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J. Pathol. 187: 530–534 (1999) FUNCTIONAL LOSS OF E-CADHERIN AND CADHERIN-11 ALLELES ON CHROMOSOME 16q22 IN COLONIC CANCER 1 , 2 , 1 , 2 , - 3 , ¨ 1,3 . 1 * 1 Institut für Pathologie, GSF-Forschungszentrum für Umwelt und Gesundheit, Neuherberg, Germany 2 Chirurgische Klinik der Technischen Universität München, München, Germany 3 Institut für Allgemeine Pathologie und Pathologische Anatomie der Technischen Universität München, München, Germany SUMMARY Proteins of the cadherin family regulate cellular adhesion and motility and are believed to act as tumour suppressors. Previous studies have identified frequent mutation and allelic inactivation of the E-cadherin (cadherin-1) locus in diuse gastric cancer. At least two other cadherin genes, P-cadherin (cadherin-3) and OB-cadherin (cadherin-11), have been mapped close to the E-cadherin gene on chromosome 16q22. As this region of the genome is frequently deleted in malignancy, multiple cadherin loci may be aected by losses of chromosome 16q22. The expression of mRNA transcripts from polymorphic alleles of the E-cadherin and cadherin-11 genes was examined in 30 cases of colonic, gastric, and renal carcinoma. In gastric cancer, loss of expression of one allele was restricted to the E-cadherin locus, whilst in renal carcinoma neither locus was aected. In colonic cancers, loss of expression of one E-cadherin allele was detected in 5 of 22 cases, whilst loss of a cadherin-11 allele was seen in 5 of 23 cases. This functional loss of cadherin gene expression may be due to gene deletion, inactivation or recombination. As no evidence of cadherin gene mutation was observed in the remaining transcripts, we can conclude that these two genes are only indirectly involved in the pathogenesis of colorectal cancer. Copyright ? 1999 John Wiley & Sons, Ltd. KEY WORDS—cadherins; functional allelic loss; colorectal cancer; chromosome 16q22 INTRODUCTION The classical cadherins are a family of transmembrane glycoproteins mediating cell adhesion and intercellular signalling. The extracellular domains engage in calcium- dependent homotypic binding, whilst the cytosolic domains interact with cytoskeletal elements and the Wnt/-catenin (wingless/armadillo) signalling path- way. 1,2 During embryogenesis, both the spatial– temporal distribution and the type of cadherin expression are closely regulated, allowing the aggrega- tion, disaggregation, and migration of cell populations that is essential for morphogenesis. 2,3 In adult tissues, expression of multiple cadherins maintains tissue integ- rity and allows complex interactions between dierent cell populations. 3 Inappropriate loss of cadherin expression can have dramatic consequences in both embryonic and dieren- tiated tissues. Targeted deletion of the E-cadherin (cadherin-1) 4 or N-cadherin (cadherin-2) 5 genes results in early embryonic death, due to failure correctly to organize embryonic tissues. Down-regulation and mu- tation of E-cadherin are associated with epithelial carcinogenesis in diuse stomach cancer, 6 ovarian, 7 and mammary carcinoma. 8 Similar carcinogenic phenotypes are associated with mutation or abnormal expression of other components of the Wnt/catenin signalling path- way, including Wnt 2 and Wnt 5A, 9,10 -catenin, 11,12 and APC. 13 Using intragenic E-cadherin polymorphisms, we were able to identify loss of expression of one allele in 42 per cent of gastric carcinomas, 14 consistent with a tumour/ metastasis-suppressor role for the adhesion molecule. However, whilst mutation of E-cadherin was observed exclusively in diuse-type gastric carcinomas, allelic loss was equally frequent in diuse and intestinal-type tumours. This observation suggests that the aected region may extend beyond the E-cadherin locus to include other tumour-suppressor genes. Deletion of chromosome 16q22 sequences is not restricted to gastric cancer and has been additionally reported in hepato- cellular, 15 prostate, 16 endometrial, 17 and breast cancer. 18 At least three cadherin genes (E-cadherin, P-cadherin, and cadherin-11) map to chromosome 16q22. 19 (Note that the anonymous human EST WI-2756, which maps to the chromosme 16q22 YAC contig WC 16-5, is in fact derived from the cadherin-11 sequence.) Consequently, this cluster of cadherin genes is a strong candidate to be aected by allelic loss of chromosome 16q22. In this initial characterization, we present evidence establishing allelic inactivation aecting the E-cadherin and cadherin-11 loci in colonic cancer. MATERIALS AND METHODS Patient material Thirty cases each of gastric, renal, and colonic cancer were obtained from the tumour/tissue bank of the Institutes of Pathology of the GSF-National Research Centre and the Technical University of *Correspondence to: Michael J. Atkinson, GSF-Institut für Pathologie, Ingolstaedter Landstrasse 1, D85764 Neuherberg, Germany. CCC 0022–3417/99/050530–05$17.50 Copyright ? 1999 John Wiley & Sons, Ltd. Received 4 March 1998 Revised 3 July 1998 Accepted 27 November 1998

