|Year : 2017 | Volume
| Issue : 2 | Page : 138-143
|Screening the antigenic properties of Porphyromonas gingivalis and level of raised antibodies after antigenic injection into Balb/c Mice
Mahdi T Khadematolrasoul1, Farin Kiany2, Faezeh Saadati1
1 Postgraduate Student, Department of Periodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
2 Oral and Dental Disease Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
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|Date of Web Publication||12-Jun-2017|
| Abstract|| |
Background: Different diagnostic screening tests have been developed to detect periodontal disease in the early stages. Despite these advances still, there is a need for a more practical and beneficial diagnostic test. Aim: The aim of this study was to investigate the possibility of developing such a kit based on the body immune response against Porphyromonas gingivalis. Method and Materials: This experimental study was conducted by culturing P. gingivalis and extracting its antigens. These antigens were injected into peritoneal cavity of four Balb/c mice. Finally, the pattern, type, and quantity of antibody response against P. gingivalis antigen were detected. Results of the study showed that 3.0 × 108 cells of P. gingivalis are an appropriate count for stimulating the immunization in Balb/c mice and the subsequent amount of antibody (IgG) production was 81.5 μg/ml. Result: The antigenic injections which were done in the current study could mimic the condition of periodontal disease and the raise of P. gingivalis in the body. Conclusion: The obtained data can be used in future attempts to develop practical and usable test kits against P. gingivalis.
Keywords: Antibody, antigenic properties, diagnostic screening tests, Porphyromonas gingivalis
|How to cite this article:|
Khadematolrasoul MT, Kiany F, Saadati F. Screening the antigenic properties of Porphyromonas gingivalis and level of raised antibodies after antigenic injection into Balb/c Mice. Indian J Dent Res 2017;28:138-43
|How to cite this URL:|
Khadematolrasoul MT, Kiany F, Saadati F. Screening the antigenic properties of Porphyromonas gingivalis and level of raised antibodies after antigenic injection into Balb/c Mice. Indian J Dent Res [serial online] 2017 [cited 2021 Jul 31];28:138-43. Available from: https://www.ijdr.in/text.asp?2017/28/2/138/207796
| Introduction|| |
Periodontitis is considered as a multifactorial polymicrobial infection, characterized by a destructive inflammatory process resulting in the loss of tooth-supporting tissues. If it is left untreated, the disease may result in tooth loss and systemic complications.
It has been estimated that less than half of the bacterial species present in the oral cavity can be cultivated using anaerobic microbiological methods and that there are likely 500–700 common oral species.
Although the subgingival microenvironment in the periodontal pocket is characterized by a wide diversity of organisms, only a few species have been associated with the disease.
The black pigmented Gram-negative anaerobic bacterium Porphyromonas gingivalis has been frequently isolated in several oral infections, including pulpal infection, oral abscesses, and periodontitis.,
P. gingivalis can adhere to cellular and acellular surfaces and form a biofilm, which contributes to its colonization in the oral cavity.,,
This microorganism also produces soluble and cell bound proteases, which can degrade various tissue and plasma proteins and propagate to the invasion of the periodontal tissue.,,
It also produces some virulence factors such as arginine and lysine-specific cysteine proteinases, lipopolysaccharides, fimbriae, hemagglutinins, which are responsible for bacterial colonization and increase in humoral and cellular host response.,,,,
Considering its culture medium, P. gingivalis specifically grows in a selective medium, which is brain heart infusion (BHI) and is further enhanced by a percentage of beef extract in the culture media. Beta hemolysis is a confirmatory characteristic of P. gingivalis. Hemolysis is classified into alpha (partial or incomplete) where colonies appear to be opaque and semitranslucent, beta (complete) where the colonies appear transparent and gamma (no hemolysis).
Microbiologic tests to identify putative pathogens for periodontal disease have the potential to support the diagnosis of the various forms of the periodontal diseases, to serve as indicators of disease initiation and progression, and to determine which periodontal sites are at higher risk for active destruction.
These tests can also be used to monitor periodontal therapy directed at the suppression or eradication of periodontal pathogenic microorganisms.
