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Volumn 270, Issue 3, 2011, Pages 215-223

Treatment with an oral direct thrombin inhibitor decreases platelet activity but increases markers of inflammation in patients with myocardial infarction

Author keywords

Anticoagulation treatment; Antithrombotic treatment; Inflammation; Myocardial infarction; Platelets

Indexed keywords

ACETYLSALICYLIC ACID; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; BIOLOGICAL MARKER; C REACTIVE PROTEIN; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; HEPARIN; HYDROXYMETHYLGLUTARYL COENZYME A REDUCTASE INHIBITOR; INTERLEUKIN 10; INTERLEUKIN 18; LOW MOLECULAR WEIGHT HEPARIN; PADGEM PROTEIN; PLACEBO; THROMBIN INHIBITOR; THROMBOPLASTIN; XIMELAGATRAN;

EID: 80051562671     PISSN: 09546820     EISSN: 13652796     Source Type: Journal    
DOI: 10.1111/j.1365-2796.2011.02354.x     Document Type: Article
Times cited : (29)

References (49)
  • 1
    • 17644412023 scopus 로고    scopus 로고
    • Inflammation, atherosclerosis, and coronary artery disease
    • Hansson GK. Inflammation, atherosclerosis, and coronary artery disease. N Engl J Med 2005; 352: 1685-95.
    • (2005) N Engl J Med , vol.352 , pp. 1685-1695
    • Hansson, G.K.1
  • 2
    • 1142273373 scopus 로고    scopus 로고
    • Role of platelets in coronary thrombosis and reperfusion of ischemic myocardium
    • Gawaz M. Role of platelets in coronary thrombosis and reperfusion of ischemic myocardium. Cardiovasc Res 2004; 61: 498-511.
    • (2004) Cardiovasc Res , vol.61 , pp. 498-511
    • Gawaz, M.1
  • 3
    • 0029143965 scopus 로고
    • Increased soluble form of P-selectin in patients with unstable angina
    • Ikeda H, Takajo Y, Ichiki K et al. Increased soluble form of P-selectin in patients with unstable angina. Circulation 1995; 92: 1693-6.
    • (1995) Circulation , vol.92 , pp. 1693-1696
    • Ikeda, H.1    Takajo, Y.2    Ichiki, K.3
  • 4
    • 0030963816 scopus 로고    scopus 로고
    • Increased plasma tissue factor levels in acute myocardial infarction
    • Suefuji H, Ogawa H, Yasue H et al. Increased plasma tissue factor levels in acute myocardial infarction. Am Heart J 1997; 134: 253-9.
    • (1997) Am Heart J , vol.134 , pp. 253-259
    • Suefuji, H.1    Ogawa, H.2    Yasue, H.3
  • 6
    • 13044304178 scopus 로고    scopus 로고
    • Blood-borne tissue factor: another view of thrombosis
    • Giesen PL, Rauch U, Bohrmann B et al. Blood-borne tissue factor: another view of thrombosis. Proc Natl Acad Sci USA 1999; 96: 2311-5.
    • (1999) Proc Natl Acad Sci USA , vol.96 , pp. 2311-2315
    • Giesen, P.L.1    Rauch, U.2    Bohrmann, B.3
  • 7
    • 0030749941 scopus 로고    scopus 로고
    • Soluble P-selectin in atherosclerosis: a comparison with endothelial cell and platelet markers
    • Blann AD, Lip GY, Beevers DG, McCollum CN. Soluble P-selectin in atherosclerosis: a comparison with endothelial cell and platelet markers. Thromb Haemost 1997; 77: 1077-80.
    • (1997) Thromb Haemost , vol.77 , pp. 1077-1080
    • Blann, A.D.1    Lip, G.Y.2    Beevers, D.G.3    McCollum, C.N.4
  • 8
    • 0030794650 scopus 로고    scopus 로고
    • The origin of P-selectin as a circulating plasma protein
    • Fijnheer R, Frijns CJ, Korteweg J et al. The origin of P-selectin as a circulating plasma protein. Thromb Haemost 1997; 77: 1081-5.
