Cholinergic Receptors Overview
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Questions and Answers

What is the significance of the TM2 region in nicotinic ACh receptors?

The TM2 region in each subunit creates a cationic pore that allows positively charged ions to pass through the receptor channel.

Why are two acetylcholine (ACh) molecules necessary for the activation of nicotinic ACh receptors?

Two ACh molecules are required because at least two α subunits must be occupied to activate the receptor.

Identify the two types of nicotinic ACh receptors found in the brain and their compositions.

The heteromeric CNS-type consists of (α4)2(β2)3 and the further CNS-type comprises (α3)2(β4)3.

What are the receptor types located at the neuromuscular junction?

<p>The receptor types at the neuromuscular junction are muscle-type nicotinic receptors, specifically (α1)2βδ or (α1)2βγ.</p> Signup and view all the answers

Explain why the systemic application of cholinergic agonists or antagonists results in complex effects.

<p>The systemic application affects multiple types of cholinergic receptors throughout the body, leading to varying physiological responses.</p> Signup and view all the answers

What is the primary function of M1 muscarinic ACh receptors in the CNS?

<p>The M1 muscarinic ACh receptors in the CNS are primarily involved in attention, analgesia, and arousal.</p> Signup and view all the answers

How do M2 muscarinic ACh receptors affect cardiac function?

<p>M2 muscarinic ACh receptors inhibit cardiac function by slowing the heart rate through increasing potassium ion (K+) conductance.</p> Signup and view all the answers

Describe the action of nicotinic ACh receptors upon ligand binding.

<p>Upon binding two ACh molecules, nicotinic ACh receptors undergo a conformational change that opens their non-selective cationic channel, allowing an influx of Na+ and resulting in depolarization.</p> Signup and view all the answers

What distinguishes muscle type from neuronal type nicotinic ACh receptors?

<p>Muscle type nicotinic ACh receptors consist of specific subunits that primarily mediate muscle actions, whereas neuronal type receptors are involved in neurotransmission in the nervous system.</p> Signup and view all the answers

What role do M3 muscarinic ACh receptors play in smooth muscle tissue?

<p>M3 muscarinic ACh receptors are responsible for inducing contraction in smooth muscle and facilitating glandular secretions.</p> Signup and view all the answers

What neurotransmitter is primarily associated with cholinergic receptors?

<p>Acetylcholine (ACh)</p> Signup and view all the answers

Name the two main types of cholinergic receptors.

<p>Muscarinic and Nicotinic acetylcholine receptors</p> Signup and view all the answers

How does acetylcholine contribute to muscle contraction at the neuromuscular junction?

<p>ACh activates nicotinic receptors, causing depolarization and end plate potential leading to muscle contraction.</p> Signup and view all the answers

What is the role of cholinergic drugs in pharmacology?

<p>Cholinergic drugs can stimulate or block the action of acetylcholine, affecting various functions in the body.</p> Signup and view all the answers

What is the difference between the roles of the sympathetic and parasympathetic nervous systems?

<p>The sympathetic nervous system prepares the body for 'fight or flight', while the parasympathetic promotes 'rest and digest'.</p> Signup and view all the answers

Describe the structure of the autonomic nervous system (ANS).

<p>The ANS is divided into sympathetic, parasympathetic, and enteric components, controlling involuntary functions.</p> Signup and view all the answers

What type of receptor is a muscarinic acetylcholine receptor?

<p>It is a G-protein coupled receptor (metabotropic).</p> Signup and view all the answers

How does the sympathetic nervous system affect smooth muscle?

<p>It typically causes relaxation of smooth muscle, enabling functions like vasodilation.</p> Signup and view all the answers

What occurs at the synapse during cholinergic neurotransmission?

<p>Acetylcholine is released from neurons and binds to cholinergic receptors on the target cell.</p> Signup and view all the answers

What are the postganglionic neurons in the sympathetic nervous system primarily using?

<p>They primarily use norepinephrine (NA) as the neurotransmitter.</p> Signup and view all the answers

What neurotransmitter is involved in the activation of both sympathetic and parasympathetic ganglia?

<p>Acetylcholine (ACh)</p> Signup and view all the answers

Name two examples of muscarinic AChR agonists used for treating glaucoma.

<p>Acetylcholine and Pilocarpine</p> Signup and view all the answers

What is the primary therapeutic use of Atropine?

