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Sunday, December 15, 2019

Publication in Diagnostics

 2019 Dec 11;9(4). pii: E219. doi: 10.3390/diagnostics9040219.

A Hierarchical Machine Learning Model to Discover Gleason Grade-Specific Biomarkers in Prostate Cancer.

1
School of Computer Science, University of Windsor, 401 Sunset Ave, Windsor, ON N9B 3P4, Canada.
2
Department of Biomedical Sciences, University of Windsor, 401 Sunset Ave, Windsor, ON N9B 3P4, Canada.
3
Schulich School of Medicine and Dentistry, Western University, 1151 Richmond St, London, ON N6A 5C1, Canada.
4
ITOS Oncology Inc., 1453 Prince Rd, Ste: 4125, Windsor, ON N9C 3Z4, Canada.
5
Department of Urology, Henry Ford Health System, One Ford Place, Detroit, MI 48202, USA.
Abstract
(1) Background:One of the most common cancers that affect North American men and men worldwide is prostate cancer. The Gleason score is a pathological grading system to examine the potential aggressiveness of the disease in the prostate tissue. Advancements in computing and next-generation sequencing technology now allow us to study the genomic profiles of patients in association with their different Gleason scores more accurately and effectively. (2) Methods: In this study, we used a novel machine learning method to analyse gene expression of prostate tumours with different Gleason scores, and identify potential genetic biomarkers for each Gleason group. We obtained a publicly-available RNA-Seq dataset of a cohort of 104 prostate cancer patients from the National Center for Biotechnology Information's (NCBI) Gene Expression Omnibus (GEO) repository, and categorised patients based on their Gleason scores to create a hierarchy of disease progression. A hierarchical model with standard classifiers in different Gleason groups, also known as nodes, was developed to identify and predict nodes based on their mRNA or gene expression. In each node, patient samples were analysed via class imbalance and hybrid feature selection techniques to build the prediction model. The outcome from analysis of each node was a set of genes that could differentiate each Gleason group from the remaining groups. To validate the proposed method, the set of identified genes were used to classify a second dataset of 499 prostate cancer patients collected from cBioportal. (3) Results: The overall accuracy of applying this novel method to the first dataset was 93.3%; the method was further validated to have 87% accuracy using the second dataset. This method also identified genes that were not previously reported as potential biomarkers for specific Gleason groups. In particular, PIAS3 was identified as a potential biomarker for Gleason score 4 + 3 = 7, and UBE2V2 for Gleason score 6. (4) Insight: Previous reports show that the genes predicted by this newly proposed method strongly correlate with prostate cancer development and progression. Furthermore, pathway analysis shows that both PIAS3 and UBE2V2 share similar protein interaction pathways, the JAK/STAT signaling process.

KEYWORDS:

Gleason score detection; classification; next generation sequencing; prostate cancer; supervised learning; transcriptomics
PMID:
 
31835700
 
DOI:
 
10.3390/diagnostics9040219

Monday, November 4, 2019

Publication in International Journal of Surgical pathology

 2019 Oct 31:1066896919884648. doi: 10.1177/1066896919884648. [Epub ahead of print]

Atypical Lipomatous Tumor/Well-Differentiated Liposarcoma With Features Mimicking Spindle Cell Lipoma.

Author information

1
Henry Ford Health System, Detroit, MI, USA.
2
Wayne State University, Detroit, MI, USA.
3
Mayo Clinic, Rochester, MN, USA.
4
University of Michigan, Ann Arbor, MI, USA.

Abstract

Atypical lipomatous tumor/well-differentiated liposarcoma (ALT/WDL) and spindle cell lipoma are lipomatous tumors with distinct clinical, molecular, and prognostic features. Although histological and immunophenotypic features can overlap between ALT/WDL and spindle cell lipoma, the oncogenesis and clinical behavior are markedly different. In borderline cases, molecular analysis for MDM2 or CDK4 amplification can aid in distinguishing ALT/WDL from spindle cell lipoma. Although dedifferentiated liposarcoma has been reported to harbor both MDM2 amplification and loss of the RB1 region, we are not aware of a reported RB1 loss in well-differentiated ALT/WDL. In this article, we present a 69-year-old woman with a lipomatous tumor in the gluteal region that histologically, immunohistochemically, and molecularly mimicked spindle cell lipoma (with positive immunohistochemical staining for CD34 and loss of the RB1 gene region), yet harbored amplification of MDM2 and CDK4 confirmed by fluorescence in situ hybridization, supporting classification as ALT/WDL. This case strengthens the argument that in atypical clinical contexts, molecular studies for MDM2/CDK4 should be considered in tumors resembling spindle cell lipoma.

