Abstract
Cultured bacteria release N-formylpeptides, which are potent chemoattractants for phagocytic leukocytes acting at G-protein-coupled receptors FPR1 and FPR2. However, the distribution and immunologic activity of these molecules at mucosal surfaces, where large numbers of bacteria are separated from the immune system by epithelium, remain undefined. To investigate this for the gut, we tested leukocyte responses to cell-free gut luminal contents from C57Bl/6 mice fed a chow diet. Small and large intestine contents were able to compete with labeled N-formylpeptide for binding to FPR1, indicating the presence of FPR1 ligands in the gut lumen. Material from both small and large intestine induced robust calcium flux responses by primary FPR1+ leukocytes (mouse bone marrow cells and splenocytes and human peripheral blood neutrophils and mononuclear cells), as well as chemotactic responses by both mouse bone marrow cells and human peripheral blood neutrophils. However, unlike defined N-formylpeptides, calcium flux responses induced by gut luminal contents were insensitive both to pertussis toxin treatment of leukocytes and to proteinase K digestion of the samples. Moreover, the gut samples were fully active on neutrophils from mice lacking Fpr1, and the kinetics of the calcium flux response differed markedly for neutrophils and peripheral blood mononuclear cells. The active factor(s) could be dialyzed using a 3.5-kDa pore size membrane. Thus, mouse intestinal lumen contains small, potent and highly efficacious leukocyte chemotactic and activating factors that may be distinct from neutrophils and peripheral blood mononuclear cells and distinct from Fpr1 agonists.
Key Words: Microbiome, Chemotaxis, Inflammation, Formylpeptide, G-protein-coupled receptor
Introduction
In the normal gastrointestinal tract, the lumen contains commensal microorganisms (the microbiome), food, mucus, exocrine secretions and waste products, as well as factors released by both microbes and gastrointestinal tissue. The microbiome in particular consists of a highly diverse community of bacteria, which together exceed the total number of human cells by more than 10-fold [1]. The microbiome has a number of important salutary functions, for example in nutrition, to produce vitamins and to facilitate digestion of complex plant polysaccharides, as well as in host defense, to facilitate development and function of the mucosal immune system [1, 2, 3].
The molecular and cellular mechanisms by which the microbiome modulates mucosal immunity have been the subject of intense research, but are still poorly understood. Bacteria release multiple constituents, known collectively as pathogen-associated molecular patterns (PAMPs), which stimulate specific pattern recognition receptors on leukocytes and other cell types. PAMPs include polynucleotides, peptidoglycan, lipopolysaccharide (LPS), flagellin, muramyl dipeptides, and pathogen-specific oligonucleotides such as hypomethylated (CpG) DNA, all of which activate specific Toll-like receptors [4, 5]. In addition, bacterial PAMPs may include N-formylpeptides, a subset of bacterial protein breakdown products that activate pertussis toxin-sensitive G-protein-coupled phagocyte chemotactic receptors named ‘N-formylpeptide receptors’ (FPRs) [6, 7]. Two principal FPRs have been identified in humans, FPR1 and FPR2/ALX (Fpr1 and Fpr2 in mouse) [7]. The normally harmonious coexistence of the microbiome in the gut lumen with leukocytes in gut tissue may be accounted for in part by an intact epithelium; however, when this breaks down, for example in inflammatory bowel disease, unrestricted communication between the two sets of cells may occur [8]. In the present study, we hypothesized that gut bacteria release N-formylpeptides in situ that are able to activate leukocytes bearing FPRs. We show instead that while the gut lumen does in fact contain Fpr1 ligands and potent leukocyte chemotactic and activating factors, surprisingly the activity appears to be independent of Fpr1.
Materials and Methods
Agonists
N-formyl-Met-Leu-Phe (fMLF), interleukin (IL)-8 and macrophage inflammatory protein 2 (MIP-2) were obtained from Peprotech (Rocky Hill, N.J., USA). fNLFNYK-fland ATP were obtained from Invitrogen (Carlsbad, Calif., USA). Leukotriene B4 (LTB4) was obtained from Cayman Chemical Company (Ann Arbor, Mich., USA).
