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Department of Internal Medicine, University of Erlangen-Nürnberg, 91054 Erlangen, Germany
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ABSTRACT |
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In
rats, the mechanosensitive cardiorenal baroreflex influencing renal
excretory function might be impaired by serotonin occurring in coronary
arteries, e.g., in hypertension. Because the afferent limb of this
reflex could be affected, we investigated the responses of nodose
ganglion cells (one neuron of reflex) to osmotic, mechanical stress in
presence or absence of the serotonin 5-HT3 receptor agonist
phenylbiguanide (PBG). Current-voltage relationships (from
100 to +50 mV) were obtained using cell patch recordings while the
cells were exposed to control or hypoosmotic solutions to induce
mechanical stress. This protocol was repeated after low doses of PBG
(10 µM), angiotensin II (10 nM), or the stretch-activated channel
blocker gadolinium (20 µM) were added to the extracellular medium
(EM). Hypoosmotic EM induced significant changes in cellular conductance. The full-range current-voltage relationship allowed for
the calculation of a mean reversal potential of
13 ± 1.2 mV
with respect to this change in cellular conductance (n = 44). This increase in conductance was impaired after addition of
either PBG or gadolinium to the EM,which was statistically evaluated at
a voltage of
80 mV, where influences of voltage-gated channels are
not likely to interfere with the responses recorded. The serotonin 5-HT3 receptor antagonist tropisetron (10 nM) prevented the
PBG effect on conductance responses. Angiotensin II had no influence. Hence, serotonin might decrease the mechanical sensitivity of afferent
cardiac nerves controlling renal sympathetic nerve activity.
mechanosensitivity; renal innervation
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INTRODUCTION |
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THE SYMPATHETIC NERVOUS SYSTEM influences the circulation not only by its effect on the regulation of peripheral resistance or cardiac performance, but also by controlling volume homeostasis via efferent renal sympathetic nerve activity (RSNA) (4, 28). Thus an impairment of RSNA regulation is likely to contribute to the development of volume overload in various pathophysiological situations, like in hypertension (13), but also in sodium-retaining disorders, like congestive heart failure (5, 11, 11). The activity of renal sympathetic nerve fibers is very specifically controlled by cardiopulmonary reflexes (28, 31) whose afferent branch is contained within the vagus nerve. Cardiopulmonary reflexes are not only stimulated by changes in cardiac filling pressure, but also by chemical agents (17). Endogenous substances stimulating these reflexes are prostaglandins and serotonin, by serotonin 5-HT3 receptors. In previous experiments (31), we could demonstrate that the control of RNSA by mechanosensitive cardiopulmonary reflexes stimulated with a saline volume load was considerably impaired in rats preinfused with subthreshold doses of the serotonin 5-HT3 receptor agonist phenylbiguanide (PBG). The impaired response could be restored after intravenous pretreatment with the serotonin 5-HT3 receptor antagonist odansetron, suggesting that the interaction between PBG and saline volume loads was specific and occurred peripherally. This mechanism might facilitate volume retention when cardiac serotonin is increased, like in coronary artery disease.
Our in vivo experiments (30) did not more precisely reveal in which way stimulated 5-HT3 receptors (16) can interfere with the mechanosensitive properties of the afferent portion of the cardiorenal reflex. One mechanism could be that the stimulation of serotonin 5-HT3 receptors on afferent cardiac fibers decreases mechanosensitivity. The cell bodies of these axons are found in the nodose ganglion (15). Nodose ganglion cells with cardiac afferents (NGCA) must therefore be hypothesized to be mechanically sensitive cells that mediate primary sensory input from the heart chambers to the central nervous system (CNS). The cellular mechanism mediating the mechanosensitivity for these and comparable cells like baroreceptor neurons is not as yet fully determined, but one possible mechanism might involve mechanosensitive ion channels (10, 20). Recently, controversially discussed reports suggested that sodium ion channels of the ENaC family could be of particular importance for the mechanosensitivity in various tissues (23). Several publications reported that arterial baroreceptor neurons located in the nodose ganglion did not only exhibit specific mechanosensitive currents, but might also express subunits of ENaC with functional significance (2, 3, 7). Because the ubiquity of mechanosensitive channels has led some researchers to question their physiological relevance in certain respects (19), a number of criteria have been proposed to help determine whether mechanosensitivity or stretch activation is a physiological property of a distinct class of ion channels (18). It has been suggested that experiments be conducted in tissues that have an established mechanosensitive function by using single channel and whole cell recordings and that alternative methods be used to induce stretch activation, such as hypoosmotic swelling (21). Previously, this research strategy was successfully applied to demonstrate that mechanosensitive channels are likely to mediate the input of the arterial baroreceptor to the CNS (2).