KEYWORDS:

CDK4; MDM2; atypical lipomatous tumor/well-differentiated liposarcoma; fluorescence in situ hybridization; sarcoma; soft tissue tumors; spindle cell lipoma
PMID:
 
31672072
 
DOI:
 
10.1177/1066896919884648

Saturday, October 5, 2019

Publication in Prostate

 2019 Oct 4. doi: 10.1002/pros.23914. [Epub ahead of print]

Clonal evaluation of early onset prostate cancer by expression profiling of ERG, SPINK1, ETV1, and ETV4 on whole-mount radical prostatectomy tissue.

Author information

1
Department of Pathology and Laboratory Medicine, Henry Ford Health System, Detroit, Michigan.
2
Department of Urology, Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan.
3
Department of Pathology and Laboratory Medicine, University of Calgary and Calgary Laboratory Services, Calgary, Alberta, Canada.

Abstract

BACKGROUND:

Expression profiles of erythroblast transformation-specific (ETS)-related gene fusions and serine protease inhibitor Kazal-type 1 (SPINK1) in early onset prostate cancer have not been thoroughly explored.

METHODS:

We retrieved 151 radical prostatectomy specimens from young men with prostate cancer (less than 55 years) and characterized the expression of ETS-related gene (ERG), SPINK1, ETS Variant 1 (ETV1), and ETV4 by dual immunohistochemistry and dual RNA in situ hybridization. Age, race, family history, preoperative prostate-specific antigen, biochemical recurrence, and pathological variables using whole-mount radical prostatectomy tissue were collected.

RESULTS:

A total of 313 tumor nodules from 151 men including 68 (45%) Caucasians and 61 (40%) African Americans were included in the analysis. Positive family history of prostate cancer was seen in 65 (43%) patients. Preoperative prostate-specific antigen ranged from 0.3 to 52.7 ng/mL (mean = 7.04). The follow-up period ranged from 1 to 123.7 months (mean = 30.3). Biochemical recurrence was encountered in 8 of 151 (5%). ERG overexpression was observed in 85 of 151 (56%) cases, followed by SPINK1 in 61 of 151 (40%), ETV1 in 9 of 149 (6%), and ETV4 in 4 of 141 (3%). There were 25 of 151 (17%) cases showing both ERG and SPINK1 overexpression within different regions of either the same tumor focus or different foci. Higher frequency of ERG overexpression was seen in younger patients (≤45 years old; 76% vs 49%, P = .002), Caucasian men (71% vs 41% P = .0007), organ-confined tumors (64% vs 33%, P = .0008), and tumors of Gleason Grade groups 1 and 2 (62% vs 26%, P = .009). SPINK1 overexpression was more in African American men (68% vs 26%, P = .00008), in tumors with high tumor volume (>20%) and with anterior located tumors. ETV1 and ETV4 demonstrated rare overexpression in these tumors, particularly in the higher-grade tumors.

CONCLUSION:

This study expands the knowledge of the clonal evolution of multifocal cancer in young patients and support differences in relation to racial background and genetics of prostate cancer.

KEYWORDS:

Immunohistochemistry; Prostate cancer; RNA in situ hybridization; Tumor heterogeneity; Whole-mount radical prostatectomy
PMID:
 
31584209
 
DOI:
 
