human primary lymphoma B cells. Br J Haematol. 2004, 124: 746-753. 10.1111/j.1365-2141.2004.04849.x.CrossRefPubMed Lajmanovich A, Irisarri M, Molens JP, Pasquier MA, Sotto JJ, Bensa JC, Leroux D, Plumas J: Impairment of death-inducing signalling complex formation in CD95-resistant human primary lymphoma B cells. Br J Haematol. 2004, 124: 746-753. 10.1111/j.1365-2141.2004.04849.x.CrossRefPubMed
33.
go back to reference Choi WS, Eom DS, Han BS, Kim WK, Han BH, Choi EJ, Oh TH, Markelonis GJ, Cho JW, Oh YJ: Phosphorylation of p38 MAPK induced by oxidative stress is linked to activation of both caspase-8- and -9-mediated apoptotic pathways in dopaminergic neurons. J Biol Chem. 2004, 279: 20451-20460. 10.1074/jbc.M311164200.CrossRefPubMed Choi WS, Eom DS, Han BS, Kim WK, Han BH, Choi EJ, Oh TH, Markelonis GJ, Cho JW, Oh YJ: Phosphorylation of p38 MAPK induced by oxidative stress is linked to activation of both caspase-8- and -9-mediated apoptotic pathways in dopaminergic neurons. J Biol Chem. 2004, 279: 20451-20460. 10.1074/jbc.M311164200.CrossRefPubMed
34.
go back to reference Gilot D, Loyer P, Corlu A, Glaise D, Lagadic-Gossmann D, Atfi A, Morel F, Ichijo H, Guguen-Guillouzo C: Liver protection from apoptosis requires both blockage of initiator caspase activities and inhibition of ASK1/JNK pathway via glutathione S-transferase regulation. J Biol Chem. 2002, 277: 49220-49229. 10.1074/jbc.M207325200.CrossRefPubMed Gilot D, Loyer P, Corlu A, Glaise D, Lagadic-Gossmann D, Atfi A, Morel F, Ichijo H, Guguen-Guillouzo C: Liver protection from apoptosis requires both blockage of initiator caspase activities and inhibition of ASK1/JNK pathway via glutathione S-transferase regulation. J Biol Chem. 2002, 277: 49220-49229. 10.1074/jbc.M207325200.CrossRefPubMed
35.
go back to reference LaVallee TM, Zhan XH, Johnson MS, Herbstritt CJ, Swartz G, Williams MS, Hembrough WA, Green SJ, Pribluda VS: 2-methoxyestradiol up-regulates death receptor 5 and induces apoptosis through activation of the extrinsic pathway. Cancer Res. 2003, 63: 468-475.PubMed LaVallee TM, Zhan XH, Johnson MS, Herbstritt CJ, Swartz G, Williams MS, Hembrough WA, Green SJ, Pribluda VS: 2-methoxyestradiol up-regulates death receptor 5 and induces apoptosis through activation of the extrinsic pathway. Cancer Res. 2003, 63: 468-475.PubMed
36.
go back to reference Luo X, Budihardjo I, Zou H, Slaughter C, Wang X: Bid, a Bcl2 interacting protein, mediates cytochrome c release from mitochondria in response to activation of cell surface death receptors. Cell. 1998, 94: 481-490. 10.1016/S0092-8674(00)81589-5.CrossRefPubMed Luo X, Budihardjo I, Zou H, Slaughter C, Wang X: Bid, a Bcl2 interacting protein, mediates cytochrome c release from mitochondria in response to activation of cell surface death receptors. Cell. 1998, 94: 481-490. 10.1016/S0092-8674(00)81589-5.CrossRefPubMed
37.
go back to reference Deng Y, Lin Y, Wu X: TRAIL-induced apoptosis requires Bax-dependent mitochondrial release of Smac/DIABLO. Genes Dev. 2002, 16: 33-45. 10.1101/gad.949602.CrossRefPubMedPubMedCentral Deng Y, Lin Y, Wu X: TRAIL-induced apoptosis requires Bax-dependent mitochondrial release of Smac/DIABLO. Genes Dev. 2002, 16: 33-45. 10.1101/gad.949602.CrossRefPubMedPubMedCentral
38.
go back to reference Evan GI, Vousden KH: Proliferation, cell cycle and apoptosis in cancer. Nature. 2001, 411: 342-348. 10.1038/35077213.CrossRefPubMed Evan GI, Vousden KH: Proliferation, cell cycle and apoptosis in cancer. Nature. 2001, 411: 342-348. 10.1038/35077213.CrossRefPubMed
Metadata
Title
Maspin overexpression modulates tumor cell apoptosis through the regulation of Bcl-2 family proteins
Authors
Weiguo Zhang
Heidi Y Shi
Ming Zhang
Publication date
01-12-2005
Publisher
BioMed Central
Published in
BMC Cancer / Issue 1/2005
Electronic ISSN: 1471-2407
DOI
https://doi.org/10.1186/1471-2407-5-50

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