Mouse Gut Lumen Content
Luminal contents from small and large intestine were harvested from wild-type C57BL/6NTac mice from Taconic Farms (Hudson, N.Y., USA) or from Fpr1–/– mice backcrossed 10 generations onto the C57BL/6NTac background. The construction of Fpr1–/– mice has been described previously [9]. Both strains of mice were produced at Taconic Farms and transferred to the National Institute of Allergy and Infectious Diseases for experiments, which were approved by the National Institute of Allergy and Infectious Diseases Animal Care and Use Committee. Small intestine content (SC) was defined as luminal contents from the gastroduodenal junction to the ileocecal junction. Large intestine content (LC) was defined as luminal contents from the ileocecal junction to the rectoanal junction. Each segment was flushed four times with 4 ml 1× PBS using a shielded IV catheter (BD Insyte™ Autoguard™, Franklin Lakes, N.J., USA); the washings were mixed and centrifuged at 12,000–15,000 rpm for 10 min twice to separate soluble factors from particulates. Supernatants from processed SC and LC were stored at −20°C until use. To estimate the molecular size of leukocyte-activating factors in the mouse gut lumen, we dialyzed 0.5 ml of SC or LC in dialysis cassettes (Pierce, Rockford, Ill., USA) immersed in 1 liter PBS stirred for two consecutive 2-hour periods at 25°C, followed by one overnight period at 4°C; the buffer was refreshed for each period. For some experiments, mouse gut lumen extracts and control chemoattractants were incubated with 800 µg/ml proteinase K (Cat. No. P8102S from New England Biolabs, Ipswich, Mass., USA) for >2 h at 55°C. Digested proteins were placed in loading buffer and resolved by SDS-PAGE; gels (Cat. No. 161-1106 from Bio-Rad Laboratories, Hercules, Calif., USA) were stained with Coomassie blue. Digested proteins were also used directly as test stimuli on cells in the calcium flux assay, as described below.
Cells
Primary leukocytes were obtained from bone marrow and spleen either from wild-type C57BL/6NTac mice or from Fpr1–/– mice backcrossed on the C57BL/6NTac background. Bone marrow cells were obtained by flushing the hind-limb femur and tibia with PBS. Spleens were mechanically disrupted in PBS. To obtain single-cell suspensions, bone marrow cells and splenocytes were passed through a 100-µm nylon cell strainer. Residual erythrocytes were removed by 0.2% hypotonic NaCl lysis. Cells were pelleted, then washed in PBS and passed through a 40-µm nylon cell strainer to remove debris. Human leukocytes were harvested from 15 ml of heparinized whole blood from anonymous healthy donors recruited by the Department of Transfusion Medicine at the Warren G. Magnuson Clinical Center, National Institutes of Health. Peripheral blood mononuclear cells (PBMCs) were separated from neutrophils and erythrocytes using lymphocyte separation medium (Lonza, Walkersville, Md., USA) according to the instructions of the manufacturer, then washed in PBS. Neutrophils were separated from erythrocytes by 3% dextran sedimentation and hypotonic NaCl lysis, then washed in PBS. Human embryonic kidney (HEK) 293 cells, obtained from ATCC, were stably transfected with a plasmid encoding human FPR1, as previously described [10]. Cells were cultured in Dulbecco's modified Eagle's medium (Invitrogen) + 15% FBS + 2 mg/ml G418 at 37°C in an atmosphere of 100% humidity and 5% CO2. The medium was changed every 3 days.
Calcium Flux Assay
Calcium flux was measured in cells using a FlexStation® 3 microplate reader and the FLIPR Calcium 3 Assay Explorer Kit (Molecular Devices, Sunnyvale, Calif., USA). Cells were suspended in HBSS (with Ca2+ + Mg2+) and incubated for at least 30 min with an equal volume of FLIPR Calcium Assay 3 Dye (component A). The final total volume of 200 µl containing 2.5–10 × 105 cells per well was analyzed by FlexStation using an excitation wavelength of 485 nm and an emission wavelength of 525 nm. Test substances were diluted in HBSS (with Ca2+ + Mg2+) or PBS and added to the wells robotically. In some experiments, test substances were incubated in a boiling water bath for a minimum of 10 min prior to use.