10.1002/pros.23914

Wednesday, October 2, 2019

New Discovery of prostate cancer biomarker _ Palanisamy Lab PRESS RELEASE

https://eurekalert.org/pub_releases/2019-10/hfhs-sbi100219.php

https://www.sciencedaily.com/releases/2019/10/191002121708.htm

https://scienmag.com/study-biomarker-in-urine-may-offer-noninvasive-detection-of-prostate-cancer/

https://www.sciencecodex.com/study-biomarker-urine-may-offer-noninvasive-detection-prostate-cancer-635300

https://www.newswise.com//articles/study-biomarker-in-urine-may-offer-non-invasive-detection-of-prostate-cancer

https://www.newswise.com/articles/study-biomarker-in-urine-may-offer-non-invasive-detection-of-prostate-cancer

https://ecancer.org/en/news/16705-biomarker-in-urine-may-offer-non-invasive-detection-of-prostate-cancer

https://www.news-medical.net/news/20191003/Unique-biomarker-in-urine-may-offer-non-invasive-means-of-detecting-prostate-cancer.aspx

https://www.innovationtoronto.com/2019/10/a-way-to-non-invasively-detect-prostate-cancer/

https://parallelstate.com/news/unique-biomarker-in-urine-may-offer-non-invasive-means-of-detecting-prostate-cancer/172850

https://www.sciencedaily.com/releases/2019/10/191002121708.htm

https://www.mlo-online.com/diagnostics/biomarkers/article/21108844/urine-biomarker-may-offer-noninvasive-detection-of-prostate-cancer

https://www.henryford.com/news/2019/09/biomarker-in-urine-may-offer-noninvasive-detection-of-prostate-cancer

https://medicalxpress.com/news/2019-10-biomarker-urine-noninvasive-prostate-cancer.html

https://www.newswise.com/articles/study-biomarker-in-urine-may-offer-non-invasive-detection-of-prostate-cancer

https://scienmag.com/study-biomarker-in-urine-may-offer-noninvasive-detection-of-prostate-cancer/

https://bioengineer.org/study-biomarker-in-urine-may-offer-noninvasive-detection-of-prostate-cancer/

https://www.news-medical.net/category/Mens-Health-News.aspx















Monday, September 2, 2019

Publication in Cancer Cell International



 2019 Aug 31;19:224. doi: 10.1186/s12935-019-0947-2. eCollection 2019.
Author information
1
1Department of Biochemistry and Molecular Biology, LSU Health Sciences Center, 1501 Kings Highway, PO Box 33932, Shreveport, LA 71130-3932 USA.
2
3Feist Weiller Cancer Center, LSU Health Sciences Center Shreveport, Shreveport, LA 71130 USA.
3
2Department of Urology, LSU Health Sciences Center Shreveport, Shreveport, LA 71130 USA.
4
4Department of Urology, Henry Ford Health System, Vattikuti Urology Institute, One Ford Place 2D26, Detroit, MI 48202 USA.
Abstract
BACKGROUND:
Cap-dependent mRNA translation is essential for the translation of key oncogenic proteins at optimal levels and is highly regulated by the rate limiting, initiation step in protein synthesis. Eukaryotic Translation Initiation Factor 4 Gamma 1 (EIF4G1) serves as a scaffold for assembly of cap-dependent translation components in EIF4F complex formation. In the current study, we analyzed the role and expression of EIF4G1 in Pan human cancer panels through various approaches.
METHODS:
Immunohistochemistry analysis of EIF4G1 protein was done on high-density multi-organ Human Cancer tissue microarray (TMA) derived from the patient samples from different cancers. We used multiple clinical cohorts to analyze the EIF4G1 mRNA expression across human cancers. TCGA data analysis of EIF4G1 was done through Ualcan and c-bioportal web servers. Western blots for EIF4G1 protein was done for different cell lines in representing the multiple cancer types. Dependency score was calculated through Cancer Dependency Map. Clonogenic, tumorosphere assay and cell invasion assay were done with EIF4G complex inhibitor. Association of EIF4G1 mRNA and Kaplan-Meier survival analysis was done on available TCGA datasets.
RESULTS:
We observed an increase in EIF4G1 protein levels in tissue sections from different cancers as compared to their respective normal tissue. Our analysis of the TCGA data revealed that EIF4G1 mRNA expression is significantly increased in tumor tissues compared to respective control tissues across human cancers and variable expression was observed among different datasets. We discovered that alteration frequency in EIF4G1 is prevalent in human cancers e.g. prostate cancer (~ 25%), ovarian cancer (~ 15%), Head and Neck cancer (~ 13%) and cervical cancer (~ 12.5%). EIF4G1 mRNA and protein levels were high across cancer cell lines from multiple organs. Our analysis of DepMap datasets utilizing depletion assays revealed that EIF4G1 is critical for cancer cell survival. Treatment with EIF4G complex inhibitor impaired clonogenic, tumorosphere formation potential and inhibited cell invasion. Moreover, higher EIF4G1 mRNA level was associated with a lower median survival of patients in multiple tumor types.
CONCLUSIONS:
These studies show that EIF4G1 is amplified/over-expressed in multiple cancers and plays an essential role in cancer cell survival, as such EIF4G1 could serve as a novel potential target for therapeutic intervention across many cancers.
KEYWORDS:
Cap-dependent translation; DepMap; EIF4G complex inhibitor; EIF4G1; TCGA; TMA
PMID:31496918