    • (1997) Thromb Haemost , vol.77 , pp. 1081-1085
    • Fijnheer, R.1    Frijns, C.J.2    Korteweg, J.3
  • 9
    • 0033219422 scopus 로고    scopus 로고
    • Production of soluble P-selectin by platelets and endothelial cells
    • Semenov AV, Romanov YA, Loktionova SA et al. Production of soluble P-selectin by platelets and endothelial cells. Biochemistry (Mosc) 1999; 64: 1326-35.
    • (1999) Biochemistry (Mosc) , vol.64 , pp. 1326-1335
    • Semenov, A.V.1    Romanov, Y.A.2    Loktionova, S.A.3
  • 10
    • 0034687438 scopus 로고    scopus 로고
    • Markers of myocardial damage and inflammation in relation to long-term mortality in unstable coronary artery disease. Frisc study group. Fragmin during instability in coronary artery disease
    • Lindahl B, Toss H, Siegbahn A, Venge P, Wallentin L. Markers of myocardial damage and inflammation in relation to long-term mortality in unstable coronary artery disease. Frisc study group. Fragmin during instability in coronary artery disease. N Engl J Med 2000; 343: 1139-47.
    • (2000) N Engl J Med , vol.343 , pp. 1139-1147
    • Lindahl, B.1    Toss, H.2    Siegbahn, A.3    Venge, P.4    Wallentin, L.5
  • 11
    • 44349110126 scopus 로고    scopus 로고
    • Raised interleukin-10 is an indicator of poor outcome and enhanced systemic inflammation in patients with acute coronary syndrome
    • Malarstig A, Eriksson P, Hamsten A, Lindahl B, Wallentin L, Siegbahn A. Raised interleukin-10 is an indicator of poor outcome and enhanced systemic inflammation in patients with acute coronary syndrome. Heart 2008; 94: 724-9.
    • (2008) Heart , vol.94 , pp. 724-729
    • Malarstig, A.1    Eriksson, P.2    Hamsten, A.3    Lindahl, B.4    Wallentin, L.5    Siegbahn, A.6
  • 12
    • 0036645560 scopus 로고    scopus 로고
    • Interleukin-18 is a strong predictor of cardiovascular death in stable and unstable angina
    • Blankenberg S, Tiret L, Bickel C et al. Interleukin-18 is a strong predictor of cardiovascular death in stable and unstable angina. Circulation 2002; 106: 24-30.
    • (2002) Circulation , vol.106 , pp. 24-30
    • Blankenberg, S.1    Tiret, L.2    Bickel, C.3
  • 13
    • 0035797867 scopus 로고    scopus 로고
    • Expression of interleukin-18 in human atherosclerotic plaques and relation to plaque instability
    • Mallat Z, Corbaz A, Scoazec A et al. Expression of interleukin-18 in human atherosclerotic plaques and relation to plaque instability. Circulation 2001; 104: 1598-603.
    • (2001) Circulation , vol.104 , pp. 1598-1603
    • Mallat, Z.1    Corbaz, A.2    Scoazec, A.3
  • 14
    • 70349306707 scopus 로고    scopus 로고
    • Dabigatran versus warfarin in patients with atrial fibrillation
    • Connolly SJ, Ezekowitz MD, Yusuf S et al. Dabigatran versus warfarin in patients with atrial fibrillation. N Engl J Med 2009; 361: 1139-51.
    • (2009) N Engl J Med , vol.361 , pp. 1139-1151
    • Connolly, S.J.1    Ezekowitz, M.D.2    Yusuf, S.3
  • 15
    • 0041829444 scopus 로고    scopus 로고
    • Oral ximelagatran for secondary prophylaxis after myocardial infarction: the esteem randomised controlled trial
    • Wallentin L, Wilcox RG, Weaver WD et al. Oral ximelagatran for secondary prophylaxis after myocardial infarction: the esteem randomised controlled trial. Lancet 2003; 362: 789-97.
    • (2003) Lancet , vol.362 , pp. 789-797
    • Wallentin, L.1    Wilcox, R.G.2    Weaver, W.D.3
  • 16
    • 71849117615 scopus 로고    scopus 로고
    • Dabigatran versus warfarin in the treatment of acute venous thromboembolism
    • Schulman S, Kearon C, Kakkar AK et al. Dabigatran versus warfarin in the treatment of acute venous thromboembolism. N Engl J Med 2009; 361: 2342-52.