Chemotaxis Assay
Leukocytes (human neutrophils or mouse bone marrow cells) were washed in PBS and suspended in chemotaxis buffer [0.5% bovine serum albumin (fraction V) + RPMI-1640 + 10 mM HEPES]. Chemotaxis was measured using 6.5-mm Transwells® with either 5- or 8-µm pore polycarbonate membrane inserts (Corning, Lowell, Mass., USA). Test substances in 600 µl chemotaxis buffer were added to the bottom of each chamber and 5–10 × 105 cells suspended in 100 µl of buffer were placed at the top. Cells were incubated at 37°C, 5% CO2 for 3 h. Samples from the bottom were collected and mixed with 10.2 µm Sphero™ AccuCount blank particles (Spherotech, Lake Forest, Ill., USA) and counted using a FACScalibur flow cytometer to determine the number of migrating cells. In some experiments, cells were preincubated in control buffer (1× PBS) or 250 ng/ml pertussis toxin (Cat. No. 180 from List Biological Laboratories, Campbell, Calif., USA) in PBS at 37°C for 4 h prior to measuring chemotaxis. Data are presented as the chemotactic index.
Binding Assay
To determine whether FPR1 ligands are present in mouse gut lumen, we measured equilibrium binding of the fluorescently labeled FPR1 ligand fNLFNYK-fl to FPR1-transfected HEK 293 cells in the presence and absence of fMLF and/or SC and LC. Total binding was determined after addition of 2 nM fNLFNYK-fl to FPR1-bearing cells in the absence of FPR1 ligands. The Kd value of fNLFNYK-fl at FPR1 expressed on HEK 293 cells is approximately 2.7 nM (determined by saturation binding assays, data not shown). Therefore, an fNLFNYK-fl concentration of 2 nM ensures high sensitivity of the assay. The positive control of 10 µM fMLF fully displaced 2 nM fNLFNYK-fl and was used to define specific binding. To ensure the binding activity was FPR1 specific, we used untransfected HEK 293 cells as negative control. The binding assay was carried out in a total volume of 300 µl with 1.2 × 105 cells in a buffer composed of 0.1% bovine serum albumin (fraction V) + 1× HBSS + 20 mM HEPES on ice in the dark for 15 min. SC and LC were added at the beginning of the incubation to achieve a final dilution of 1:10. Data are presented as the percent of total specific binding.
Statistical Methods
Results are shown as means ± SEM. Differences between groups were compared using Student's t test (two sets of data) or one-way ANOVA (three or more sets of data), followed by the Student-Newman-Keuls post-hoc test. Differences were considered significant at p < 0.05.
Results
The Lumen of the Mouse Gastrointestinal Tract Contains FPR1 Ligands
To determine whether FPR1 ligands are present in the lumen of the mouse gastrointestinal tract, we collected the contents of the small and large bowel separately, removed particulates by centrifugation and conducted competitive ligand binding studies with the supernatants using the fluorescent formylpeptide fNLFNYK-fl to label human FPR1 on FPR1-transfected HEK 293 cells. We will refer to these supernatants hereafter as SC and LC. As expected, fNLFNYK-fl specifically bound to FPR1-transfected cells. Binding was substantially reduced by SC, indicating the presence of FPR1 ligands, but surprisingly less so by LC, though still statistically significant (fig. 1). To test the possibility that formylpeptide scavengers or FPR1 antagonists potentially present in LC reduce probe binding, we conducted the binding assay with LC in the presence of 10 µM fMLF. Under these conditions, fNLFNYK-fl-specific binding was reduced to approximately 5% of control, suggesting that the failure of LC to fully reduce probe binding to FPR1 is most likely due to the absence of high-affinity FPR1 ligands in LC. fMLF had no observable effect on probe binding when mixed with SC, which was already about 95% reduced by SC alone. Thus, SC but not LC appears to contain high-affinity FPR1 ligands.