Saturday, August 31, 2019

Publication in Cancer Discovery

 2019 Aug 29. pii: CD-19-0189. doi: 10.1158/2159-8290.CD-19-0189. [Epub ahead of print]

CDK7 inhibition suppresses Castration-Resistant Prostate Cancer through MED1 inactivation.

Author information

1
Cancer Biology, University of Pennsylvania.
2
Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania.
3
Department of Cancer Biology, University of Pennsylvania.
4
Henry Ford Health System.
5
Medical Oncology, Dana-Farber Cancer Institute.
6
Pathology, University of Michigan-Ann Arbor.
7
Department of Surgery, Hospital of the University of Pennsylvania.
8
Urology, Henry Ford Health System.
9
Medicine / Genetics, University of Michigan-Ann Arbor.
10
Radiation Oncology, Thomas Jefferson University.
11
Department of Cancer Biology, Abramson Family Cancer Research Institute, University of Pennsylvania.
12
Cancer Biology, University of Pennsylvania asangani@upenn.edu.

Abstract

Metastatic castration-resistant prostate cancer (CRPC) is a fatal disease, primarily resulting from the transcriptional addiction driven by Androgen Receptor (AR). First-line CRPC treatments typically target AR-signaling, but are rapidly bypassed, resulting in only a modest survival benefit with the anti-androgens. Therapeutic approaches that more effectively block the AR-transcriptional axis are urgently needed. Here, we investigated the molecular mechanism underlying the association between the transcriptional co-activator MED1 and AR as a vulnerability in AR-driven CRPC. MED1 undergoes CDK7-dependent phosphorylation at T1457 and physically engages AR at super-enhancer sites, and is essential for AR-mediated transcription. Additionally, a CDK7 specific inhibitor THZ1 blunts AR-dependent neoplastic growth by blocking AR/MED1 co-recruitment genome-wide, as well as reverses the hyper-phosphorylated MED1 associated enzalutamide resistant phenotype. In vivo, THZ1 induces tumor regression of AR amplified castration-resistant human prostate cancer in xenograft mouse model. Together, we demonstrate that CDK7 inhibition selectively targets MED1-mediated, AR-dependent oncogenic transcriptional amplification, thus representing a potential new approach for the treatment of CRPC.
PMID:
 
31466944
 
DOI:
 
10.1158/2159-8290.CD-19-0189

Publication in Neoplasia

 2019 Aug 22;21(10):989-1002. doi: 10.1016/j.neo.2019.07.010. [Epub ahead of print]

Pseudogene Associated Recurrent Gene Fusion in Prostate Cancer.

Author information

1
Department of Pathology, University of Alabama at Birmingham, Birmingham, AL.
2
Vattikuti Urology Institute, Department of Urology, Henry Ford Health System, Detroit, MI.
3
Michigan Center for Translational Pathology, University of Michigan, Ann Arbor, MI.
4
Department of Public Health Sciences, Henry Ford Health System, Detroit, MI.
5
Department of Hematology and Oncology, Henry Ford Health System, Detroit, MI.
6
Department of Pathology, Henry Ford Health System, Detroit, MI.
7
Department of Genitourinary Medical Oncology-The University of Texas, M D, Anderson Cancer Center, TX.
8
Department of Pathology, University of Alabama at Birmingham, Birmingham, AL; O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL.
9
Vattikuti Urology Institute, Department of Urology, Henry Ford Health System, Detroit, MI. Electronic address: npalani1@hfhs.org.