In the present study, we used hypoosmotic mechanical stress and the patch-clamp technique to investigate for the first time mechanosensitive currents in putative NGCAs. We tested the hypothesis that the responsiveness of NGCAs is decreased in the presence of even low doses of the serotonin 5-HT3 agonist PBG. In addition, we tested the effect of gadolinium, a trivalent cation that blocks mechanosensitive ion channels (36). In a further group of experiments, NGCAs were exposed to osmotic stress in the presence of ANG II, which putatively influences cardiorenal reflexes at integrating centers in the brain stem rather than peripherally on the level of the first neuron (32).
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METHODS |
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For the experiments, male Sprague-Dawley rats (Ivanovas; Kisslegg, Germany) weighing 250-300 g were maintained in cages at 24 ± 2°C. They were fed a standard rat diet (No. C-1000, Altromin; Lage, Germany) containing 0.2% sodium by weight and were allowed free access to tap water.
Labeling of Nodose Mechanosensitive Neurons with Cardiac Afferents
To identify putative mechanosensitive neurons with cardiac afferents, we labeled these cells by applying the dicarbocyanine dye 1,1'-dioleyl-3,3,3'-tetramethyl-indocarbocyaline methansulfonate (DiI) (D9-DiI, 50 mg/ml in DMSO, Molecular Probes; Eugene, OR) intrapericardially to the junction of the great vessels of the heart of Sprague-Dawley rats weighing 250-300 g (Charles River; Sulzfeld, Germany) (2). Initially, rats were anesthetized with a 500-µl bolus injection of methohexital (20 mg/ml) intraperitoneally. After the insertion of a venous line, appropriate anesthesia was achieved with an intravenous maintenance infusion of methohexital (80 µg · 100 g
1 · min
1) through the venous
femoral catheter. Mechanical ventilation was instituted via a tracheal
tube, and a high midline thoracotomy was performed. The lobes of the
thymus were carefully separated from each other, exposing a small
portion of the roof of the pericardial sac adherent to the thymus. The
roof of the pericardial sac was slightly opened to insert a fine glass
cannula filled with DiI for respective intrapericardial application (80 µl of 50 mg/ml DiI). Afterward, the roof of the pericardial sac was
closed by apposing the two lobes of the thymus and sealing them
together with polyacrylic glue. Finally, the thorax was closed in
layers. This approach has been previously used to insert catheters into the pericardial sac, thereby proving to be safe and easy to perform (33). We allowed 1 wk for the DiI to be transported back
to the neuronal cells in the nodose ganglion.
