The Effect of Transplantable Tumors on the Seromucoid Fraction of Rat Serum* ROBERT A. L. MACBETH (Department of Surgery and Surgical-Medical AND J. Research Institute, GEORGE BE@cIl@sI University of Alberta, Edmonton, Canada) SUMMARY The seromucoid fraction of rat serum has been investigated by means of serial analyses of its protein, mals subjected hexosamine, to various hexose, sialic acid, and fucose content experimental conditions. Twenty-two animals in 168 ani served as normal controls, and the four test groups included : (a) rats bearing Walker 256 car cinoma, (b) rats bearing Flexner-Jobling carcinoma, (c) rats given a single intra muscular injection of denatured Walker tumor, and (d) rats given a single intramus cular injection of viable rat liver cells. Characterization of the seromucoid fraction was also attempted by various means. The data presented indicate that all seromucoid components measured show a progressive and marked increase in Walker carcinoma-bearing rats, a pattern which is at variance with that observed in Flexner-Jobling carcinoma-bearing rats and rats receiving a single intramuscular injection of either heat-denatured Walker tumor cells or viable rat liver cells. The seromucoid produced in response to aggressive tumor growth is biochemically unlike normal seromucoid in its carbohydrate composition, and ultracentnifugation studies suggest that it contains a seromucoid fraction that either is not present in the serum of normal rats or is present in quantities that are incapable of measurement by the methods available. Interest crease in serum glycoproteins in recent years as a result has shown a marked in incorporation of the demonstration consistently of their deviation from normal in a variety of pathological states. As a result, considerable progress has been made toward the clarification of their structure, biosynthesis, and biological significance (27, 28, 38). Studies on the normal biosynthesis of the serum glycoproteins utilizing glucose-C'4 in the rabbit (6) and the rat (26) and glucos amine-C14 in the latter species (24) would indicate that the labeled carbohydrates are rapidly incorporated into the protein-bound hexosamine of the liver and subsequently into that of the serum glycoproteins. It has also been observed (24) that the rate of incorporation into the carbohydrate portion of the seromucoid fraction is many times faster than into the nonseromucoid fraction of the plasma proteins. The incorporation of S35-labeled DL methionine into the seromucoid fraction of dog serum has also been studied before and after total hepatectomy (14). These studies indicate that the rate of incorporation is reduced to one-third by hepatectomy and are interpreted to indicate that the major synthesis of seromucoid occurs in the liver. In addition, studies on the isolated perfused rat liver have provided direct evidence for the hepatic synthesis * This of seromucoid investigation tional Cancer Institute was and supported of Canada confirmed by that a grant (NCI * 226). Received for publication June 15, 1964. the from rate the of Na of glucose-C'4 into the seromucoid fraction is more rapid than into the other serum glyco protein fractions (21, 22). There is also evidence to suggest that in tumor-bearing animals the liver plays a significant role in the initiation of the elevated serum glycoprotein levels observed under these circumstances (17). In the human also, supporting evidence for the hepatic biosynthesis of serum glycoproteins has been reported. Biological half-life studies on I'31-labeled orosomucoid, for example, have indicated that the rate of synthesis of this compound is increased in patients with various inflam matory diseases but decreased in those with parenchymous liver disease (35). It is now well established that certain disease states are characterized by