    • (2009) N Engl J Med , vol.361 , pp. 2342-2352
    • Schulman, S.1    Kearon, C.2    Kakkar, A.K.3
  • 17
    • 41649094810 scopus 로고    scopus 로고
    • Dendritic cell par1-s1p3 signalling couples coagulation and inflammation
    • Niessen F, Schaffner F, Furlan-Freguia C et al. Dendritic cell par1-s1p3 signalling couples coagulation and inflammation. Nature 2008; 452: 654-8.
    • (2008) Nature , vol.452 , pp. 654-658
    • Niessen, F.1    Schaffner, F.2    Furlan-Freguia, C.3
  • 18
    • 33746888276 scopus 로고    scopus 로고
    • Modulation of monocyte function by activated protein c, a natural anticoagulant
    • Stephenson DA, Toltl LJ, Beaudin S, Liaw PC. Modulation of monocyte function by activated protein c, a natural anticoagulant. J Immunol 2006; 177: 2115-22.
    • (2006) J Immunol , vol.177 , pp. 2115-2122
    • Stephenson, D.A.1    Toltl, L.J.2    Beaudin, S.3    Liaw, P.C.4
  • 19
    • 33847357422 scopus 로고    scopus 로고
    • Thrombin-activatable procarboxypeptidase b regulates activated complement c5a in vivo
    • Nishimura T, Myles T, Piliponsky AM, Kao PN, Berry GJ, Leung LL. Thrombin-activatable procarboxypeptidase b regulates activated complement c5a in vivo. Blood 2007; 109: 1992-7.
    • (2007) Blood , vol.109 , pp. 1992-1997
    • Nishimura, T.1    Myles, T.2    Piliponsky, A.M.3    Kao, P.N.4    Berry, G.J.5    Leung, L.L.6
  • 20
    • 0345414673 scopus 로고    scopus 로고
    • Stroke prevention with the oral direct thrombin inhibitor ximelagatran compared with warfarin in patients with non-valvular atrial fibrillation (sportif iii): randomised controlled trial
    • Olsson SB. Stroke prevention with the oral direct thrombin inhibitor ximelagatran compared with warfarin in patients with non-valvular atrial fibrillation (sportif iii): randomised controlled trial. Lancet 2003; 362: 1691-8.
    • (2003) Lancet , vol.362 , pp. 1691-1698
    • Olsson, S.B.1
  • 21
    • 28444440214 scopus 로고    scopus 로고
    • Long-term treatment with ximelagatran, an oral direct thrombin inhibitor, persistently reduces the coagulation activity after a myocardial infarction
    • Christersson C, Oldgren J, Bylock A, Wallentin L, Siegbahn A. Long-term treatment with ximelagatran, an oral direct thrombin inhibitor, persistently reduces the coagulation activity after a myocardial infarction. J Thromb Haemost 2005; 3: 2245-53.
    • (2005) J Thromb Haemost , vol.3 , pp. 2245-2253
    • Christersson, C.1    Oldgren, J.2    Bylock, A.3    Wallentin, L.4    Siegbahn, A.5
  • 22
    • 77957117223 scopus 로고    scopus 로고
    • The influence of direct thrombin inhibitors on the formation of platelet-leukocyte aggregates and tissue factor expression
    • Christersson C, Johnell M, Siegbahn A. The influence of direct thrombin inhibitors on the formation of platelet-leukocyte aggregates and tissue factor expression. Thromb Res 2010; 126: e327-33.
    • (2010) Thromb Res , vol.126
    • Christersson, C.1    Johnell, M.2    Siegbahn, A.3
  • 23
    • 0029999311 scopus 로고    scopus 로고
    • Flow cytometric evaluation of the effect of various thrombin inhibitors on platelet activation in whole blood
    • Kaiser B, Koza M, Walenga JM, Fareed J. Flow cytometric evaluation of the effect of various thrombin inhibitors on platelet activation in whole blood. Thromb Res 1996; 82: 257-63.
    • (1996) Thromb Res , vol.82 , pp. 257-263
    • Kaiser, B.1    Koza, M.2    Walenga, J.M.3    Fareed, J.4
  • 24
    • 0037297332 scopus 로고    scopus 로고
    • Thrombin-induced platelet activation and its inhibition by anticoagulants with different modes of action
    • Nylander S, Mattsson C. Thrombin-induced platelet activation and its inhibition by anticoagulants with different modes of action. Blood Coagul Fibrinolysis 2003; 14: 159-67.