Functional loss of E-cadherin and cadherin-11 alleles on chromosome 16q22 in colonic cancer

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J. Pathol. 187: 530–534 (1999)

FUNCTIONAL LOSS OF E-CADHERIN ANDCADHERIN-11 ALLELES ON CHROMOSOME 16q22 IN

COLONIC CANCER

1, 2, 1, 2, - 3, ̈1,3 . 1*

1Institut für Pathologie, GSF-Forschungszentrum für Umwelt und Gesundheit, Neuherberg, Germany2Chirurgische Klinik der Technischen Universität München, München, Germany

3Institut für Allgemeine Pathologie und Pathologische Anatomie der Technischen Universität München, München, Germany

SUMMARY

Proteins of the cadherin family regulate cellular adhesion and motility and are believed to act as tumour suppressors. Previous studieshave identified frequent mutation and allelic inactivation of the E-cadherin (cadherin-1) locus in diffuse gastric cancer. At least two othercadherin genes, P-cadherin (cadherin-3) and OB-cadherin (cadherin-11), have been mapped close to the E-cadherin gene on chromosome16q22. As this region of the genome is frequently deleted in malignancy, multiple cadherin loci may be affected by losses of chromosome16q22. The expression of mRNA transcripts from polymorphic alleles of the E-cadherin and cadherin-11 genes was examined in 30 casesof colonic, gastric, and renal carcinoma. In gastric cancer, loss of expression of one allele was restricted to the E-cadherin locus, whilstin renal carcinoma neither locus was affected. In colonic cancers, loss of expression of one E-cadherin allele was detected in 5 of 22 cases,whilst loss of a cadherin-11 allele was seen in 5 of 23 cases. This functional loss of cadherin gene expression may be due to gene deletion,inactivation or recombination. As no evidence of cadherin gene mutation was observed in the remaining transcripts, we can conclude thatthese two genes are only indirectly involved in the pathogenesis of colorectal cancer. Copyright ? 1999 John Wiley & Sons, Ltd.

KEY WORDS—cadherins; functional allelic loss; colorectal cancer; chromosome 16q22

INTRODUCTION

The classical cadherins are a family of transmembraneglycoproteins mediating cell adhesion and intercellularsignalling. The extracellular domains engage in calcium-dependent homotypic binding, whilst the cytosolicdomains interact with cytoskeletal elements and theWnt/â-catenin (wingless/armadillo) signalling path-way.1,2 During embryogenesis, both the spatial–temporal distribution and the type of cadherinexpression are closely regulated, allowing the aggrega-tion, disaggregation, and migration of cell populationsthat is essential for morphogenesis.2,3 In adult tissues,expression of multiple cadherins maintains tissue integ-rity and allows complex interactions between differentcell populations.3

Inappropriate loss of cadherin expression can havedramatic consequences in both embryonic and differen-tiated tissues. Targeted deletion of the E-cadherin(cadherin-1)4 or N-cadherin (cadherin-2)5 genes resultsin early embryonic death, due to failure correctly toorganize embryonic tissues. Down-regulation and mu-tation of E-cadherin are associated with epithelialcarcinogenesis in diffuse stomach cancer,6 ovarian,7 andmammary carcinoma.8 Similar carcinogenic phenotypesare associated with mutation or abnormal expression ofother components of the Wnt/catenin signalling path-way, including Wnt 2 and Wnt 5A,9,10 â-catenin,11,12

and APC.13

Germany.