<p>To reduce saliva and mucus secretion during surgery.</p> Signup and view all the answers

How does Methacholine differ from Bethanechol in terms of cardiac contractility effects?

<p>Methacholine has a stronger positive effect on cardiac contractility than Bethanechol.</p> Signup and view all the answers

Which drug is used as an antidote for muscarine poisoning?

<p>Scopolamine</p> Signup and view all the answers

What is a significant adverse effect of using Nicotine or related agonists clinically?

<p>They often have too many adverse effects.</p> Signup and view all the answers

What receptor type is primarily targeted by the drug Ipratropium?

<p>Muscarinic ACh receptors.</p> Signup and view all the answers

Identify the receptor type acted upon by postganglionic neurons in the sympathetic and parasympathetic pathways.

<p>Nicotinic ACh Receptors (nAChR).</p> Signup and view all the answers

How does succinylcholine's mechanism contribute to its prolonged effect in neuromuscular blockade?

<p>Succinylcholine is resistant to acetylcholinesterase (AChE), allowing it to persist in the synaptic cleft and continuously activate nicotinic ACh receptors (nAChRs). This reduces the chance of post-synaptic neuronal depolarization.</p> Signup and view all the answers

What is the primary action of α-bungarotoxin and how does it affect the nervous system?

<p>α-Bungarotoxin inhibits acetylcholine binding to nicotinic AChRs, leading to paralysis and potential death. It acts as a potent antagonist that disrupts cholinergic transmission.</p> Signup and view all the answers

Explain the clinical application of tubocurarine.

<p>Tubocurarine is used to induce non-depolarizing neuromuscular blockade during surgical procedures. It acts as an antagonist to nicotinic AChRs.</p> Signup and view all the answers

What role does trimethaphan play in the treatment of hypertension related to acute aortic dissection?

<p>Trimethaphan exerts its effects through ganglionic blockade, which helps to manage hypertension in patients with acute aortic dissection. It reduces sympathetic outflow.</p> Signup and view all the answers

What are the two main types of cholinesterases, and what is their primary role in the body?

<p>The two main types of cholinesterases are Acetylcholinesterase (AChE) and Butyrylcholinesterase (BuChE), and their primary role is to degrade acetylcholine (ACh).</p> Signup and view all the answers

Explain the effect of AChE inhibitors and provide examples of two types of such inhibitors.

<p>AChE inhibitors can cause muscular paralysis, convulsions, bronchial constriction, and death by asphyxiation. Organophosphates (irreversible) and carbamates (reversible) are two types of inhibitors.</p> Signup and view all the answers

How does the hydrolysis rate of ACh by AChE illustrate its efficiency as an enzyme?

<p>AChE hydrolyzes about 4 x 10^5 molecules of ACh per enzyme per minute, demonstrating its high efficiency in neurotransmitter degradation.</p> Signup and view all the answers

Describe the latency differences between muscarinic ACh receptors and nicotinic ACh receptors when activated.

<p>Muscarinic ACh receptors have a latency of at least 100-250 ms, while nicotinic ACh receptors have a latency of about 5 ms when activated.</p> Signup and view all the answers

What is the clinical significance of using carbamate inhibitors, and name two examples?

<p>Carbamate inhibitors, like physostigmine and neostigmine, are clinically significant for treating glaucoma and myasthenia gravis by enhancing ACh transmission.</p> Signup and view all the answers

Explain the functional roles of the M1, M3, and M5 muscarinic receptors in the body.

<p>M1, M3, and M5 muscarinic receptors are excitatory and function via the Gq protein to increase phospholipase C (PLC) activity.</p> Signup and view all the answers

How does the βγ subunit of the G-protein influence ion channel activity in muscarinic signaling?

<p>The βγ subunit of the G-protein increases the opening of G-protein-modified inwardly rectifying K+ channels (GIRKs), leading to inhibitory signaling effects.</p> Signup and view all the answers

What distinguishes the structural differences between nicotinic and muscarinic ACh receptors?

<p>Nicotinic ACh receptors are ionotropic, while muscarinic ACh receptors are metabotropic and G-protein coupled, indicating completely different structures despite both utilizing acetylcholine.</p> Signup and view all the answers

Flashcards

Muscle-type nicotinic acetylcholine receptor

A type of cholinergic receptor found in the neuromuscular junction, responsible for muscle contraction. It's composed of five subunits: two α1, one β, one δ, and one ε or γ.