The Lumen of the Mouse Gastrointestinal Tract Contains Factors That Activate Mouse and Human Leukocytes
To determine whether mouse gut luminal contents are able to activate leukocytes, we first measured calcium flux, which is induced in leukocytes by most chemoattractants [7, 10, 11]. Both SC and LC induced robust calcium flux responses in total mouse bone marrow cells and splenocytes (fig. 2), as well as in human peripheral blood neutrophils and PBMCs (fig. 3). SC and LC from all mouse donors tested (n = 25) were active on all leukocyte populations tested (fig. 2b, 3b). As expected, the efficacy of both SC and LC from different animals varied for all four leukocyte populations tested. With regard to the kinetics of the response, for mouse bone marrow cells and splenocytes as well as for human PBMCs, the increase in intracellular Ca2+ concentration induced by both SC and LC was both rapid and sustained (fig. 2, 3). This is atypical for leukocyte chemoattractants [7, 10, 11], as illustrated for the activation of mouse bone marrow cells by the neutrophil-targeted chemokine MIP-2, where the response is rapid but transient (fig. 2). SC also induced a rapid, sustained response in human neutrophils. In contrast, LC induced calcium transients in human neutrophils quite similar to the kinetics of those elicited by fMLF (fig. 3a) and chemokines such as IL-8 (data not shown).
For technical reasons, the highest concentration of SC and LC tested was a 1:10 dilution of the harvested and processed material, and this was also the dilution that resulted in the maximal calcium flux response. The range of peak responses of mouse bone marrow cells was similar for SC and LC and included the peak response induced by stimulation with a saturating concentration of 100 nM MIP-2 (fig. 2b). The peak response range of mouse splenocytes was also similar for SC and LC and exceeded the maximal response to 100 µM ATP, tested as a positive control (fig. 2b). For human PBMCs, the maximal response elicited by SC was much higher than that elicited by LC (fig. 3a), whereas for human neutrophils, SC and LC induced similar maximal responses that were similar to that induced by a saturating concentration of 10 nM fMLF, tested as a positive control (fig. 3a). These data indicate that SC and LC both clearly contain leukocyte-activating factors; however, they behave kinetically in a manner that can be distinguished from classic chemoattractants and chemokines. In addition, they can be distinguished from each other by the efficacy observed across the four leukocyte populations tested, suggesting the presence of distinct factors in the small and large intestinal lumen.
To further examine the relationship of N-formylpeptides to the calcium flux activity present in SC and LC, we performed extensive reciprocal desensitization experiments with human neutrophils as targets. We found that 0.1× of either SC or LC added first could reduce the calcium flux signal elicited by 1 nM fMLF added second by >75% relative to the control signal, but neither had any effect on the signal induced by 100 nM fMLF added second; reciprocally, 50 nM fMLF added first could reduce the calcium flux signal elicited by 0.1× of either SC or LC added second by >75% compared to the control signal. This suggests pathways by which formylpeptide signaling may cross-regulate neutrophil agonists present in SC and LC. The data are consistent with FPRs as the relevant targets, but heterologous and cross-desensitization involving other receptors is also possible.
In chemotaxis assays, both SC and LC induced migration of mouse bone marrow cells (fig. 4); the threshold for LC activity fell between 0.001 and 0.01× dilution, similar to the calcium flux assay (data not shown). Since FPR1 ligands were found in SC (fig. 1), it was reasonable to hypothesize that the active factors might include but not be solely explained by classic N-formylpeptides, and we addressed this question in the next series of experiments.
Leukocyte-Activating Factors in the Gut Lumen Can Be Distinguished from Prototypic N-Formylpeptides
To assess the physical nature of leukocyte-activating factors in SC and LC, we first boiled the samples and assessed calcium-mobilizing activity using mouse bone marrow cells as targets. In control studies, we found, as expected, that boiling markedly diminished the activity of MIP-2, which is a large folded protein chemoattractant (fig. 5), while having little effect on the activity of the small prototypic N-formylpeptide chemoattractant fMLF or the lipid LTB4. Prolonged boiling also did not diminish the calcium-mobilizing activity of either SC or LC, suggesting that the activity could be due to N-formylpeptides, but that it is unlikely to be due to a large protein, such as a chemokine. In fact, the activity was increased by boiling, suggesting the possibility that an inhibitory factor had been removed. To estimate the size of the leukocyte-activating factor(s) in LC, we dialyzed the samples using dialysis cassettes with 2-, 3.5- and 7-kDa pore cutoffs. We found that the great majority of the calcium flux activity for human neutrophils was lost when samples were dialyzed with ≥3.5-kDa pore cutoffs (fig. 6). About half the activity was lost when the samples were dialyzed using a 2-kDa pore cutoff. The same pattern was obtained when SC was dialyzed and tested for calcium-mobilizing activity with human neutrophils (data not shown).