CCC 0022–3417/99/050530–05$17.50Copyright ? 1999 John Wiley & Sons, Ltd.

Using intragenic E-cadherin polymorphisms, we wereable to identify loss of expression of one allele in 42 percent of gastric carcinomas,14 consistent with a tumour/metastasis-suppressor role for the adhesion molecule.However, whilst mutation of E-cadherin was observedexclusively in diffuse-type gastric carcinomas, allelic losswas equally frequent in diffuse and intestinal-typetumours. This observation suggests that the affectedregion may extend beyond the E-cadherin locus toinclude other tumour-suppressor genes. Deletion ofchromosome 16q22 sequences is not restricted to gastriccancer and has been additionally reported in hepato-cellular,15 prostate,16 endometrial,17 and breast cancer.18

At least three cadherin genes (E-cadherin, P-cadherin,and cadherin-11) map to chromosome 16q22.19 (Notethat the anonymous human EST WI-2756, which mapsto the chromosme 16q22 YAC contig WC 16-5, is in factderived from the cadherin-11 sequence.) Consequently,this cluster of cadherin genes is a strong candidate to beaffected by allelic loss of chromosome 16q22. In thisinitial characterization, we present evidence establishingallelic inactivation affecting the E-cadherin andcadherin-11 loci in colonic cancer.

MATERIALS AND METHODS

*Correspondence to: Michael J. Atkinson, GSF-Institut fürPathologie, Ingolstaedter Landstrasse 1, D85764 Neuherberg,

Patient material

Thirty cases each of gastric, renal, and coloniccancer were obtained from the tumour/tissue bank ofthe Institutes of Pathology of the GSF-National

Research Centre and the Technical University of

Received 4 March 1998Revised 3 July 1998

Accepted 27 November 1998

531FUNCTIONAL ALLELIC LOSS OF CADHERIN LOCI IN COLONIC CANCER

Munich. Non-tumour tissue samples were excisedmacroscopically from areas adjacent to tumour tissueand both tumour and non-tumour samples were snap-frozen in liquid nitrogen.

Histological analysis was performed to confirm theidentity of the samples before use.

extraction.

Molecular analysis of allelic status of cadherin geneexpression

Nucleic acids were extracted from frozen tissues usingguanidinium thiocyanate and phenol.20 Total RNA(1 ìg) was subjected to reverse-transcription; 1/25th ofthe reaction product was subsequently amplified bypolymerase chain reaction (RT-PCR), and the PCRproduct directly sequenced. Conditions and primers forthe analysis of polymorphic nucleotides within the cod-ing region of the E-cadherin gene were as previouslydescribed.14 For the identification of cadherin-11sequence polymorphisms, the PCR was performed togenerate four overlapping cDNA fragments, coveringthe entire coding region. Forty cycles of PCR wereperformed in a total volume of 50 ìl using 2·5 U ofTaq-polymerase (Eurobio, Raunheim, Germany), withdenaturing, annealing, and elongation times and tem-peratures of 1·5 min at 94)C, 1·5 min at 55)C, and1·5 min at 72)C. The following PCR primers were used:

Fragment 1 (nt 95 to nt 838)CDH11.1 5*-ACCGTACAGTTGGTGGAAGG-3*CDH11.2 5*-GCCTCCCTGTCCATGTTGGGTAG-3*

Fragment 2 (nt 781 to nt 1433)CDH11.3 5*-CGGTGGAAGCACAGACAGGT-3*CDH11.4 5*-GTCAGTGTGACGATCGATGG-3*

Fragment 3 (nt 1364 to nt 1893)CDH11.5 5*-GAGTGCATGCCAAAGACCCTG

ATG-3*CDH11.6 5*-GGATGCCGCCATCGCTGATCAC-3*

Fragment 4 (nt 1830 to nt 2568)CDH11.7 5*-GGGTCCAGTCGGCAGAAGCAG

GAC-3*CDH11.8 5*-GGCCAAATTTGTATCGTTATTG-3*

Reaction products were purified (Qiaquick affinitycolumns, Qiagen, Hilden, Germany), precipitated, anddirectly sequenced in both directions (Sequenase 2.0, U.S.Biochemicals, Braunschweig, Germany). Details of thesequencing primers used can be obtained from theauthors by e-mail. Polymorphisms within the open read-ing frame of the cadherin-11 gene were identified bycomparing the sequences obtained from non-tumourtissues of ten randomly selected study subjects. Thisallows the detection of polymorphic bases occurring at afrequency greater than 1 in 20 within the population. Theactual prevalences of the polymorphisms were subse-quently deduced from the sequences of all 90 non-tumourDNA samples included in the study. The allelic status ofthe polymorphic sites in tumour tissues was determinedby RT-PCR and sequencing of the appropriate region in