Ganglion-type nicotinic acetylcholine receptor

A type of nicotinic acetylcholine receptor found in autonomic ganglia, responsible for signaling between neurons. It's composed of five subunits: two α3, three β4.

Heteromeric CNS-type nicotinic acetylcholine receptor

A type of nicotinic acetylcholine receptor found in the brain. It's composed of five subunits: two α4, three β2.

Further CNS-type nicotinic acetylcholine receptor

A type of nicotinic acetylcholine receptor found in the brain. It's composed of five subunits: two α3, three β4.

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Homomeric CNS-type nicotinic acetylcholine receptor

A type of nicotinic acetylcholine receptor found in the brain. It's composed of five α7 subunits.

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What are Cholinesterases?

Enzymes that break down acetylcholine (ACh), the neurotransmitter used at neuromuscular junctions and in the brain.

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What is Acetylcholinesterase (AChE)?

One type of cholinesterase responsible for breaking down ACh quickly. Found in high concentrations at the synapse.

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What are AChE inhibitors?

They inhibit the enzyme acetylcholinesterase (AChE), leading to a buildup of acetylcholine in the synapse.

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What are Organophosphates?

A group of AChE inhibitors that have a long-lasting effect. Can be found in insecticides and nerve agents.

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What are Carbamates?

A group of AChE inhibitors that have a shorter-lasting effect. Used in treating conditions like myasthenia gravis.

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What are Cholinergic receptors?

These receptors are activated by the neurotransmitter acetylcholine (ACh).

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What are nicotinic acetylcholine receptors (nAChR)?

A type of cholinergic receptor that is ionotropic. They open ion channels directly when ACh binds.

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What are muscarinic acetylcholine receptors (mAChR)?

A type of cholinergic receptor that is metabotropic. They activate G-proteins and trigger a cascade of intracellular signaling events.

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Muscarinic ACh receptor

A type of cholinergic receptor that binds acetylcholine and is coupled to G proteins. It has 5 subtypes (M1-M5) with diverse functions in the body.

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M1 receptor

A type of muscarinic receptor that is primarily found in the central nervous system (CNS). It is involved in various functions like attention, analgesia (pain relief), and arousal. Its activation leads to increased levels of IP3 (inositol triphosphate) and DAG (diacylglycerol) via the Gq protein signaling pathway.

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M2 receptor

A type of muscarinic receptor located in the heart, specifically at the sinoatrial (SA) and atrioventricular (AV) nodes, as well as the ventricles. Its activation by acetylcholine slows down the heart rate. The mechanism involves activation of the G protein, specifically its beta-gamma (βγ) subunit, which then increases potassium (K+) conductance through GIRK channels.

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M3 receptor

A type of muscarinic receptor found in smooth muscles and glandular tissues. It mediates smooth muscle contraction and glandular secretions. Its signaling pathway is similar to that of the M1 receptor, leading to increased IP3 and DAG levels through the Gq protein.

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Nicotinic ACh receptor

A type of cholinergic receptor that is a ligand-gated ion channel. It opens upon the binding of two acetylcholine molecules, allowing the flow of sodium ions (Na+) into the cell, leading to depolarization (excitation).

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What is acetylcholine?

Type of neurotransmitter that binds to cholinergic receptors, responsible for signaling in both the central and peripheral nervous systems, including muscle activation.

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What kind of receptors are mAChRs?

These receptors are linked to G-proteins, which are molecular messengers that activate a cascade of events inside the cell.

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What kind of receptors are nAChRs?

These receptors are directly linked to ion channels, allowing the flow of ions into or out of the cell when acetylcholine binds.

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What is the neuromuscular junction (NMJ) ?

This refers to the junction between a motor neuron and a muscle fiber, where acetylcholine is released to trigger muscle contraction.

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What is the end plate potential?

A specialized area on a muscle cell where the nerve signal is received, leading to muscle contraction.

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What is the autonomic nervous system (ANS)?

The part of the nervous system responsible for controlling our bodily functions that happen automatically, without conscious control, such as heart rate, digestion, and breathing.

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What is the parasympathetic nervous system?

This branch of the ANS is responsible for 'rest and digest' responses, slowing heart rate, promoting digestion, and constricting pupils.

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Ganglionic nicotinic acetylcholine receptor (nAChR)

A type of acetylcholine receptor found in both sympathetic and parasympathetic ganglia, mediating signal transmission between neurons.

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Muscarinic agonists

Drugs that bind to and activate muscarinic acetylcholine receptors, mimicking the effects of acetylcholine.