Abstract

We present the functional characterization of a pseudogene associated recurrent gene fusion in prostate cancer. The fusion gene KLK4-KLKP1 is formed by the fusion of the protein coding gene KLK4 with the noncoding pseudogene KLKP1. Screening of a cohort of 659 patients (380 Caucasian American; 250 African American, and 29 patients from other races) revealed that the KLK4-KLKP1 is expressed in about 32% of prostate cancer patients. Correlative analysis with other ETS gene fusions and SPINK1 revealed a concomitant expression pattern of KLK4-KLKP1 with ERG and a mutually exclusive expression pattern with SPINK1, ETV1, ETV4, and ETV5. Development of an antibody specific to KLK4-KLKP1 fusion protein confirmed the expression of the full-length KLK4-KLKP1 protein in prostate tissues. The in vitro and in vivo functional assays to study the oncogenic properties of KLK4-KLKP1 confirmed its role in cell proliferation, cell invasion, intravasation, and tumor formation. Presence of strong ERG and AR binding sites located at the fusion junction in KLK4-KLKP1 suggests that the fusion gene is regulated by ERG and AR. Correlative analysis of clinical data showed an association of KLK4-KLKP1 with lower preoperative PSA values and in young men  below 50 years with prostate cancer. Screening of patient urine samples showed that KLK4-KLKP1 can be detected noninvasively in urine. Taken together, we present KLK4-KLKP1 as a class of pseudogene associated fusion transcript in cancer with potential applications as a biomarker for routine screening of prostate cancer.
PMID:
 
31446281
 
DOI:
 
10.1016/j.neo.2019.07.010

Friday, August 23, 2019

Publication in Journal of Cutaneous Pathology

 2019 Aug 22. doi: 10.1111/cup.13566. [Epub ahead of print]

A pediatric case of pigmented epithelioid melanocytoma with chromosomal copy number alterations in 15q and 17q and a novel NTRK3-SCAPER gene fusion.

Author information

1
Department of Dermatology, Henry Ford Health System, Detroit, Michigan.
2
Department of Pathology and Laboratory Medicine, Henry Ford Health System, Detroit, Michigan.
3
College of Medicine, State University of New York Upstate Medical University, 766 Irving Ave, Syracuse, New York.
4
Department of Urology, Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan.
5
Department of Pathology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan.
6
Department of Dermatology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan.

Abstract

Pigmented epithelioid melanocytoma (PEM) represents a group of rare, heavily pigmented melanocytic tumors encompassing lesions previously designated as 'animal-type melanomas' and 'epithelioid blue nevi'. Despite the association of multiple such tumors in the setting of Carney complex, most cases of PEM occur spontaneously as solitary neoplasms in otherwise healthy patients. PEM may arise in both children and adults, and has a known propensity to spread to the regional lymph nodes. Despite this latter finding, recurrence at the biopsy site or spread beyond the lymph node basin is exceptionally uncommon. Although the molecular basis for PEM continues to be characterized, findings to date suggest that this category of melanocytic lesions has genetic alterations distinct from those seen in common nevi, dysplastic nevi, spitz nevi and melanoma. Herein, we present an in depth clinical, histopathologic and molecular analysis of a case of PEM occurring on the scalp of a young African American girl found to have a novel NTRK3-SCAPER gene fusion. This article is protected by copyright. All rights reserved.
PMID:
 
31437301
 
DOI:
 
10.1111/cup.13566

Saturday, June 1, 2019

Publication in Journal of Cancer Research and Clinical Oncology

 2019 May 25. doi: 10.1007/s00432-019-02933-z. [Epub ahead of print]
Combined loss of TFF3 and PTEN is associated with lethal outcome and overall survival in men with prostate cancer.

Abou-Ouf HGhosh SBox APalanisamy NBismar TA.