Copyright ? 1999 John Wiley & Sons, Ltd.

informative individuals. When functional allelic loss wasobserved, the entire cadherin-11 coding region wassequenced.

Cell culture

The human colonic carcinoma cell line SW480 (ATCCCCL 228), the E-cadherin and cadherin-11-negativehuman breast carcinoma MDA-MB-435S (ATCC HTB129), and the cadherin-11-expressing human rhabdo-myosarcoma cell line RD (ATCC CCL 136) werecultured in Dulbecco’s MEM containing 20 per centFCS. Total RNA was harvested from near-confluentcells using guanidinium thiocyanate lysis and phenol

20

Northern blot analysis

Ten micrograms of total cellular RNA per lane wasseparated on a 1 per cent agarose/formaldehyde gel,transferred onto nitrocellulose membrane (BoehringerMannheim, Mannheim, Germany), and hybridized at68)C with a digoxigenin-labelled cRNA probe (RNAlabelling kit, Boehringer Mannheim). The cadherin-11probe was generated by transcription of a linearizedpCRII vector (Invitrogen) containing a 1338 nt RT-PCRfragment generated using primers CDH11.1 andCDH11.4 (see above). Detection of hybridized probewas performed using the RNA–DIG detection kit(Boehringer Mannheim).

RESULTS

Cadherin-11 expression in the colonic carcinoma cell lineSW480

The use of the RT-PCR assay to examine directly theallelic status of cadherin genes demands that the gene betranscribed in the tumour cells under investigation.Cadherin-11 transcripts have previously been detected inboth renal and gastric tumour cell lines.21,22 To confirmthat cadherin-11 is indeed transcribed in colonic cancercells, we conducted a northern blot analysis using RNAextracted from the SW480 colonic carcinoma cellline. Figure 1 illustrates the positive expression ofcadherin-11 in both the human SW480 colonic cancerand RD rhabdomyosarcoma cell lines. In MDA-MB-435S human mammary cancer cells, no hybridizationsignal was observed.

Identification of intragenic cadherin-11 polymorphisms

Overlapping RT-PCR fragments, spanning the com-plete cadherin-11 open reading frame, were generatedand sequenced in both directions. A total of six nucleo-tide differences to the published human cadherin-11cDNA sequence (GenBank L34056) were identified.Two of these sequence variations were present in allsamples of non-tumour tissue analysed. At nucleotide1173, a G replacement of A resulted in the amino acidchange E340K, whilst at nucleotide 1566 an A was

J. Pathol. 187: 530–534 (1999)

532 E. BRAUNGART ET AL.

present instead of the anticipated C, resulting in theamino acid substitution Q471K. These substitutionsrepresent either very infrequent polymorphisms orerrors in the initial sequence. The remaining foursequence variations were shown to be the result ofpolymorphic alleles present at different frequencies inthe sample population. Surprisingly, three of thefour polymorphic nucleotides resulted in amino acidsubstitutions (T255M, M275I, and S373A) (Table I).

Expression of polymorphic cadherin-11 alleles

Analysis of the expression of polymorphic allelesrequires two assumptions: firstly, that the gene is tran-scribed in tumour cells, and secondly, that non-tumourtissue makes a minimal contribution to the pool ofmRNA examined. We have obtained evidence tosupport both of these assumptions (see Figs 1 and 2).

Copyright ? 1999 John Wiley & Sons, Ltd.