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Muscarinic agonists in eye

The activation of muscarinic receptors in the eye leads to contraction of the ciliary muscle, causing the lens to become more spherical and improving near vision.

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Muscle-type nicotinic acetylcholine receptor (nAChR)

A type of acetylcholine receptor primarily located in the neuromuscular junction, responsible for muscle contraction.

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Muscarinic antagonists

Drugs that bind to and block muscarinic acetylcholine receptors, preventing the action of acetylcholine.

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Muscarinic antagonists in surgery

Muscarinic antagonists are often used to reduce saliva and mucus secretion during surgery, acting on the cholinergic receptors in the salivary glands.

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Nicotinic agonists

Drugs that bind to and activate nicotinic acetylcholine receptors, mimicking the effects of acetylcholine.

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Nicotinic antagonists

Drugs that block the action of acetylcholine by preventing it from binding to its receptors. They have little clinical use due to various adverse effects.

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Succinylcholine's effect on muscle contraction

Succinylcholine is a muscle relaxant used in surgery. It acts as a depolarizing neuromuscular blocker, meaning it causes continuous activation of the nicotinic acetylcholine receptors (nAChRs) at the neuromuscular junction. This continuous activation prevents the muscle from responding to nerve signals, resulting in muscle paralysis. Succinylcholine is resistant to breakdown by acetylcholinesterase (AChE), which prolongs its action at the synapse. The prolonged activation of nAChRs by succinylcholine reduces the chance of post-synaptic neuronal depolarization, leading to muscle relaxation.

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What do nAChR antagonists do?

nAChR antagonists are drugs or toxins that block the action of acetylcholine at nicotinic acetylcholine receptors. This blockage prevents the normal signaling process that involves acetylcholine binding to the receptor and triggering depolarization, leading to various effects depending on the receptor subtype and location. For example, blocking nAChRs at the neuromuscular junction can cause muscle paralysis, while blocking nAChRs in the brain can disrupt cognitive function.

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What is α-bungarotoxin?

α-bungarotoxin is a neurotoxin found in the venom of certain snakes. It acts as a potent antagonist of nicotinic acetylcholine receptors at the neuromuscular junction. It binds irreversibly to the nAChRs, blocking acetylcholine from binding and causing paralysis. This paralysis can lead to respiratory failure and death if not treated promptly.

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How do Tubocurarine and Pancuronium work?

Tubocurarine and pancuronium are non-depolarizing neuromuscular blockers. They block the action of acetylcholine at the nicotinic acetylcholine receptors (nAChRs) at the neuromuscular junction, but unlike succinylcholine, they do not cause continuous activation. Instead, they competitively inhibit acetylcholine from binding, leading to muscle relaxation.

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How does Trimethaphan lower blood pressure?

Trimethaphan is a ganglionic blocker that is used to treat hypertension in patients with acute aortic dissection. It works by blocking nicotinic acetylcholine receptors at the autonomic ganglia. This blockade disrupts the transmission of nerve impulses through the autonomic nervous system, leading to a decrease in blood pressure.

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Study Notes

Cholinergic Receptors

  • Cholinergic receptors are focused on the neurotransmitter acetylcholine (ACh).
  • ACh acts on both the central and peripheral nervous systems (CNS and PNS).
  • ACh activates skeletal muscle.
  • Current therapeutic uses for cholinergic/anticholinergic drugs are limited due to widespread effects.

Neuromuscular Junction (NMJ)

  • The NMJ is where motor neurons connect to muscle fibers.
  • Acetylcholine (ACh) release at the NMJ causes muscle contraction.
  • Key steps in the process include: arrival of an action potential, calcium influx, ACh release, activation of ACh receptors, and end-plate potential leading to muscle contraction.

Cholinergic Receptor Classes

  • Muscarinic acetylcholine receptors (mAChRs) are G-protein coupled receptors.
  • Nicotinic acetylcholine receptors (nAChRs) are ligand-gated ion channels.

The Nervous System

  • The autonomic nervous system (ANS) is divided into sympathetic and parasympathetic branches.
  • The sympathetic branch is associated with "fight or flight" responses.
  • The parasympathetic branch is associated with "rest and digest" responses.
  • Cholinergic receptors are involved in both sympathetic and parasympathetic systems.
  • Somatic (voluntary) nervous system also involves cholinergic transmission.