Many methods have been introduced and examined for this purpose such as bacterial culturing, direct microscopy, immunodiagnostic tests, enzymatic method of bacterial identification, and deoxyribonucleic acid probe technology. These tests are not completely reliable. Furthermore, they are expensive and technique sensitive or need to be operated by a specialist, so their use in the clinical office or home is limited.
Screening of the antigenic property of P. gingivalis in producing antibodies gives a tremendous assistance to clinicians in understanding the condition of the periodontium and/or level of periodontitis.
Limited resources and availability of diagnostic tests for dental diseases in developing countries have led to the use of inadequate treatment modalities. Hence, there is a need for developing a simple and more practical method as an aid in diagnosis and treatment of periodontal diseases.
This study focused on determining the quality and type of immunoglobulin G as the antibody raised against P. gingivalis based on the formation of ascites. Ascites fluid is a watery fluid that accumulates in the peritoneal cavity and is the result of antibodies produced in the peritoneal cavity in association with certain diseases, such as liver disease or congestive heart failure. Formation of such fluid after injection of antigens would indicate the production of antibodies in suspension form. After secretion of antibodies, they can be classified according to their type. This in turn would determine the method of collecting and processing the antibodies.
The aim of this study was to develop a different diagnostic screening test kit against P. gingivalis with the property to show antigenic property and level of raised antibodies. This kit is anticipated to be a practical and usable test kit for dental students, clinical instructors, dental researchers, dental manufacturers, and dental specialists.
| Methods|| |
The study was an experimental one, and purposive sampling technique was used in the study. After obtaining the approval permission from the Institutional Animal Care and Use Committee of Centro Escolar University, the 6 Balb/c mice of 6–8 weeks old, were used as hosts for the production of the antibody.
Agar plates which contained a mixture of BHI agar, blood agar base and beef extraction were used for the culture of P. gingivalis. The microorganism was obtained from the vials of pure culture of lyophilized P. gingivalis (Korean Collection for Type Cultures, Biological Resource Center, Korea Research Institute of Bioscience and Biotechnology, 125 Ghawak_ro, Yuseong_gu, Daejeon, Korea, 305-806).
The vials were kept at the room temperature before their reviving procedure. P. gingivalis was then subcultured and preserved in the vials. Hemolysis test was done to check the growth of P. gingivalis on blood agar plates. Furthermore, cell count was done to compute the number of bacterial cells in the subculture test tube. The data obtained, were used to indicate cell density and to determine the number of required bacteria for immunization.
After culturing P. gingivalis in agar plates and incubating, antigens were extracted and injected into the peritoneal cavity of Balb/c mice.
The aim of antigenic injections was to measure the antibody response against them. The antigenic injections mimic the condition of periodontal disease and the raise of P. gingivalis in the body.
The mice were injected peritoneally with 0.20 ml of vehicles in Freund's complete adjuvant three times. First and second immunizations were administration at 30-day intervals. Afterward, the third injection was done in 14 days. Four days later, samples from blood and spleen were obtained from the immunized mice for the measurement of the antibodies.
Four Balb/c male mice (7 weeks old) were chosen for multiple immunizations. 0.2 ml of the fluid containing 3 × 107 bacteria was extracted from the vials and used for the primary immunization. Then the cells were suspended in normal saline solution and heat inactivated. After that the test tubes were placed on Sonicator (Vortex Shaker), for 5–10 min at 8000 rpm and centrifuged for 15 min. Then the centrifuged suspension was injected into 2 of mice with a #25 gauge needle. The status of the health of the mice was monitored for the succeeding days. Other 2 mice were injected with 0.2 ml of the supernatant suspension.
For the second immunization, 0.2 ml of the heat inactivated and sonicated fluid containing P. gingivalis was injected into the same 2 mice that had been primary immunized 4 weeks ago, and 0.2 ml of the supernatant was injected into the mice that had primary immunization 4 weeks ago with the same suspension. Again, the mice were monitored for the succeeding days.
After 2 weeks, the same procedure was repeated for the third immunization as done in the second stage and the mice were monitored after the injection procedure.
After immunization, blood samples were obtained from the mice for the measurement of the antibodies. Serum antibody titer was determined by the enzyme-linked immunosorbent assay (ELISA) technique.