The occurrence of frequent polymorphism within thecadherin-11 cDNA was used to examine directly theallelic status of transcripts from the cadherin-11 locus in90 carcinomas (Fig. 3). A total of 72 patients exhibitedheterozygosity at one or more of the four polymorphicnucleotides. In both gastric and renal carcinoma, weobserved no evidence for alterations in the relativeabundance of transcripts from the polymorphic alleles ofthe cadherin-11 locus in any of the informative cases. Incolonic carcinoma, 5 of 23 tumours exhibited loss ofexpression from one of the polymorphic cadherin-11alleles. Intriguingly, in all five cases the tumour samplescontained exclusively transcripts from one allele (Fig. 2),although the proportion of morphologically identifiabletumour cells ranged between 15 and more than 90 percent. This suggests that expression of cadherin-11 isrelatively low in non-tumour tissues, possibly due toup-regulation of transcription from the unaffectedallele in tumour cells. The same phenomenon was pre-viously noted in gastric cancers exhibiting inactivationof an E-cadherin allele. Sequencing of the entirecadherin-11 coding region in each of the five colonictumours showing functional allelic loss failed toshow evidence of mutation in the transcript from theunaffected allele.

Fig. 1—Northern blot analysis of cadherin-11 expression in humantumour cell lines. Upper panel: RNA hybridized with a DIG-labelledcadherin-11 cDNA probe. An arrow indicates the position of the 28SrRNA band. Lane I: SW 480 colonic carcinoma; lane 2: RD rhab-domyosarcoma; lane 3: MDA-MB-435S mammary carcinoma. Lowerpanel: ethidium bromide-stained 28S rRNA prior to blotting, viewedunder UV light

Table I—Single nucleotide polymorphisms of the cadherin-11 cDNA. The nucleotide numbers and codonnumbers refer to the GenBank human cadherin-11 sequence L34056. Allelic frequency was determined bysummation of all non-tumour materials examined for loss of heterozygosity

Nucleotidenumber

Codonchange

Amino acidsubstitution

Heterozygotefrequency

(%)

Allelicfrequency

(%)Cadherindomain

919 ACG/ATG T255M 50·0 C 65 T 35 EC2980 ATG/ATA M275I 20·8 G 77 A 23 EC3

1100 TCG/TCA S315S 61·1 G 54 A 46 EC31173 GAA/AAA E338K 0 G 0 A 100 EC31272 TCA/GCA S373A 33·3 T 25 G 75 EC31566 CAA/AAA Q471K 0 C 0 A 100 EC4

Expression of polymorphic E-cadherin alleles

From our earlier studies14 we were able to demon-strate loss of expression from one E-cadherin allele in8 of 22 informative cases of gastric tumours. (TheE-cadherin data reproduced in Fig. 3 are cases that havealready been described.)6,14 Despite this frequentinvolvement of the E-cadherin locus, none of theinformative cases of gastric carcinoma exhibited func-tional loss affecting the adjacent cadherin-11 locus(Fig. 3). In renal carcinoma, only 1/15 tumours exhibitedloss of expression of the E-cadherin locus. Here again,the effect did not extend to the cadherin-11 locus. Incolonic carcinoma, we observed functional loss of oneallele of the E-cadherin locus in 5 of 22 informativecases. Sequencing the complete coding region revealedno mutations in the E-cadherin cDNA isolated byRT-PCR from any of the colonic and renal tumoursshowing allelic losses of the E-cadherin locus.

J. Pathol. 187: 530–534 (1999)

533FUNCTIONAL ALLELIC LOSS OF CADHERIN LOCI IN COLONIC CANCER

Fig. 2—Loss of cadherin-11 transcript heterozygosity in one case of human coloniccarcinoma. Left panel: loss of transcript heterozygosity at nucleotide 919. In non-tumourtissue, the polymorphic locus contains both T and C, whilst in tumour tissue, only the Cremains. Right panel: loss of polymorphic status at nucleotide 1100. In non-tumour tissue,the polymorphic locus contains G and A, whilst in the tumour tissue, only G is present. Notethe complete loss of expression of one allele in tumour tissue

Fig. 3—Loss of expression from polymorphic alleles of the cadherin-11 locus in colonic, gastric, and renal carcinomas. Afteranalysis of E-cadherin and cadherin-11 intragenic polymorphisms by RT-PCR, the allelic origin of cadherin expression inindividual patients was assessed. In this illustration, the allelic status of the tumour tissue is categorized as eithernon-informative ("), retention of expression from both alleles (open rectangles), or loss of expression from one allele (filledrectangles)