Neuronal Layout in the PNS

  • In the peripheral nervous system, preganglionic neurons synapse with postganglionic neurons in ganglia.
  • The sympathetic nervous system often has a chain of ganglia along the spinal cord.
  • The parasympathetic nervous system has ganglia closer to the target tissue, providing a different layout.

Cholinergic Receptor Synthesis

  • Acetylcholine (ACh) synthesis is a one-step process from Acetyl CoA and choline.
  • The rate-limiting step is choline availability, not choline acetyltransferase.

Acetylcholine Storage and Release

  • ACh is stored in synaptic vesicles.
  • Release occurs through vesicle fusion with the plasma membrane.
  • Release is triggered by an influx of calcium ions.

Cholinergic Receptor Degradation

  • Acetylcholinesterase (AChE) is the primary enzyme responsible for degrading acetylcholine (ACh) after its release.
  • AChE is concentrated at the post-synaptic membrane.
  • Types of cholinesterases include AChE and BuChE.

AChE Inhibitors

  • Inhibitors of AChE can cause paralysis, convulsions, and death.
  • Organophosphates are irreversible inhibitors of AChE. They are used in pesticides and nerve gas.
  • Carbamates are reversible inhibitors of AChE.

AChE Inhibitors - Clinical Applications

  • AChE inhibitors increase transmission at the neuromuscular junction, potentially treating diseases like myasthenia gravis.
  • They can increase central cholinergic activity, which is useful in treating symptoms of Alzheimer's disease.

Cholinergic Receptor Types

  • nAChR are ionotropic ligand-gated channels.
  • mAChR are metabotropic G-protein coupled receptors.
  • The subtypes of receptors have different structures and functions.

Muscarinic ACh Receptors - Types and Function

  • There are 5 main muscarinic receptor subtypes (M1-M5)
  • M1, M3, and M5 receptors are primarily linked to Gq proteins, related to excitatory effects.
  • M2 and M4 receptors activate Gi or G0 proteins, leading to inhibitory effects.
  • There are various second messenger pathways from G-protein activation related to cell signalling.

Muscarinic ACh Receptors - Expression Overview

  • M1 receptors are mainly found throughout CNS and in glandular tissue
  • M2 receptors are found in cardiac tissue
  • M3 receptors are present in smooth muscle and glandular tissue
  • M4 and M5 receptors are widespread in the CNS.

Nicotinic ACh Receptors - Types

  • Nicotinic acetylcholine receptors (nAChRs) are divided into subtypes.
  • These include muscle type, neuronal type, heteromeric, and homomeric subtypes.

Nicotinic ACh Receptors - Structure and Function

  • nAChRs are ligand-gated ion channels, comprised of 5 subunits.
  • Two molecules of ACh bind to the receptor to trigger a conformational change, opening the pore to allow ion flow.
  • The depolarization is brief due to AChE action.
  • The TM2 region of each subunit plays a key role in forming the cationic pore within the channel.

Pharmacology and Disease (Cholinergic Receptors)

  • Systemic administration of cholinergic agonists/antagonists has complex effects because of the presence of ACh receptors across the sympathetic and parasympathetic nervous systems.
  • Agonists and antagonists have different effects depending on their target subtype.

Pharmacology and Disease - Muscarinic Agonists

  • Muscarinic agonists are used therapeutically often in topical treatments.
  • Examples include Acetylcholine, Carbachol and Pilocarpine.
  • They're frequently used as eye drops in conditions like Glaucoma.

Pharmacology and Disease - Muscarinic Antagonists

  • Muscarinic antagonists reduce or block the effects of acetylcholine.
  • Examples include Atropine, Scopolamine, and others.
  • They have diverse applications, from controlling secretions during surgery to treating motion sickness.

Pharmacology and Disease - Nicotinic Agonists

  • Nicotinic agonists include Acetylcholine, Nicotine, Carbachol, and Succinylcholine.
  • Succinylcholine has more clinical use as a depolarizing neuromuscular blocker in surgery.

Pharmacology and Disease - Nicotinic Antagonists

  • Nicotinic antagonists are less frequently used clinically.
  • Examples include toxins such as α-bungarotoxin and α-conotoxins.
  • Tubocurarine and Pancuronium are neuromuscular blockers used in surgery.

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This quiz explores the roles and mechanisms of nicotinic and muscarinic acetylcholine receptors. Questions cover their significance, types, functions, and interactions within the central nervous system and neuromuscular junction. Test your understanding of cholinergic neurotransmission and its effects in various physiological contexts.

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