Later, the mice were euthanized and splenectomized for the performance of cell fusion procedure and measurement of possible antibody production.
| Results|| |
A minimum cell population of 1 × 108 cells is needed to produce an immune response in the form of an antibody in mouse; therefore, in the current study, P. gingivalis was grown in several tubes, subcultured and then harvested. Subsequently, the obtained cell density was determined by the aid of a spectrophotometer.
The number of P. gingivalis cells collected per vials ranged from 2.7 × 107 to 3.3 × 107 in subcultures with BHI as culturing media, with a total cell of 3 × 108 cells. [Table 1] shows the amount of prepared P. gingivalis cells contained per vial and [Table 2] illustrates average cell density, the average amount of cells, and optical density values per vial during culturing period.
|Table 2: Average of cell density, number of cells, and optical density values per vial|
Click here to view
This study confirmed that P. gingivalis could grow on Beef Extract, BHI Broth with Beef Extract and blood agar plate at 37°C for 48 h. Beta hemolysis (complete hemolysis) was demonstrated on blood agar plate, which confirmed the cultural characteristics of P. gingivalis [Table 3].
3.0 × 107 cells were injected to the mice each time for the immunization sequences. Third immunization followed 2 weeks after the second one which took place 4 weeks after the initial immunization. None of the subjects showed ascites formation [Table 4].
|Table 4: Number of injected cells, immunization sequences, and ascites formation results|
Click here to view
Negative ascites formation further explained the characteristics of P. gingivalis as a membrane-bound microorganism which elicits IgG and IgE production. These antibodies are formed primarily in bone marrow, blood, and other organs and then mature in the spleen.
Y-shape pattern ouchterlony immunodiffusion assay was used to identify the type of antibodies. Y-shape pattern (partial identity) indicates when the antibodies in the antiserum react with one of the antigens more than the others.
The spur is supposed to result from the determinants present in one antigen but lacking in the other antigen. The Y-shape pattern Ouchterlony immunodiffusion assay showed some circles, which were the walls and provided to act as containing space within the semisolid agar gel (medium) for the reagents used in the test (antigen or antibody in this research).
Partial identity reaction between P. gingivalis and the antibodies collected from the mouse 1 and 2 confirmed the unique reactivity between the antigen and antibody. It also showed the nonreactive precipitation lines between the P. gingivalis and the supernatant production from mouse 3 and 4. This was indicative of that there was no significant antigenic property present in the supernatant medium to elicit antibody production. After confirmation of the partial identity Ouchterlony immunodiffusion assay, the amount of protein (antibody) was quantified by ELISA technique. That was performed for determining the actual quantitative amount of antibody. This test quantified the amount of antibodies that could be harvested from Balb/c mice. This in turn can be used in antibody purification for further studies.
Finally, concentration of antibody production from the mice was determined [Table 5]. Based on ELISA readings, the acquired data using the Standard Optical Density and the average of the different samples, 81.5 μg/ml of protein was found in the sample collected from the sacrificed mice. [Table 5] shows that 81.5 μg/ml antibody was sufficient enough to react with the cultured antigens which were injected into the mice.
The concentration of P. gingivalis that was harvested in the current study resulted in 3.0 × 108 cells. This cell count satisfied the number of cells needed for immunization. Positive growth in Beef extract, BHI enriched with beef extract and demonstration of β-hemolysis in blood agar plate confirmed the manifestations unique for P. gingivalis. In this research, there was no ascites fluid formation in Balb/c mice after multiple immunizations. The Ouchterlony immunodiffusion assay showed partial identity for the antibody production. The concentration of antibody produced from Balb/c mice using ELIZA was 81.5 μg/ml.
| Discussion|| |
The oral cavity appears as an open ecosystem with a dynamic balance between the entrance of microorganisms, colonization modalities, and host defenses.
The primary purpose of periodontal examination and evaluation is to identify and quantify the clinical signs and symptoms of present inflammation. This accurate judgment would lead to more definite treatment. Actually, clinical evaluation alone cannot be reliable in identifying the sites affected by the disease and does not provide the needed information on the etiology of the condition. It also does not report the patients' susceptibility to the disease.