BACKGROUND:
Trefoil Factor 3 (TFF3) has been implicated in Prostate Cancer (PCa) progression. However, its prognostic value and association with other biomarkers have not been fully explored. We assessed the combined value of TFF3 and PTEN in two cohorts: one is managed surgically for localized PCa and the second is managed non-surgically by androgen deprivation therapy for advanced disease.
DESIGN:
228 radical prostatectomies (RP) and 318 transurethral resection of prostate (TURP) samples were assessed by immunohistochemistry (IHC) for TFF3 and by IHC and fluorescent in situ hybridization (FISH) for PTEN. Results of biomarkers expression were correlated with various pathological and clinical outcome parameters including biochemical recurrence (BCR) in the RP cohort and cancer-specific mortality (PCSM) and overall survival (OS) in the TURP cohort.
RESULTS:
TFF3 expression was detected in 131/226 (57.9%) RP samples and 148/318 (46.5%) of TURP cases. In general, TFF3 positivity was less frequently observed with advanced Gleason Groups. TFF3 expression was also assessed in relation to PTEN expression. Only 15-16% of TFF3-expressed cases were present in association with complete loss of PTEN expression in the TURP and localized cohorts, respectively. Loss of TFF3 expression was not related to BCR after RP, but was prognostic in the non-surgical cohort and associated with decrease OS and PCSM (HR 2.31, CI: 1.67-3.18, p < 0.0001) and (HR 3.99, CI: 2.43-6.56; p < 0.0001), respectively. Adjusting for Gleason score, combined loss of TFF3/PTEN was most associated with OS (HR 2.33, CI: 1.49-3.62; p < 0.0001) and PCSM (HR = 3.44, CI: 1.75-6.78, p < 0.0001).
CONCLUSION:
The study documents for the first time significant association for combined status of TFF3 expression and PTEN loss in OS and PCSM in patients not managed by surgical intervention. Prospective assessment of PTEN and TFF3 may provide further insight into molecularly subtyping PCa and aid in stratifying patients at risk for lethal disease.
KEYWORDS:
Androgen deprivation therapy; Biochemical recurrence; Cancer specific mortality; Gleason score; Immunohistochemistry; PTEN; Protein expression; TFF3
PMID:  
31129769
 
DOI:
 
10.1007/s00432-019-02933-z

Saturday, February 23, 2019

Publication in Histopathology

 2019 Feb 5. doi: 10.1111/his.13833. [Epub ahead of print]

Prostate cancer with comedonecrosis is frequently, but not exclusively, intraductal carcinoma: a need for reappraisal of grading criteria.

Abstract

AIMS:

Comedonecrosis in prostate cancer has always been Gleason pattern 5. However, we aimed to evaluate how intraductal carcinoma (not graded) with comedonecrosis should be considered.

METHODS AND RESULTS:

From 52 radical prostatectomy patients, 40 were informative and evaluated with immunohistochemistry for basal cells. Clinical outcome was assessed for biochemical recurrence, metastatic disease, and the need for adjuvant therapy. Comedonecrosis was predominantly located in intraductal carcinoma (24, 60%). However, 9 (23%) had comedonecrosis within invasive cancer and 7 (18%) within both invasive and intraductal carcinoma. Extraprostatic extension rarely contained comedonecrosis (5, 13%) instead usually containing perineural invasion within cribriform glands. Tumors were overwhelmingly high-stage (15, 38% pT3a and 19, 48% pT3b) with 15 (37%) having positive lymph nodes and 4 having distant metastases. Most (25, 63%) had other patterns of Gleason pattern 5 (single cells, solid), although 10 were reclassified as containing no invasive pattern 5. Of these, most were pT3 (8/10), but none had positive lymph nodes. Lymph node metastases were more common in patients with invasive cancer containing comedonecrosis (p=0.02), and the need for androgen deprivation was near-significant (p=0.07), but biochemical recurrence was not significantly different (p=0.58).

CONCLUSIONS:

Prostate cancer with comedonecrosis is often intraductal; however, these tumors are overwhelmingly high-stage, showing a higher rate of positive lymph nodes with invasive comedonecrosis. Immunohistochemistry may be considered when comedonecrosis may significantly change the tumor grade. However, it is not clear at present that excluding intraductal carcinoma from the grade is superior when associated with high-grade invasive cancer. This article is protected by copyright. All rights reserved.

KEYWORDS:

Gleason grading; Grade Groups; comedonecrosis; intraductal carcinoma; prostate cancer
PMID:
 
30720899
 
DOI:
 
10.1111/his.13833

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