Neuronal Cell Culture
Respective rats were anesthetized with hexobarbital as described in Labeling of Nodose Mechanosensitive Neurons with Cardiac Afferents, the animals were decapitated, and both nodose ganglia were dissected. Primary cultures of neurons from the nodose ganglia were obtained by mechanical and enzymatic dissociation by adapting protocols previously described by others (2). The ganglia were incubated with trypsin (1 mg/ml), collagenase (1 mg/ml), and DNase (0.1 mg/ml) in modified L-15 medium for 1 h at 37°C. Enzymatic activity was terminated by the addition of soybean trypsin inhibitor (2 mg/ml), bovine serum albumin (1 mg/ml), and CaCl2 (3 mM) in modified L-15 medium, and the ganglia were triturated using sterile siliconized Pasteur pipettes to dissociate individual cells. After centrifugation, the cells were resuspended in a modified L-15 medium with 5% rat serum and 2% chick embryo extract and plated on polylysine-coated glass coverslips. 5-Fluorodeoxy-2-uridine (80 µM) was added to prevent the proliferation of nonneuronal cells. The cells were plated on coverslips for 5-6 days for electrophysiological experiments in a modified L-15 medium. To demonstrate that the labeled cells were neurons, all cells used for experimental procedures were tested for fast sodium currents during repolarization that were characteristic for neuronal cells. Some coverslips were also stained with fluorescein-conjugated tetanus toxin C (Neurotag Green, Böhringer Mannheim), which specifically binds to neurons (2). Stained coverslips were viewed under epifluorescence to permit visualization of the respective neurons before the experiment. Furthermore, a small laser beam (480 nm) powered by a storage battery was mounted to the patch-clamp recording setup. This equipment allowed for the detection of DiI-stained nodose ganglion cells during the experiments using the respective optical filters.Patch Clamp
Patch recordings were obtained from the respective neurons using a recording solution containing (in mM) 104 KCl, 16 KOH, 1 magnesium ATP, and 10 HEPES. The resistances of the electrodes ranged from 3 to 6 M
. The seal resistance was between 2 and10 G
, and the series
resistance was >100 M
. Whole cell voltage-clamp recordings were
obtained with the help of a 200 B Axopatch amplifier (Axon instruments;
Foster City, CA). Data were sampled at 5 kHz and stored on a computer
hard drive using a commercially available software package (pCLAMP,
Axon Instruments). Current-voltage relationships were obtained
using a voltage-ramp protocol that increased the voltage from
100 to
+50 mV over 4 s. The full-range current-voltage relationship
allowed for the calculation of the mean reversal potential with respect
to changes in cellular conductance after exposure to hypoosmotic
extracellular media. Furthermore, it allowed for the evaluation of the
quality of our preparations throughout the experiments (e.g., as a
vital parameter of the cells). The increase in conductance was
furthermore statistically evaluated at a voltage of
80 mV, where
influences of voltage-gated channels were no more likely to interfere
with the responses observed.
In general, cells were placed in a one-chamber laminar flow bath and perfused at a rate of 0.5-1 ml/min by gravity feed lines connected to fluid reservoirs. Fluid was removed by a respective carefully applied suction to the bath. The composition of the control bath solution was (in mM) 120 NaCl, 2 CaCl2, 1 Mg Cl2, 1 KCl, 10 HEPES, and 40 mannitol to obtain a solution of 290 mosM. The hypoosmotic solution had the same ionic content without the mannitol. This solution exhibited a osmolarity of 255 mosM. The osmolality of each solution was controlled for using an osmometer (Micro-Osmometer; Knauer, Germany).
We first exposed the cells to control medium. After we achieved stable
current-voltage relationships in this solution (5 min), the
extracellular medium was changed, and the cells were exposed to the
hypoosmotic medium for 4 min while the voltage-ramp protocol was
repeated every minute. The hypoosmotic medium was then again replaced
with the original extracellular control solution. We only included
neurons in the analysis if their resting membrane potentials was less
than
40 mV.
Experimental Protocols
Basic experiments. Respective nodose ganglion cells were exposed twice to hypoosmotic media, and the ramp protocols were performed as described in Patch Clamp. For the final data evaluation, we only used cells that unequivocally stained positive for DiI.
Experiments to inhibit hypoosmotic-induced changes in cellular currents. In two series of experiments, we used the serotonin 5-HT3 receptor agonist PBG (10 and 100 µM) to impair mechanosensitive currents in putative mechanosensitive neurons with cardiac afferents induced by hypoosmotic mechanical stress. Likewise, in a further series, the putative stretch-activated channel blocker gadolinium (10 µM gadolinium chloride hexahydrate, Aldrich) or the cardiovascular regulator peptide angiotensin II (10 nM) was added to the different media. Again, the respective putative cardiac nodose ganglion cells were exposed twice to the hypoosmotic solution to test for cellular responses with and without the drugs in the media.