    • (2003) Blood Coagul Fibrinolysis , vol.14 , pp. 159-167
    • Nylander, S.1    Mattsson, C.2
  • 25
    • 62449174262 scopus 로고    scopus 로고
    • Bivalirudin reduces platelet and monocyte activation after elective percutaneous coronary intervention
    • Busch G, Steppich B, Sibbing D et al. Bivalirudin reduces platelet and monocyte activation after elective percutaneous coronary intervention. Thromb Haemost 2009; 101: 340-4.
    • (2009) Thromb Haemost , vol.101 , pp. 340-344
    • Busch, G.1    Steppich, B.2    Sibbing, D.3
  • 26
    • 0344062615 scopus 로고    scopus 로고
    • Effects of the oral direct thrombin inhibitor ximelagatran on P-selectin expression and thrombin generation in atrial fibrillation
    • Wolzt M, Bostrom SL, Svensson M, Wahlander K, Grind M, Sarich TC. Effects of the oral direct thrombin inhibitor ximelagatran on P-selectin expression and thrombin generation in atrial fibrillation. Pathophysiol Haemost Thromb 2003; 33: 68-74.
    • (2003) Pathophysiol Haemost Thromb , vol.33 , pp. 68-74
    • Wolzt, M.1    Bostrom, S.L.2    Svensson, M.3    Wahlander, K.4    Grind, M.5    Sarich, T.C.6
  • 27
    • 33748177886 scopus 로고    scopus 로고
    • Plasma interleukin (il)-18 concentrations is elevated in patients with previous myocardial infarction and related to severity of coronary atherosclerosis independently of c-reactive protein and il-6
    • Hulthe J, McPheat W, Samnegard A, Tornvall P, Hamsten A, Eriksson P. Plasma interleukin (il)-18 concentrations is elevated in patients with previous myocardial infarction and related to severity of coronary atherosclerosis independently of c-reactive protein and il-6. Atherosclerosis 2006; 188: 450-4.
    • (2006) Atherosclerosis , vol.188 , pp. 450-454
    • Hulthe, J.1    McPheat, W.2    Samnegard, A.3    Tornvall, P.4    Hamsten, A.5    Eriksson, P.6
  • 28
    • 46749084607 scopus 로고    scopus 로고
    • Protease activated receptor 1 (par-1) activation by thrombin is protective in human pulmonary artery endothelial cells if endothelial protein c receptor is occupied by its natural ligand
    • Bae JS, Rezaie AR. Protease activated receptor 1 (par-1) activation by thrombin is protective in human pulmonary artery endothelial cells if endothelial protein c receptor is occupied by its natural ligand. Thromb Haemost 2008; 100: 101-9.
    • (2008) Thromb Haemost , vol.100 , pp. 101-109
    • Bae, J.S.1    Rezaie, A.R.2
  • 29
    • 27144476216 scopus 로고    scopus 로고
    • Microcirculatory alterations in ischemia-reperfusion injury and sepsis: effects of activated protein c and thrombin inhibition
    • Hoffmann JN, Vollmar B, Laschke MW, Fertmann JM, Jauch KW, Menger MD. Microcirculatory alterations in ischemia-reperfusion injury and sepsis: effects of activated protein c and thrombin inhibition. Crit Care (London, England) 2005; 9(Suppl 4): S33-7.
    • (2005) Crit Care (London, England) , vol.9 , Issue.SUPPL. 4
    • Hoffmann, J.N.1    Vollmar, B.2    Laschke, M.W.3    Fertmann, J.M.4    Jauch, K.W.5    Menger, M.D.6
  • 30
    • 0037148510 scopus 로고    scopus 로고
    • Expression of interleukin (il)-18 and functional il-18 receptor on human vascular endothelial cells, smooth muscle cells, and macrophages: implications for atherogenesis
    • Gerdes N, Sukhova GK, Libby P, Reynolds RS, Young JL, Schonbeck U. Expression of interleukin (il)-18 and functional il-18 receptor on human vascular endothelial cells, smooth muscle cells, and macrophages: implications for atherogenesis. J Exp Med 2002; 195: 245-57.