Microbiological tests have the potential to support the diagnosis of different types of periodontal diseases and so serve as a guide for the diagnosis of disease etiology, activity, and progression. They also can have a role in determining the sites with a higher risk of active destruction. These tests can also be useful in monitoring the progress of the therapy and eradication of periodontopathic microorganisms.
Comparing the laboratory diagnostic techniques, cultural techniques are more efficient to distinguish species, but they are too expensive.
Polymerase chain reaction (PCR) is a convenient technique that can detect low numbers of cells but lack the ability to provide quantitative data. Real-time PCR overcomes this limitation but is expensive and time-consuming.
DNA probe test and/or ELISA antibodies can be reliable in detecting P. gingivalis, Actinobacillus actinomycetemcomitans, Treponema denticula, and Bacteroides forsythus.
Both PCR and N-benzoyl-dl-arginine-b-naphthylamide (BANA) techniques are useful for detecting pathogenic bacteria that promote alveolar tissue destruction, but the former is more sensitive than the latter.,
BANA test is an effective technique for detecting the red complex pathogens, so it can be used for the diagnosis of chronic periodontitis. But since the specificity of the BANA test increases after scaling and root planning, there are some limitations for its posttherapy applications.
Antibody-based techniques such as immunofluorescence and ELISA are very specific and can provide quantitative data.
The latter technique was used in the current study. In this in vivo study, we aimed to determine the quantity of antibodies raised against P. gingivalis in Balb/c mice.
The presence of IgG as one of the earliest immunological responses to the infection has been confirmed in gingival crevicular fluid of the patients with periodontitis. This has been demonstrated, especially at the site of the infection
There are promising results regarding the use of ELISA for the assessment of periodontal disease by measuring the antibody response to the different serotypes of periodontal pathogens in the serum.,
Some researchers have observed an association between P. gingivalis isolation and detection of immunoglobulins, such as specific IgG, especially IgG4 subclass. In the serum of adults with periodontitis IgG was the predominant Ab.,,,,,
Several other studies have reported higher antibody titers (IgG, IgM, and IgA) to P. gingivalis whole cells and outer membrane preparations in the sera from the healthy controls.,,,
The severity of periodontitis has been associated with an increase in IgG response to P. gingivalis.,
Cases with high antibody levels and variations in strain type have been reported in association with systemic conditions. Regarding serum IgG response in several cardiovascular attack and periodontal categories, it can be postulated that there is a relationship between periodontal disease and cardiovascular diseases. This provides further support for the role of immune response to P. gingivalis in the systemic health of individuals.,
Several investigators have attempted both active and passive immunization of nonhuman species and human to protect against periodontal disease using antibodies against P. gingivalis.,,,,,
In the current study, several tubes were grown, subcultured, and harvested to produce minimum cell population of P. gingivalis needed to provoke an immune response in the form of antibody formation in mice.
Since the host response to P. gingivalis through IgG evaluation from the early onset to later stages of periodontitis is evidential, it seems to be an ideal immunologic medium in screening these pathogenic microorganisms. This study aimed to screen the antigenic property of P. gingivalis in producing antibodies, and the results can be used as a reference for diagnosis and examination of periodontal pathogens in individuals before, during, and after periodontal treatment.
This study showed that 3.0 × 108 cells of P. gingivalis is an appropriate count for stimulating the immunization in Balb/c mice and the subsequent amount of antibody (IgG) production was 81.5 μg/ml. The antigenic injections may mimic the condition of periodontal disease and the raise of P. gingivalis in the human.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Newman MG, Takei H, Klokkevold PR, Carranza FA. Carranza's Clinical Periodontology. Singapore: Elsevier Health Sciences; 2011.
Saini R. A prospective experimental comparative study on the clinical effects of calculus dissolution based oral rinse in gingivitis patients. Int J Exp Dent Sci 2015;4:33-9.
Moore WE, Moore LV. The bacteria of periodontal diseases. Periodontol 2000 1994;5:66-77.
La VD, Howell AB, Grenier D. Anti-Porphyromonas gingivalis
and anti-inflammatory activities of A-type cranberry proanthocyanidins. Antimicrob Agents Chemother 2010;54:1778-84.
Imamura T. The role of gingipains in the pathogenesis of periodontal disease. J Periodontol 2003;74:111-8.