DISCUSSIONLoss of cadherin gene function in adult tissues has

been linked to both uncontrolled cell growth andincreased metastatic potential.6–8,23 The pattern ofE-cadherin mutation combined with loss of heterozy-gosity or allelic inactivation in diffuse gastric canceris consistent with a tumour-suppressor function ofthe E-cadherin gene situated on chromosome 16q22.14

However, in both gastric and mammary tumours, asignificant proportion of the malignancies showing

Copyright ? 1999 John Wiley & Sons, Ltd.

inactivation or loss of E-cadherin do not exhibitmutation of the remaining allele,8,14 suggesting thatadjacent loci on chromosome 16q22 may be involved inthe pathogenesis of the malignancy. Indeed, allelic lossesaffecting this region of chromosome 16 have been docu-mented in several different malignant tissues.16–19 Thepresence of at least three cadherin genes in the vicinity ofthe deleted region15 suggests that loss or inactivation ofthis gene region may involve additional members of thecadherin gene family.

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534 E. BRAUNGART ET AL.

One such candidate is cadherin-11, a developmentallyregulated mesenchymal cadherin24,25 expressed in sev-eral adult tissues, including bone, heart, brain, andkidney.21 Expression of cadherin-11 has also been estab-lished in epithelial tumour cell lines derived from signet-ring gastric tumours and from renal carcinoma.21,22 Wereport here that cadherin-11 is also expressed in SW480colonic carcinoma cells. To allow a direct assay of theallelic status of the cadherin-11 locus, we identified foursequence polymorphisms in the coding region ofcadherin-11. Three of the polymorphic sites result inamino acid substitutions in the extracellular cadherinadhesion domains believed to be essential forhomophilic adhesion. These substitutions may influencethe adhesive function of the protein, leading to subtleheritable differences in cell adhesion. Indeed, a somaticpoint mutation in the comparable region of E-cadherinhas been reported in diffuse gastric carcinoma.6

In gastric carcinomas, the previously describedinvolvement of the E-cadherin locus6,14 did not extendto the nearby cadherin-11 locus. We identified eightinstances of functional loss of the E-cadherin locus in 22informative individuals, whilst the status of cadherin-11transcripts was unaltered in all 24 informative cases. Inrenal cell carcinoma, neither the E-cadherin nor thecadherin-11 loci exhibited a frequent involvement, withonly a single example affecting the E-cadherin gene.

In colonic carcinoma, 5 of 23 informative casesshowed loss of transcription from one of the polymor-phic cadherin-11 alleles, with no evidence of mutation ofthe remaining allele. A similar frequency of functionalallelic loss (5 of 22 informative cases) was noted at theE-cadherin locus, albeit in different cases. Again, thisinactivation of the E-cadherin locus occurred in theabsence of an accompanying gene mutation. A recentreport has described a somewhat lower rate (10 per cent)of E-cadherin loss of heterozygosity in colorectal can-cers. This may be attributable to differences in tumourmaterial or in the sensitivity of the methodologiesused.26 In all, a total of nine colonic cancers showed lossof heterozygosity of the transcripts from the E-cadherinor cadherin-11 genes. Only one tumour showed simul-taneous loss of both E-cadherin and cadherin-11 tran-scripts, suggesting that the chromosomal region affectedby this phenomenon is quite restricted. Indeed,gross cytogenetic losses in this region have not beenassociated with colonic cancer.27 Nevertheless, relativelysmall regions of inactivation or gene deletion, notreadily detectable by conventional cytogenetics orhybridization-based techniques, may affect all or part ofthe 16q22 locus containing E-cadherin, P-cadherin, andcadherin-11. As neither the E-cadherin nor cadherin-11genes exhibited mutations, we cannot exclude that theregion affected in colonic cancer extends to include otheradjacent loci, possibly including additional cadheringenes.

Whatever the mechanism, functional allelic loss couldserve to reduce the number of actively transcribedcadherin loci, thereby diminishing the levels of cadherinprotein. This would contribute to the excess of freeâ-catenin that is believed to be a critical stage incolorectal carcinogenesis.12 This may explain the

Copyright ? 1999 John Wiley & Sons, Ltd.

reduced level of E-cadherin expression that is seen tocorrelate with a worse prognosis in colonic cancer.28

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