    • (2002) J Exp Med , vol.195 , pp. 245-257
    • Gerdes, N.1    Sukhova, G.K.2    Libby, P.3    Reynolds, R.S.4    Young, J.L.5    Schonbeck, U.6
  • 31
    • 0141961884 scopus 로고    scopus 로고
    • C-reactive protein-induced production of interleukin-18 in human endothelial cells: a mechanism of orchestrating cytokine cascade in acute coronary syndrome
    • Yamaoka-Tojo M, Tojo T, Masuda T et al. C-reactive protein-induced production of interleukin-18 in human endothelial cells: a mechanism of orchestrating cytokine cascade in acute coronary syndrome. Heart Vessels 2003; 18: 183-7.
    • (2003) Heart Vessels , vol.18 , pp. 183-187
    • Yamaoka-Tojo, M.1    Tojo, T.2    Masuda, T.3
  • 32
    • 0033569130 scopus 로고    scopus 로고
    • Protective role of interleukin-10 in atherosclerosis
    • Mallat Z, Besnard S, Duriez M et al. Protective role of interleukin-10 in atherosclerosis. Circ Res 1999; 85: e17-24.
    • (1999) Circ Res , vol.85
    • Mallat, Z.1    Besnard, S.2    Duriez, M.3
  • 34
    • 23944483960 scopus 로고    scopus 로고
    • Interleukin-18: interleukin-10 ratio and in-hospital adverse events in patients with acute coronary syndrome
    • Chalikias GK, Tziakas DN, Kaski JC et al. Interleukin-18: interleukin-10 ratio and in-hospital adverse events in patients with acute coronary syndrome. Atherosclerosis 2005; 182: 135-43.
    • (2005) Atherosclerosis , vol.182 , pp. 135-143
    • Chalikias, G.K.1    Tziakas, D.N.2    Kaski, J.C.3
  • 35
    • 0037274904 scopus 로고    scopus 로고
    • IL-18 initiates release of matrix metalloproteinase-9 from peripheral blood mononuclear cells without affecting tissue inhibitor of matrix metalloproteinases-1: suppression by tnf alpha blockage and modulation by IL-10
    • Nold M, Goede A, Eberhardt W, Pfeilschifter J, Muhl H. IL-18 initiates release of matrix metalloproteinase-9 from peripheral blood mononuclear cells without affecting tissue inhibitor of matrix metalloproteinases-1: suppression by tnf alpha blockage and modulation by IL-10. Naunyn Schmiedebergs Arch Pharmacol 2003; 367: 68-75.
    • (2003) Naunyn Schmiedebergs Arch Pharmacol , vol.367 , pp. 68-75
    • Nold, M.1    Goede, A.2    Eberhardt, W.3    Pfeilschifter, J.4    Muhl, H.5
  • 36
    • 0038078373 scopus 로고    scopus 로고
    • Serum level of the antiinflammatory cytokine interleukin-10 is an important prognostic determinant in patients with acute coronary syndromes
    • Heeschen C, Dimmeler S, Hamm CW et al. Serum level of the antiinflammatory cytokine interleukin-10 is an important prognostic determinant in patients with acute coronary syndromes. Circulation 2003; 107: 2109-14.
    • (2003) Circulation , vol.107 , pp. 2109-2114
    • Heeschen, C.1    Dimmeler, S.2    Hamm, C.W.3
  • 37
    • 27544496188 scopus 로고    scopus 로고
    • Influence of prolonged dalteparin treatment on coagulation, fibrinolysis and inflammation in unstable coronary artery disease
    • Oldgren J, Fellenius C, Boman K et al. Influence of prolonged dalteparin treatment on coagulation, fibrinolysis and inflammation in unstable coronary artery disease. J Intern Med 2005; 258: 420-7.
    • (2005) J Intern Med , vol.258 , pp. 420-427
    • Oldgren, J.1    Fellenius, C.2    Boman, K.3
  • 38
    • 0025177196 scopus 로고
    • Elevation of c-reactive protein in "active" coronary artery disease
    • Berk BC, Weintraub WS, Alexander RW. Elevation of c-reactive protein in "active" coronary artery disease. Am J Cardiol 1990; 65: 168-72.