elevation of the total serum glycoprotein levels. Investigations in various laboratories have con firmed such elevation in patients suffering from cancer (1, 12, 16, 23, 24, 28, 38) and in animals bearing transplantable tumors (3, 8, 18, 25, 34). More recently attention has been centered on the seromucoid fraction of total serum proteins, since this fraction has been demonstrated to be particularly rich in protein-bound carbohydrates (36) and to be the major contributor to the glycoprotein elevation observed in transplantable malignant tumors in the rat (34). Seromucoid has been defined as a group of macro molecular conjugated serum proteins that are soluble in 2044 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1964 American Association for Cancer Research. MACBETH AND BEiu@sI—Seromucoid 0.6 N perchlor]c acid but insoluble in 1 Mphosphotungstic acid (7, 36). The demonstration that certain disease processes have a marked effect on seromucoid levels has given rise to the suggestion that seromucoid may even have a different site of origin as compared with the other serum glycoproteins and may respond in a different manner to appropriate stimuli (21). Since there appears to be a paucity of information regarding changes in the seromucoid in animals bearing transplantable tumors (3, 34) it was decided to initiate a study of this specific glycoprotein complex in such a situa tion. Serial determinations were carried out in rats bear ing intramuscular Walker 256 carcinoma and in rats bear ing subdermal Flexner-Jobling carcinoma. Control groups consisted of rats given inoculations intramuscularly of heat-denatured Walker 256 carcinoma or viable rat liver cells. Seromucoid was studied by estimating the protein, hexose (galactose and mannose), hexosamine Adult of Rat 2045 Serum Subsequently 0.3 ml. of this homogenate was injected into the thigh musculature of the right hind limb of the recip ient rats by means of a 1-cc. tuberculin syringe fitted with a 23-gauge needle. Test animals were killed in groups commencing 48 hours following implantation by exsanguination from the abdominal aorta under light ether anesthesia. The blood samples were suspended for an hour at room temperature, then centrifuged for 15 minutes in an International centrifuge following which the sera were collected. Isolation of seromucoid was carried out by the method of Weimer and Moshin (33). However, in order to provide for duplicate analyses of each color reaction, it was neces sary to combine the serum from two animals before bio acid), and fucose in this serum protein fraction. chemical analysis. The total serum protein and sero mucoid protein were determined by the method of Wolfson and Cohn (40). Estimation of seromucoid hexose (galactose and mannose) was carried out by the colon metric method of Lustig and Langer (15) as modified by Weimer and Moshin (33). Senomucoid fucose was MATERIALS assayed by the method of Dische and Shettles (9). Estimation of the seromucoid hexosamine (glucosamine (glucosamine neuraminic Fraction and galactosamine), sialic AND Sprague-Dawley (N-acetyl METHODS rats weighing gm. were selected for this study. per cage and maintained acid from 240 to 310 They were housed two on a standard grain diet (13) with tap water ad libitum. In Gioup 1, 22 rats were selected as untreated controls and were killed in four separate groups. In Group 2, 35 rats received intramuscular implantations of Walker 256 carcinoma by the technic previously described (18). In Group 3, 33 rats were and galactosamine) was performed by hydrolyzing the seromucoid sample with 3 N HC1 at 100°C. for 4 hours in sealed serum bottles. The hydrolytic product thus obtained was purified on a Dowex 50-X8, 200-400 mesh resin column (5). The effluent thus obtained was analyzed for hexosamine by the colorimetnic method of Elson and Morgan (10). The isolation and purification of seromucoid sialic acid given subcutaneous implants in the right axilary region of Flexner-Jobling carcinoma (29). In Group 4, 39 rats received a single intramuscular injection of heat-denatured Walker 256 carcinoma. The were achieved by the technic of Svennerholm (30). After technic employed for this 4th group was as follows. A Sprague-Dawley rat bearing a 5-day-old Walker tumor was anesthetized with ether, and the entire tumor was removed To obtain more precise characterization of the sero mucoid fraction under normal and pathological conditions purification on a Dowex 2-X8, 200-400 mesh resin column the effluent was assayed for sialic acid content ren's T.B.A. color reaction (32). by War Three parts of sterile saline were added, and the mixture it was subjected to further analysis in normal rats, rats bearing 14-day-old Flexner-Jobling carcinoma, and rats bearing 14-day-old Walker 256 carcinoma. Seromucoid was isolated from the serum by the method of Winzler was gently homogenized for 60—90seconds. The homog enate was then transferred to a 25-mi. test tube and heated in an 85°C. water bath for 2 hours, following which were then dialyzed against running distilled water for 24 hours and freeze-dried. The seromucoid fractions thus procedure it was cooled to room temperature and tested for its capacity to carry out oxygen consumption and anaer obic glycolysis (31). Since the heat-denatured Walker 256 obtained were finally dissolved in 0.14 N sodium chloride to give a 1 per cent solution and subjected to analysis in a Spinco E model Ultracentrifuge at 21°C. Sedimentation carcinoma homogenate did not exhibit any metabolism by either method it was assumed that the cancer cells were devitalized by the heat treatment. Subsequently 0.3 ml. patterns were obtained at 4-minute intervals from 0 to 36 minutes after reaching 59,780 r.p.m. In addition to ultracentnifugation the seromucoid from the same three experimental groups was subjected to im intact and dissected free of connective tissue. tumor tissue were transferred of the heat-denatured Blocks of into a glass homogenizer. homogenate was injected into the thigh musculature of the right hind limb of the recipient rats by means of a 1-cc. tuberculin syringe fitted with a 23gauge needle. In Group 5, 39 rats received a single intramuscular injection of viable rat liver cell homogenate. The homog enate was prepared in the following manner. The liver was removed from the donor Sprague-Dawley rat and placed in a beaker containing cold normal saline. A piece of liver tissue was then transferred to a glass homog enizer, 3 volumes of sterile saline were added, and the mixture was homogenized gently for 60—90 seconds. (36, 39). The perchioric acid-soluble protein samples munoelectrophoresis and to paper and starch gel electro phoresis with a Tnis-EDTA-borate buffer at pH 8.9 (2), a veronal buffer at pH 8.6, and a citric acid-disodium phos phate buffer at pH 4.5 (19). RESULTS Ra13 bearing Walker 256 carcinoma.—The results ob tamed in the rats bearing Walker 256 carcinoma are recorded in Table 1. It can readily be seen that the sero mucoid proteins manifested a continuous rise following transplantation which reached a maxinum of 966 mg. per Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1964 American Association for Cancer Research. 