Hamada S, Amano A, Kimura S, Nakagawa I, Kawabata S, Morisaki I. The importance of fimbriae in the virulence and ecology of some oral bacteria. Oral Microbiol Immunol 1998;13:129-38.
Condorelli F, Scalia G, Calì G, Rossetti B, Nicoletti G, Lo Bue AM. Isolation of Porphyromonas gingivalis
and detection of immunoglobulin A specific to fimbrial antigen in gingival crevicular fluid. J Clin Microbiol 1998;36:2322-5.
Loos BG, Van Winkelhoff AJ, Dunford RG, Genco RJ, De Graaff J, Dickinson DP, et al.
statistical approach to the ecology of Porphyromonas gingivalis
. J Dent Res 1992;71:353-8.
Wolff LF, Aeppli DM, Pihlstrom B, Anderson L, Stoltenberg J, Osborn J, et al.
Natural distribution of 5 bacteria associated with periodontal disease. J Clin Periodontol 1993;20:699-706.
Takaishi Y, Morii H, Miki T. The benzoyl-DL arginine-naphthylamide (BANA) test and polymerase chain reaction measurement of pathogenic bacteria can assess the severity of periodontal disease. Int J Tissue React 2003;25:19-24.
Tatakis DN, Kumar PS. Etiology and pathogenesis of periodontal diseases. Dent Clin North Am 2005;49:491-516, v.
Offenbacher S, Barros SP, Singer RE, Moss K, Williams RC, Beck JD. Periodontal disease at the biofilm-gingival interface. J Periodontol 2007;78:1911-25.
Taubman MA, Kawai T, Han X. The new concept of periodontal disease pathogenesis requires new and novel therapeutic strategies. J Clin Periodontol 2007;34:367-9.
Andrian E, Grenier D, Rouabhia M. Porphyromonas gingivalis
-epithelial cell interactions in periodontitis. J Dent Res 2006;85:392-403.
Ezzo PJ, Cutler CW. Microorganisms as risk indicators for periodontal disease. Periodontol 2000 2003;32:24-35.
Shibata Y, Hosogi Y, Hayakawa M, Hori N, Kamada M, Abiko Y. Construction of novel human monoclonal antibodies neutralizing Porphyromonas gingivalis
hemagglutination activity using transgenic mice expressing human Ig loci. Vaccine 2005;23:3850-6.
van Winkelhoff AJ, Rams TE, Slots J. Systemic antibiotic therapy in periodontics. Periodontol 2000 1996;10:45-78.
Saini R. Ozone therapy in dentistry: A strategic review. J Nat Sci Biol Med 2011;2:151-3.
Lindhe J, Karring T, Lang NP. Periodontologia Clinica e Implantologia Odontologica/Clinical Periodontology and Implant Dentistry. 4th
Ed.: Médica Panamericana; 2009.
Loesche WJ, Lopatin DE, Stoll J, van Poperin N, Hujoel PP. Comparison of various detection methods for periodontopathic bacteria: Can culture be considered the primary reference standard? J Clin Microbiol 1992;30:418-26.
Bayingana C, Pretorius A, Africa CW. Comparison of PCR and BANA hydrolysis in detecting oral anaerobes in subgingival plaque. Afr J Microbiol Res 2010;4:771-4.
Andrade JA, Feres M, Figueiredo LC, Salvador SL, Cortelli SC. The ability of the BANA Test to detect different levels of P. gingivalis
, T. denticola
and T. forsythia
. Braz Oral Res 2010;24:224-30.
Pussinen PJ, Vilkuna-Rautiainen T, Alfthan G, Mattila K, Asikainen S. Multiserotype enzyme-linked immunosorbent assay as a diagnostic aid for periodontitis in large-scale studies. J Clin Microbiol 2002;40:512-8.
De Nardin AM, Sojar HT, Grossi SG, Christersson LA, Genco RJ. Humoral immunity of older adults with periodontal disease to Porphyromonas gingivalis
. Infect Immun 1991;59:4363-70.
Lamster IB, Celenti R, Ebersole JL. The relationship of serum IgG antibody titers to periodontal pathogens to indicators of the host response in crevicular fluid. J Clin Periodontol 1990;17 (7 Pt 1):419-25.