    • (1990) Am J Cardiol , vol.65 , pp. 168-172
    • Berk, B.C.1    Weintraub, W.S.2    Alexander, R.W.3
  • 39
    • 0037040211 scopus 로고    scopus 로고
    • Interleukin-18 enhances atherosclerosis in apolipoprotein e(-/-) mice through release of interferon-gamma
    • Whitman SC, Ravisankar P, Daugherty A. Interleukin-18 enhances atherosclerosis in apolipoprotein e(-/-) mice through release of interferon-gamma. Circ Res 2002; 90: E34-8.
    • (2002) Circ Res , vol.90
    • Whitman, S.C.1    Ravisankar, P.2    Daugherty, A.3
  • 40
    • 13444278653 scopus 로고    scopus 로고
    • Ximelagatran vs low-molecular-weight heparin and warfarin for the treatment of deep vein thrombosis: a randomized trial
    • Fiessinger JN, Huisman MV, Davidson BL et al. Ximelagatran vs low-molecular-weight heparin and warfarin for the treatment of deep vein thrombosis: a randomized trial. JAMA 2005; 293: 681-9.
    • (2005) JAMA , vol.293 , pp. 681-689
    • Fiessinger, J.N.1    Huisman, M.V.2    Davidson, B.L.3
  • 41
    • 77956229745 scopus 로고    scopus 로고
    • Does warfarin for stroke thromboprophylaxis protect against mi in atrial fibrillation patients?
    • Lip GY, Lane DA. Does warfarin for stroke thromboprophylaxis protect against mi in atrial fibrillation patients? Am J Med 2010; 123: 785-9.
    • (2010) Am J Med , vol.123 , pp. 785-789
    • Lip, G.Y.1    Lane, D.A.2
  • 42
    • 0028557209 scopus 로고
    • P-selectin induces the expression of tissue factor on monocytes
    • Celi A, Pellegrini G, Lorenzet R et al. P-selectin induces the expression of tissue factor on monocytes. Proc Natl Acad Sci USA 1994; 91: 8767-71.
    • (1994) Proc Natl Acad Sci USA , vol.91 , pp. 8767-8771
    • Celi, A.1    Pellegrini, G.2    Lorenzet, R.3
  • 43
    • 0029993531 scopus 로고    scopus 로고
    • Activated platelets signal chemokine synthesis by human monocytes
    • Weyrich AS, Elstad MR, McEver RP et al. Activated platelets signal chemokine synthesis by human monocytes. J Clin Invest 1996; 97: 1525-34.
    • (1996) J Clin Invest , vol.97 , pp. 1525-1534
    • Weyrich, A.S.1    Elstad, M.R.2    McEver, R.P.3
  • 44
    • 43749116203 scopus 로고    scopus 로고
    • Tissue factor and IL8 production by P-selectin-dependent platelet-monocyte aggregates in whole blood involves phosphorylation of lyn and is inhibited by IL10
    • Christersson C, Johnell M, Siegbahn A. Tissue factor and IL8 production by P-selectin-dependent platelet-monocyte aggregates in whole blood involves phosphorylation of lyn and is inhibited by IL10. J Thromb Haemost 2008; 6: 986-94.
    • (2008) J Thromb Haemost , vol.6 , pp. 986-994
    • Christersson, C.1    Johnell, M.2    Siegbahn, A.3
  • 46
    • 48449088506 scopus 로고    scopus 로고
    • Microparticles in vascular diseases
    • George FD. Microparticles in vascular diseases. Thromb Res 2008; 122(Suppl 1): S55-9.
    • (2008) Thromb Res , vol.122 , Issue.SUPPL. 1
    • George, F.D.1
  • 49
    • 34548575058 scopus 로고    scopus 로고
    • Dabigatran etexilate versus enoxaparin for prevention of venous thromboembolism after total hip replacement: a randomised, double-blind, non-inferiority trial
    • Eriksson BI, Dahl OE, Rosencher N et al. Dabigatran etexilate versus enoxaparin for prevention of venous thromboembolism after total hip replacement: a randomised, double-blind, non-inferiority trial. Lancet 2007; 370: 949-56.
    • (2007) Lancet , vol.370 , pp. 949-956
    • Eriksson, B.I.1    Dahl, O.E.2    Rosencher, N.3


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