Inhibition of the effects of the serotonin 5-HT3 receptor agonist PBG. We used the serotonin 5-HT3 receptor antagonist tropisetron (10 nM) to specifically antagonize the impairing effects of the lower dose of PBG (10 µM) on changes in cellular currents due to hyposmotic stress. As described Experiments to inhibit hypoosmotic-induced changes in cellular currents, the respective putative cardiac nodose ganglion cells were exposed twice to the hypoosmotic solution to test for cellular responses with and without PBG in the media. The serotonin 5-HT3 receptor antagonist was added constantly to the extracellular control solution and the hypoosmotic medium.
Additionally, we performed time-control experiments by exposing respective nodose ganglion cells to hypoosmotic stress without the addition of PBG.Data Analyses
The data were statistically analyzed with analyses of variance, analysis of covariance, and Newman-Keuls post hoc test (where appropriate) using a CSS statistical software package (StatSoft; Tulsa, OK). Only a priori fixed comparisons were tested. Statistical significance was defined as P < 0.05. Data are given as means ± SE (35).| |
RESULTS |
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Cells in Culture
After several days in culture, nodose ganglion cells could be distinguished in most cases from fibroblasts and other cells by their large rounded soma (20-40 µm). Only in these cells could distinct nucleoli be stained by the tetanus toxin fragment. A fraction of these cells (between 15 and 25%) were brightly labeled with DiI (Fig. 1). The cells clearly labeled were classified as putative NGCAs. No differences in size could be detected between labeled and unlabeled cells.
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Neuron Investigation
In all series described below, stable voltage-clamp recordings were obtained in at least six respective neurons from the nodose ganglion. Exposure to hypoosmotic medium without the addition of experimental drugs produced an increase in conductance of these cells, as indicated by a change in the slope of their current-voltage relationship obtained by the voltage-ramp protocol. The change in conductance had a mean reversal potential of
13 ± 1.2 (SE) mV
(n = 44). The increase in conductance was observed 3 min after the change in the solutions and increased to a peak response
at ~4-7 min. A steady state could be maintained until the
solutions were changed. The current-voltage relationship returned to
control levels 5-6 min after the control medium had been added to
the cells again. ANOVA and analysis of covariance revealed constant increases of inward currents over the voltage range tested that did not
differ between the cells of the different experimental groups
investigated. In the various series of experiments, the increase in
conductance was additionally quantitated by measuring the change in
holding current at
80 mV. In NGCAs, hypoosmotic medium significantly
increased the holding current at
80 mV. In all series of experiments,
nonlabeled cells were investigated or the investigator was blinded and
could not tell whether they were working with NGCAs. It turned out that
all cells that responded to hypoosmotic stress eventually proved to be
labeled. We never saw a decrease in conductance when NGCAs were exposed
to hypoosmotic media.
Effects of PBG and ANG II
NGCAs were tested for the effects of hypoosmotic mechanical stress in the presence of two doses of PBG (10 and 100 µM). Both doses of PBG significantly suppressed the increase in conductance to osmotic stress [Fig. 2, A and B (P > 0.05); data for 100 µM PBG not shown; the change in current at
80 mV due to hypoosmotic media under
control conditions was 390 ± 40 vs. 230 ± 40 pA in the
presence of 100 µM PBG (P > 0.05); current at
80
mV in the presence of control media was 200 ± 53 vs. 230 ± 55 pA, respectively, n = 10 in each group of doses
used].
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We could never observe an attenuation of the increase in conduction due
to hypoosmotic media if ANG II was concomitantly added to the media
(change in current at
80 mV due to hypoosmotic media under control
conditions was 410 ± 45 vs. 390 ± 65 pA in the presence of
ANG II; current at
80 mV in the presence of control media was
190 ± 53 vs. 210 ± 55 pA, respectively, n = 6).