Magnusson I, Marks RG, Clark WB, Walker CB, Low SB, McArthur WP. Clinical, microbiological and immunological characteristics of subjects with “refractory” periodontal disease. J Clin Periodontol 1991;18:291-9.
Markkanen H, Syrjänen SM, Alakuijala P. Salivary IgA, lysozyme and beta 2-microglobulin in periodontal disease. Scand J Dent Res 1986;94:115-20.
Schenck K, Poppelsdorf D, Denis C, Tollefsen T. Levels of salivary IgA antibodies reactive with bacteria from dental plaque are associated with susceptibility to experimental gingivitis. J Clin Periodontol 1993;20:411-7.
Wilton JM, Hurst TJ, Austin AK. IgG subclass antibodies to Porphyromonas gingivalis
in patients with destructive periodontal disease. A case: Control study. J Clin Periodontol 1992;19(9 Pt 1):646-51.
Mouton C, Hammond PG, Slots J, Genco RJ. Serum antibodies to oral Bacteroides asaccharolyticus
): Relationship to age and periondontal disease. Infect Immun 1981;31:182-92.
Naito Y, Okuda K, Takazoe I, Watanabe H, Ishikawa I. The relationship between serum IgG levels to subgingival Gram-negative bacteria and degree of periodontal destruction. J Dent Res 1985;64:1306-10.
Nakagawa S, Machida Y, Nakagawa T, Fujii H, Yamada S, Takazoe I, et al.
Infection by Porphyromonas gingivalis
and Actinobacillus actinomycetemcomitans
, and antibody responses at different ages in humans. J Periodontal Res 1994;29:9-16.
Albandar JM, DeNardin AM, Adesanya MR, Diehl SR, Winn DM. Associations between serum antibody levels to periodontal pathogens and early-onset periodontitis. J Periodontol 2001;72:1463-9.
Gmür R, Hrodek K, Saxer UP, Guggenheim B. Double-blind analysis of the relation between adult periodontitis and systemic host response to suspected periodontal pathogens. Infect Immun 1986;52:768-76.
Grossi SG, Genco RJ, Machtei EE, Ho AW, Koch G, Dunford R, et al.
Assessment of risk for periodontal disease. II. Risk indicators for alveolar bone loss. J Periodontol 1995;66:23-9.
Bohnstedt S, Cullinan MP, Ford PJ, Palmer JE, Leishman SJ, Westerman B, et al.
High antibody levels to P. gingivalis
in cardiovascular disease. J Dent Res 2010;89:938-42.
Pussinen PJ, Alfthan G, Jousilahti P, Paju S, Tuomilehto J. Systemic exposure to Porphyromonas gingivalis
predicts incident stroke. Atherosclerosis 2007;193:222-8.
Booth V, Ashley FP, Lehner T. Passive immunization with monoclonal antibodies against Porphyromonas gingivalis
in patients with periodontitis. Infect Immun 1996;64:422-7.
Ebersole JL, Brunsvold M, Steffensen B, Wood R, Holt SC. Effects of immunization with Porphyromonas gingivalis
and Prevotella intermedia
on progression of ligature-induced periodontitis in the nonhuman primate Macaca fascicularis
. Infect Immun 1991;59:3351-9.
Okuda K, Kato T, Naito Y, Takazoe I, Kikuchi Y, Nakamura T, et al.
Protective efficacy of active and passive immunizations against experimental infection with Bacteroides gingivalis
in ligated hamsters. J Dent Res 1988;67:807-11.
Persson GR, Engel D, Whitney C, Darveau R, Weinberg A, Brunsvold M, et al.
Immunization against Porphyromonas gingivalis
inhibits progression of experimental periodontitis in nonhuman primates. Infect Immun 1994;62:1026-31.
Shibata Y, Kurihara K, Takiguchi H, Abiko Y. Construction of a functional single-chain variable fragment antibody against hemagglutinin from Porphyromonas gingivalis
. Infect Immun 1998;66:2207-12.
Choi JI, Seymour GJ. Vaccines against periodontitis: A forward-looking review. J Periodontal Implant Sci 2010;40:153-63.
Department of Periodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz
Source of Support: None, Conflict of Interest: None
[Table 1], [Table 2], [Table 3], [Table 4], [Table 5]
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