To investigate directly whether the leukocyte-activating factors in SC and LC actually included agonists for FPRs, we compared SC- and LC-induced calcium flux responses in bone marrow cells from wild-type and Fpr1–/– mice. As expected, we observed a complete loss of responsiveness to fMLF in the knockout cells. In contrast, no significant differences in responsiveness were observed for wild-type versus knockout cells when either SC or LC were tested (fig. 7), suggesting that the active factors were not predominantly Fpr1 agonists. We were unable to determine whether LC or SC contained functional FPR agonists using a gain-of-function approach since SC and LC both induced calcium flux equally well in untransfected and FPR1- and FPR2-transfected HEK 293 cells, presumably by acting at a native receptor (data not shown).
N-formylpeptides, other classical chemoattractants and chemokines all signal through Gi-type G proteins in a classic pertussis toxin-sensitive pathway [7]. However, surprisingly, we found that pertussis toxin treatment had no significant inhibitory effect on either SC- or LC-induced chemotaxis of mouse bone marrow cells (fig. 8). In contrast, in control experiments, pertussis toxin completely blocked fMLF-induced chemotaxis of bone marrow cells from both wild-type and Fpr1–/– mice across the entire concentration range tested, 10 nM to 100 µM, as expected. As previously reported, the threshold for fMLF responsiveness of neutrophils from Fpr1–/– mice shifted from 1 to 100 µM relative to responses of cells from wild-type mice. This is most likely because fMLF responsiveness in Fpr1–/– mice is mediated by expression of Fpr2, which has a lower affinity than Fpr1 for fMLF [12].
To test whether the leukocyte-activating factors in SC and LC are proteins, we digested the samples with 800 µg/ml proteinase K. Coomassie blue-stained gels showed that SC and LC contained a complex mixture of proteins that were no longer detectable in samples treated with proteinase K (fig. 9a). We tested the biological activity of the samples by calcium flux assay of human peripheral blood neutrophils. Proteinase K treatment completely abolished fMLF- and IL-8-induced calcium flux in human neutrophils, but had no significant effect on either SC- or LC-induced calcium flux (fig. 9b, c). Recent reports have identified short-chain fatty acids produced by intestinal bacteria that are potent activators of calcium flux in neutrophils [13]. However, we found that one such short-chain fatty acid, acetate, was unable to desensitize neutrophil responses to SC (data not shown). Moreover, acetate, unlike SC and LC, activates neutrophils in a pertussis toxin-sensitive manner, suggesting that the activity in SC is unlikely to be due to acetate. We also tested ATP as a candidate, but in sequential stimulation experiments it had little to no effect on mouse bone marrow cell calcium flux responses to either SC or LC (data not shown).
Discussion
In the present study, we have shown that the mouse gut lumen contains potent chemotactic and activating factors for multiple leukocyte subsets in mouse and human, but that little if any of the activity may be attributed to protein agonists of Fpr1. This result is surprising since (1) the gut lumen contains a massive number of bacteria [1], (2) bacteria initiate protein synthesis with N-formylmethionine [6], (3) cultured bacteria generate and release N-formylpeptides [14], (4) FPR1 ligands are present in the gut lumen (fig. 1), (5) phagocytic leukocytes are sensitive to a wide range of tested N-formylpeptides acting at Fpr1 [7, 11, 15], and (6) intestinal epithelial cells express functional Fpr1 [16].
Our findings extend previous work by others demonstrating that bacteria are able to directly produce or indirectly induce production of leukocyte-activating factors [6, 13, 17]. Most previous studies have approached this question by isolating specific microorganisms from the gut and other sites for the study of secreted factors, whereas we have used an unbiased approach to study leukocyte-activating factors produced and released in situ throughout the gut lumen. Since we have not yet specifically identified the active factors at the molecular level, we do not yet know the number of factors, their relative activity in the mix, or their exact provenance. Nevertheless, our finding of differential efficacy and kinetics in the calcium flux assay for mouse bone marrow cells and splenocytes and human PBMCs and neutrophils suggests that there may be multiple active factors in the lumen able to act not only on gut epithelial cells (data not shown), but also on multiple subtypes of leukocytes that may patrol the gut normally and accumulate in it during disease. Several leukocyte-activating factors have already been defined in the gut, including hepoxilin A3 and short-chain fatty acids, which are produced by the gut mucosa and flora, respectively; however, their relative contribution to the activity we have described has not been defined [13, 18]. Superantigens can also induce calcium flux but are large protease-sensitive proteins and would not be expected to account for the chemotactic activity we describe. The inability of the short-chain fatty acid acetate to affect signaling induced by gut luminal content (data not shown) or to chemoattractant leukocytes (data not shown) suggests that it also does not solely account for SC or LC activity. LPS was also inactive (data not shown). Additional sources that must be considered include food metabolites, waste products released into the gut and exocrine secretions.