2046 Cancer Research Vol. 24, December 1964 TABLE 1 EFFECT OF GROWTH OF INTRAMUSCULAR WALKER 256 CARCINOMA ON SEROMUCOID CENT SEIOMU TUMOR PLASMA PROTEIN (GM. AGE corn pio PROTEIN (xo. TEIN PER CENT)Pai (DAYs)“3TOTALPER CENT)*SEROMIJCOID @ :@HExosEs*tHExosAinNEs*tSIALIC F/HACon ± 0.04 trol 2 4 7 4 7 4 * ± 41 5.97 ± 0.06 326.0 ±16.0 5.46 9.25 5.18 ± 0.20 742.8± 43* 14.34 4 Including ±0.10 743.0 ±0.32 966.0 ±0.50 875.2 ±0.40282.0 610.0 the standard ± 1.13 i/HA ± 0.15 1.08 0.58 0.041 0.99 0.59 0.061 9.91 ± 0.10 0.70 ±0.02 13.10 ± 0.35@ 1.36 ± 0.01 25.90± 3.10@ 38.60 ± 5.40@ 21.80 ± 1.19* 1.95± 0.01@ 29.60 ±1.90@ 55.70 ±5.50@ 38.90 ±4.60@ 2.17 ± 0.38@ 44.80 ±3.20@ 59.80 ±5.80k 39.40 ±5.10@ 3.42 ± 0.29@ 18.44 ± 0.76* 22.12 ± 1.48@ 17.04 ± 0.94k 22.35 ± 1.75* 0.67 0.56 0.051 ±26@ 14.10 0.53 0.7 0.03@ ±110@ 17.76 0.75 0.66 0.057 ±92* 17.86 39.40 ± 5.l0@ 59.30 ±7.30k 45.45 X 3.50@ 2.35 ± 0.21k 0.66 0.77 0.040 12.4212.90 ±[email protected] 54.45 ±7.90k9.28 0.025 33.50 ±[email protected] 35.46 ± [email protected] ±0.200.96 0.620.69 0.650.084 deviation. t Seromucoid protein-bound @ ± 1.80 ± 0.97 5.65 ±0.15 522.8 ±68@ 5.27 5 5.44 13 5 4.9 16 4.91 2022 66.08 10 ACIDtFucosE*tRATIOS IN TOTAL carbohydrate in mg/100 ml serum. H, hexoses; HA, hexosamines; SA, sialic acid; F, fucose. § P = <0.05. cent by the 13th day, following which it decreased. Sero mucoid normally constituted 4.64 per cent of the total serum protein of the rat, but at its peak elevation fully 17.86 per cent of the total serum protein is contributed by the seromucoid fraction. Significant elevation of the seromucoid-bound hexose and hexosamine were recorded by the 2d day following tumor implantation, whereas significant elevations of sialic acid (N-acetylneuramiic acid) and fucose first be came manifest on the 4th and 7th days, respectively. The maximum elevations of the hexoses, hexosamines, and fucose occurred on the 13th day, and that for sialic acid occurred on the 16th day. In the case of all seromucoid bound monosaccharides the maxima were followed by progressively decreasing levels. One might be tempted to suggest that the elevation of the seromucoid-bound monosaccharides merely reflects an increase in normally constituted seromucoid, but such does not appear to be the case. In Table 2 the various seromucoid-bound monosaccharides are expressed relative to the seromucoid protein. It is readily seen that, al though the hexose content of seromucoid remains relatively TABLE EFFECT OF GROWTH the study, it is relatively rich in and sialic acid on and after the 10th post transplant day. The concentration of fucose in sero mucoid, on the other hand, appears to be reduced through out virtually the entire period of observation. Since there is now considerable evidence that the hexos amine molecule constitutes the binding link between the oligosaccharide and the polypeptide chain (27) it is of interest to review the ratios of the various seromucoid bound monosaccharides relative to hexosamine following transplantation (Table 1). Although the sialic acid: hexosamine ratio remains relatively constant period of observation, the fucose:hexosamine during the ratio drops to about one-half its normal value by the 2d post-trans plant day, and that of hexose-hexosamine reaches a relatively stable state at two-thirds of normal by the 7th post-transplant day. Rats bearing Flexner-Jobling carcinoma.—The results obtained in rats bearing Flexner-Jobling carcinoma are summarized in Table 3. However, before they are presented it appears desirable to detail the natural history of this tumor as observed in our laboratory. This slowly growing tumor is well established only by the 7th day following transplantation, by which time it has attained a 2 OF INTRAMUSCULAR constant throughout hexosamine WALKER 256 CARCINOMA ON PROTEIN-BOUND CARBOHYDRATES RELATIVE TO SEROMUCOID diameter of 5—10mm. consistently observed During the first 9 days it was to be limited to the subdermal adipose tissue, but after that time varying degrees of contact with and attachment to the subadjacent muscle acidFucose*Control4.64.73.30.4025.65.23.00.2144.24.22.50.2673.55.22.90.26104.07.55.20.29134.66.24.10.35164.56.85.20.27205.58.95.80.22 Tumor age (days)HexosesHezosaminesSialic were apparent. If permitted to run its natural course the Flexner-Jobling carcinoma led to death