Experiments with PBG and Concomittant Application of Tropisetron
NGCAs were furthermore tested for the effects of hypoosmotic mechanical stress in the presence of lower doses of PBG (10 µM) and concomittant application of 10 nM of the serotonin 5-HT3 antagonist tropisetron. Under these circumstances, the serotonin 5-HT3 receptor agonist PBG failed to attenuate the increase in conductance due to hypoosmotic mechanical stress in NGCAs (Fig. 3, A and B).
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Effects of Gadolinium
Eventually, NGCAs were tested for the effects of hypoosmotic mechanical stress in the presence of gadolinium (10 µM). In these experiments, gadolinium suppressed the increase in conductance associated with hypoosmotic mechanical stress (Fig. 4, A and B; P > 0.05) .
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DISCUSSION |
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The results of these experiments indicate that hypoosmolar mechanical stress significantly increases the conductance of putative NGCAs. This response could be markedly impaired by concomitant stimulation of serotonin 5-HT3 receptors with PBG even in quite low doses. This effect of PBG could be prevented if the serotonin 5-HT3 receptor antagonist tropisetron was constantly added to the media. The putative inhibitor of mechanosensitive channels gadolinium inhibited increases of conductance during mechanical challenge. The peptide angiotensin II had no effect on the NGCAs response to osmotic stretch. It should be noted that our results refer mainly to cell bodies. Comparable studies that used single fiber recordings of baroceptor neurons and investigations of ganglion nodose cells with baroreceptor afferents did not reveal inconsistencies in the responses of sensory axons and their respective neuronal bodies (7). However, this may not be true under all circumstances.
Our report is one of the first to suggest that pharmacological interventions like stimulation of serotonin 5-HT3 receptors that are not coupled to G proteins but interfere with cationic conductance (16) can attenuate neurogenic mechanosensitivity of cells like NGCAs. In any case, the mechanosensitivity of cells like NGCAs is prominently dependent on mechanosensitive cationic channels (2), and our results point to a complex pattern of cationic conductance alterations during mechanical stretch and concomittant serotonin 5-HT3 receptor stimulation. A mere unspecific artifact is unlikely: First, angiotensin II had no effect on conductance increases due to mechanical stretch of NGCAs. This peptide is putatively involved in the neurogenic control of the cardiovascular system on the level of the brain stem or of efferent sympathetic synapses but does not likely modulate sensoric afferent input to the first neuron (32). Second, the effects of serotonin 5-HT3 receptor stimulation on cellular conductance could be specifically blocked with the help of the serotonin 5-HT3 receptor inhibitor tropisetron (14). We cannot decide from our whole cell investigations of ganglion nodosum cells how PBG was able to impair the responses to mechanical stress. One might speculate that subthreshold doses of PBG induced a "leakage" flow of ions that altered the overall conductance of the cell membrane in such a way that increased current through mechanosensitive channels no longer had a detectable effect on the whole cell level.
The reversal potential for the change in conductance of NCGAs produced
by hypoosmotic mechanical stress proved to be comparable to the
reversal potential predicted for a nonselective cationic conductance. A
chloride efflux has been observed with a macroscopic mechanosensitive
current in some systems (12). They might contribute to the
effect observed here. The change in the current-voltage relationship
produced by hypoosmotic mechanical stress was considerably prominent in
the linear portion of the curve between
100 to +40 mV but not in the
region of outward rectification (from
40 to 0 mV). The linearity of
the increase in conductance from
80 to
40 mV implies a lack of
voltage dependence in the response to hypoosmotic mechanical stress.
However, the obvious absence of an effect on the whole cell current
from the reversal potential to 0 mV might represent either voltage
dependence or a masking of the current induced by hypoosmotic
mechanical stress by voltage-gated K+ currents (8,
21, 24). The response pattern of NGCAs proved to be considerably
similar to aortic baroreceptor neurons from the nodose ganglion
(2).
The increase in whole cell conductance produced by hypoosmotic mechanical stress proved to be specific for putative NGCAs. The DiI-labeled neurons uniformly showed an increase in conductance. Unlabeled neurons that responded to hypoosmotic mechanical stress are likely other types of nodose neurons that are mechanosensitive, e.g., aortic afferents and perhaps cells with gastric axons.