Defining leukocyte-activating factors in the gut lumen may help explain the strong influence of commensal microorganisms on both mucosal immune system development and inflammatory bowel disease and is therefore an important goal in mucosal immunology [8, 19, 20]. The gut mucosa is separated from the lumen by a single layer of epithelial cells that are capable of sensing pathogen-specific molecules directly as well as by crosstalk with dendritic cells [21]. Overlaying the epithelial cell layer is a mucus coating secreted by goblet cells that contains antimicrobial peptides secreted by specialized gut epithelial cells, that together function as a protective barrier reducing direct bacterial contact with the epithelial cell layer [22]. Interspersed within the epithelial cell layer are intraepithelial lymphocytes and dendritic cells.
In the normal, healthy gastrointestinal tract, the mucosal immune system is organized into discrete inductive sites, such as gut-associated lymphoid tissue, located throughout the gut, and Peyer's patches, found only in the distal ileum, as well as effector sites, which are distributed more diffusely throughout the mucosa. All of these sites are rich in dendritic cells, macrophages and lymphocytes. In the context of gastrointestinal tract infections and inflammatory bowel disease, innate immune cells (neutrophils, macrophages, dendritic cells, and natural killer T cells) and adaptive immune cells (B cells and T cells) from peripheral blood are recruited to and activated in the mucosa, releasing proinflammatory cytokines [8]. Newly recruited leukocytes, particularly macrophages, express innate immune receptors and are highly responsive to microbial specific factors [23].
The gut microbiota may influence the mucosal immune system directly, for example by bacterial-leukocyte contact, or indirectly by release of leukocyte-activating factors such asN-formylpeptides, LPS and peptidoglycan, hypomethylated dinucleotides [5, 24], and short-chain fatty acids [13]. It may also influence the mucosal immune system by dendritic cell sampling of bacterial antigens [25, 26], or by interactions with epithelium which then are transduced to immune cells [27, 28]. Our conclusion that the factors in the gut lumen responsible for leukocyte activation in our study are not solely Fpr agonists is based on the observation that responses were not affected when Fpr1-deficient leukocytes were used as target cells, or when wild-type leukocytes were pretreated with pertussis toxin, which is known to inhibit Fpr1 and Fpr2 signaling. Further, the observation that the activity was resistant to proteinase K suggests that the responsible factors are not N-formylpeptide agonists of Fpr1, with the caveats that (1) the gel system used to assess protein degradation cannot resolve very small peptides, (2) some N-formylpeptides are selective for Fpr2, which is also expressed on phagocytes [7, 17], and (3) proteinase K may produce active compounds that are distinct from those that were present before the digestion.
Additional studies with Fpr2 knockout mice and Fpr1/2 double mutant mice, when they become available, as well as direct purification of the active factor(s), will be needed to definitively resolve the question of whether or not N-formylpeptides in the gut lumen contribute to SC and LC activity. However, since proteinase K is a low-specificity protease, and the factors are <3.5 kDa in size, it is reasonable to hypothesize that the active factor(s) are not proteins or peptides, and thus, not N-formylpeptides.
In conclusion, we have found that the mouse gut lumen from both the small and large intestines contains small, potent, highly efficacious leukocyte chemotactic and activating factors that may be distinct for neutrophils and PBMCs, and that Fpr1 agonists, acetate and LPS may account for little if any of this activity. Such factors may be important for shaping leukocyte trafficking and function in the gut in both health and disease. Identifying such factors may provide new insights into the cellular and molecular mechanisms underlying gut homeostasis and new targets for drug development in infectious and inflammatory diseases of the gut.
Disclosure Statement
T.O. is a recipient of a post-baccalaureate fellowship of the NIH Academy.
Acknowledgement
This work was supported by funding from the Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health.
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