of the host in from 45 to 50 days. However, it is noteworthy that in our experience it remained limited to the pectoral region and that lymph node and distant metastatic involvement did not occur. The effects of the growth of Flexner-Jobling carcinoma on the seromucoid fraction, as recorded in Table 3, are in sharp contrast S Protein-bound mucoid protein. carbohydrates expressed in mg/100 mg sero to those observed with the Walker tumor. Significant elevation of the seromucoid protein does be come apparent by the 9th post-transplant day but is Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1964 American Association for Cancer Research. MACBETH minimal compared AND BEKEsI—Seromucoid with that seen in Walker tumor-bear ing rats. Changes in the seromucoid-bound monosac charides are also late in their occurrence and, although significant, are much reduced in degree. In the case of sialic acid no significant deviation from normal occurred. The ratios of the various monosaccharides to hexosamine are also included for comparison with Table 1. Rats given intramuscular injections of heat-denatured Wa1ker 256 carcinoma.—The results of this phase of the experiment are presented in Table 4. It may be seen that statistically significant elevations above normal occurred in relation to the seromucoid protein and the seromucoid bound hexosamine between the 2d and 7th day only and that the sole other seromucoid-bound monosaccharide to manifest significant elevation was the sialic acid and then only on the 2d day. Rats given intramuscular injections of viable rat liver cell homogenate.—The results in relation to this 4th group are presented in Table 5. It may readily be seen that the only significant deviation from normal occurred on the 2d Fraction of Rat 2047 Serum day and was manifest in relation to the seromucoid protein and seromucoid-bound hexosamine. Characterization of seromucoid.—In the course of a pre liminary investigation a number of preparations of sero mucoid from normal rats and rats bearing Flexner-Jobling and Walker starch 256 carcinoma gel electrophoresis were subjected and to paper and to immunoelectrophoresis, but in all instances the movement of the seromucoid from normal and from tumor-bearing rats was similar and cor responded to that of a1 globulin. Representative sedimentation patterns obtained on a Spinco E model ultracentrifuge are reproduced in Plate 1. It is apparent that the seromucoid fraction from normal rats gives a single peak, with a sedimentation constant of 3.5S. Preparations from rats bearing Flexner-Jobling carcinoma contain an almost identical component with a sedimentation constant of 3.57S and, in addition, a fast moving fraction the S@o‘a' of which could not be determined owing to the small amount present. The sedimentation pattern of seromucoid from rats bearing Walker 256 TABLE 3 EFFECT OF GROWTH OF SUBDERMAL FLEXNER-JOBLING CARCINOMA ON SEROMUCOID CENT @ SEROIIUCOID TUMOR AGE (DAYS)No. ANI PROTEIN MAI.STOTAL PER (GM. PROTEIN (MG. PROTEIN F/HAControl ACIDtFUCOSEtRATIOS H/HA SA/HA PROTEINHaxosEs*tHEXOSAILINES'tSi@LIc ± 41 ± 0.04 @ IN CENT)*SEROMUCOID p@ CENT)@PER ± 0.97 ± 1.13 ± 1.80 2 6 6.21 ±0.50 211 ±29 3.40 13.35 ±0.43 4 4 6.2 ± 0.29 236 ± 9 3.81 7 4 5.9 227 ±15 3.85 11.01 ± 0.70 12.72 ± 0.95 13.25± 1.95 14.01± 0.33 10.40 ± 0.20 0.60 Including the standard 5.47 ± 0.15 0.89 ±0.05 1.30 0.81 0.086 0.86 ± 0.01 0.76 0.50 0.060 0.87 ±0.08 0.68 0.39 0.050 1.16± 0.03 0.95 0.74 0.083 17.94 ±2.70@ 27.07 ±3.6$ 12.50 ± 2.30 2.46 ± 0.19$ 0.66 0.46 0.091 6 6.31 ±0.29 449 ±26@ 7.12 13 4.58 13.40 ± 1.60 25.63± 5.7$ 7.24 ± 2.10 1.35± 0.01 0.52 0.28 0.053 4 6.63 ± 0.26303.5 ± 31 17 401 ± 12$4.64 6.0412.90 14.90± 0.3613.40 26.92± 1.15$9.28 9.81 ± 1.101.12 1.43 ± 0.270.96 6.64 ± 0.10282 0.053a46.08 0.550.69 0.360.084 2622 5 9 6.34 ± 0.08 347 ± 15* 10.26 ±0.48 8.26 ±1.80 14.40 ±0.50 7.21 ±0.46 18.60 ±2.10@ 7.32 ±1.25 deviation. t Seromucoid protein-bound carbohydrate in mg/100 ml serum. @ H, hexoses;HA,hexosamines;SA,sialicacid; F, fucose. $P = <0.05. TABLE 4 SEROMUCOIDTUMOR EFFECT OF INTRAMUSCULAR F/HAControl OF HEAT-DENATURED WALKER 256 CARCINOMA ON CENT SEROMUCOID PLASMA AGE (DAYS)No. INJECTION PROTEIN (Mo. PROTEIN (GM. ANI PER CENT)PER MALSTo@iu. PER CENT)SEROMUCOID PROTEININ ACIDtFUCOSEtRATIOS H/HA SA/HA PROTEINHExOSE5'tHEXOSAMINES'tSIALIC @ 0.15 ± 1.13 ± 1.80 ± 0.97 13.60 ± 1.80 23.40 ± 2.04$ 15.83 ± 0.70$ 1.57± 0.24 0.58 0.68 0.067 6.62 11.59± 2.23 19.28± 1.46$ 9.68 ± 1.16 1.19± 0.20 0.6 0.5 0.062 6.20 ± 0.10 367 ± 10.9$ 5.92 6 15.11± 0.96 22.26± 0.98$ 7.86 ± 0.44 1.59± 0.22 0.68 0.35 0.071 6.16 ± 0.15 379 ± 20.5$ 6.15 6 12.14± 1.06 12.47± 2.07 6.57 ± 0.33 1.12± 0.04 0.97 0.53 0.090 4.56 5 6.09 ± 0.21 278 ± 23.0 13.77± 0.37 12.59± 0.45 6.14 ± 0.19 1.73± 0.05 1.09 0.49 0.137 3.91 6.42 ± 0.30 251 ± 49.0 5 6.72 ± 0.80 0.88 ± 0.01 0.97 0.64 0.083 10.20 ± 1.70 10.55 ± 1.30 3.02 6 6.72 ±0.90 203 ± 12.6 0.75 ± 0.030.96 0.690.69 0.057 9.00 ± 0.4113.40 13.05± 1.159.28 8.20 ± 0.151.12 0.630.084 3.7412.90 250 ± 10.04.64 56.08 6.69 ± 0.26282 ± 0.04 2 6 4 7 10 13 16 2022 * Including ± 41.4 5.83 ±0.27 386 ± 29.9$ the standard deviation. t Seromucoid protein-bound carbohydrate in mg/100 ml serum. @ H, hexoses; HA, hexosamines; SA, sialic acid; F, fucose. § P = <0.05. Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1964 American Association for Cancer Research. Vol. 24, December 1964 Cancer Research 2048 TABLE EFFECT OF INTRAMUSCULAR INJECTION 5 OF VIABLE LIVER CELLS ON SEROMUCOID CENT @ @ TUMOR AGE (DAYS)No. F/HAControl 2 4 7 16 2022 ACIDtFUCOSE@fRATIOS SA/HA PROTEINHExoszs*tHEXOSAMINESfSIAUc ± 1.80 ± 1.13 ± 0.15 23.50± 2.90$12.12± 1.11 1.17± 0.09 0.67 0.52 0.050 12.89± 2.60 8.82 ± 1.30 0.93 ± 0.10 0.97 0.68 0.072 17.15 ± 6.50 10.80 ±1.20 0.82 ± 0.08 0.8 4.34 0.63 0.048 284 ± 47 6.55 ± 0.30 6 15.00 ± 1.60 7.10 ± 0.45 0.83 ± 0.10 0.97 0.47 0.055 4.20 6.03 ± 0.18 253 ± 23 6 12.41 ± 2.20 6.70 ± 0.23 1.09 ± 0.07 0.97 0.54 0.088 4.29 270 ± 24 6.29 ± 0.30 6 11.33 ±1.48 14.46 ± 0.20 7.47 ± 0.15 0.88 ± 0.03 0.78 0.52 0.061 4 6.5 ±0.10 242.5 ± 1.5 3.73 16.67 ± 2.079.289.06 ± 0.971.121.00 ± 0.020.960.970.69 0.540.084 0.060 66.086.35 ±0.50282 288 ± 6.44.64 4.5412.90 16.15 ±0.5213.40 7 4 10 13 IN PLASMA PROTEIN (M?. PROTEIN (Gie. AN!PER CENT)PER MALSTOTAL PER CENT)SEROM@UCOm a Including ± 41 364 ± 57$ 270 ± 19 ± 0.04 6.18 ± 0.20 6.50 ± 0.10 the standard 5.89 4.15 ± 0.97 15.79± 1.28 12.51± 1.08 13.76 ± 4.60 14.58± 2.70 12.01 ±0.59 deviation. t Seromucoidprotein-bound carbohydrate in mg/100ml serum. @ H, hexoses; HA, hexosamines; SA, sialic acid; F, fucose. § P = <0.05. carcinoma was found to be different, however, from that in either of the previous two groups. Two peaks were clearly apparent—one consisting of a slowly moving com ponent (4.46S) and the other a fast-moving component (23.55). DISCUSSION On the basis of these data it would appear reasonable to conclude that although nonspecific stimulation (denatured tumor cell or viable liver cell injection) evokes a mild transient elevation of the seromucoid protein and sero mucoid-bound hexosamine in the rat this response is in sharp distinction to the marked and prolonged response observed with aggressive tumor (Walker 256 carcinoma) growth which affects not only the seromucoid protein but all of the seromucoid-bound monosaccharides as well. ACKNOWLEDGMENTS The authors would like to express their appreciation to Miss S. Bice and Mr. E. Sugden for their valuable technical assistance in rats bearing Walker 256 carcinoma reveals that the relative proportions of seromucoid-bound hexose, hexos amine, fucose, and sialic acid differ significantly from those observed in normal animals. 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