A really selective antagonist for mechanosensitive ion channels is
still not at hand. However, gadolinium (22, 36) has been
often used to inhibit mechanosensitive channels. Gadolinium blocked the
increase in conductance produced by hypoosmotic mechanical stress in
putative NGCAs investigated by us. These data are consistent with
earlier reports on mechanosensitive ion channels in other tissue
(20, 22, 36) and most notably in aortic baroreceptor neurons from the nodose ganglion (2). Because gadolinium
also inhibits other channels besides mechanosensitive channels
(1, 6), the mechanosensitivity of aortic baroreceptors
neurons was also investigated with lanthanum, another trivalent cation, and a calcium channel blocker,
-conotoxin (2).
Neither of these substances significantly affected the responses of
aortic baroreceptor neurons to hypoosmotic mechanical stress,
suggesting that the gadolinium effect could be due to its action on
mechanosensitive channels and is not mediated by calcium channels.
However, one should keep in mind that gadolinium has been reported to
block increases in [Ca2+], produced by mechanical
stimulation of nodose neurons in vitro (25, 27).
In case one assumes that osmotic stretch (being widely used to induce mechanical stress) is a valid tool to test mechanosensitivity of neurogenic cells in certain respects, our results with mechanosensitive NGCAs can be carefully related to our previous in vivo work in rats. First, they support the in vivo observation that the control of RSNA by mechanosensitive cardiopulmonary reflexes stimulated with a saline volume load was considerably impaired in rats preinfused with subthreshold doses of the serotonin 5-HT3 receptor agonist PBG (30). In this respect, our findings allow for the hypothesis that serotonin 5-HT3 receptors on cardiac afferent axons contained within the vagal nerve may directly influence the mechanosensitivity of these neural pathways.
It is likely that in vivo platelets serve as an endogenous source for serotonin, stimulating 5-HT3 receptors on cardiac nerves. Because the release of serotonin by platelets appears to occur predominantly in coronary arteries with endothelial damage (9, 26), it is possible that these chemoreceptor-mediated reflexes are important in certain forms of coronary heart disease. In some patients with complex coronary artery lesions, the transcardiac serotonin concentration was permanently increased (29). In a recent study in patients with coronary artery disease, increased serotonin levels augmented the likelihood of severe cardiac events (34). Under these circumstances, when, in addition, cardiac filling pressures are often above normal due to developing cardiac insufficiency and subsequently mechanosensitive cardiopulmonary reflexes are chronically stimulated, volume homeostasis could be adversely influenced by serotonin 5-HT3 receptors on cardiac vagal afferent fibers projecting to their respective NGCAs.
In conclusion, the results of our study on NGCAs extend our knowledge concerning the evidence for mechanosensitive currents in neurons of the nodose ganglion involved in cardiovascular control. So far, this evidence was only reported for aortic baroreceptor neurons, but not for NGCAs. Our results further substantiate the notion that mechanosensitive ion channels may be involved in mechanoelectric transduction not only of aortic baroreceptors, but also of sensoric mechanisms related to the heart.
Eventually, we could demonstrate that stimulation of serotonin 5-HT3 receptors influencing cationic conductance will impair the mechanosensitive increase in conductance of NGCAs to osmotic stress. Further research on the involvement of specific channels during mechanical stimulation of NGCAs and concomittant serotonin 5-HT3 receptor activation might be helpful to understand the interaction of chemosensitive and mechanosensitive properties of cardiorenal reflexes in vivo under physiological and pathophysiological conditions.
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FOOTNOTES |
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Address for reprint requests and other correspondence: R. Veelken, Dept. of Medicine IV, Univ. of Erlangen-Nürnberg, Loschgestrasse 8, 91054 Erlangen, Germany (E-mail: mfm431{at}rzmail.uni-erlangen.de).
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
10.1152/ajpheart.00708.2000
Received 27 July 2001; accepted in final form 29 November 2001.
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