Endocrine Disruptors Overview
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Questions and Answers

What defines an endocrine disruptor?

  • An exogenous agent that does not affect hormone levels.
  • An exogenous agent that interferes with natural hormone action. (correct)
  • A natural hormone that enhances endocrine function.
  • A substance that solely affects reproductive health.
  • Which of the following is NOT a mechanism by which endocrine disruptors can act on cells?

  • Modifying hormonal synthesis.
  • Altering binding affinities of hormones to receptors.
  • Stimulating rapid cell division. (correct)
  • Changing the transport of natural hormones.
  • How do chemical mixtures contribute to endocrine disruption?

  • They have no effect on endocrine function.
  • They only affect animals, not humans.
  • They are less potent than single chemicals.
  • They can alter individual chemical properties and effects. (correct)
  • What long-term health outcome can result from early exposure to endocrine disruptors?

    <p>Increased susceptibility to certain diseases. (A)</p> Signup and view all the answers

    What challenge complicates the reduction of exposures to endocrine disruptors?

    <p>Endocrine disruptors are found in many everyday products. (A)</p> Signup and view all the answers

    What is Bisphenol A (BPA) primarily used for?

    <p>Producing polycarbonate plastics and epoxy resins (D)</p> Signup and view all the answers

    Which compound is released into the environment during waste burning and wildfires?

    <p>Dioxins (B)</p> Signup and view all the answers

    What role do phytoestrogens serve in plants?

    <p>They act as hormone-like substances. (D)</p> Signup and view all the answers

    How do phthalates primarily affect the properties of plastics?

    <p>They make plastics more flexible. (A)</p> Signup and view all the answers

    What consequence can arise from too much hormone production?

    <p>Disease or dysfunction (C)</p> Signup and view all the answers

    Which substance is known to be present in some food packaging and cosmetics?

    <p>Triclosan (C)</p> Signup and view all the answers

    What is the function of the endocrine system regarding the body's growth?

    <p>It influences the function of various tissues. (B)</p> Signup and view all the answers

    Where are polybrominated diphenyl ethers (PBDE) commonly found?

    <p>In flame retardants for household products (D)</p> Signup and view all the answers

    What are phthalates primarily used for in various products?

    <p>To make plastics more flexible (C)</p> Signup and view all the answers

    Which of the following is a potential adverse effect of phthalate exposure during pregnancy?

    <p>Reduced anogenital distance in male offspring (B)</p> Signup and view all the answers

    What is one of the findings from the meta-analysis conducted on global semen quality?

    <p>Sperm concentration among Western men declined by more than 50% (D)</p> Signup and view all the answers

    Which of the following is NOT associated with phthalate exposure?

    <p>Enhanced spermatogenic function (B)</p> Signup and view all the answers

    What is a characteristic of Testicular Dysgenesis Syndrome?

    <p>Neither testicle descends into the scrotum (C)</p> Signup and view all the answers

    Which of the following is a suggested cause for the decline in global semen quality?

    <p>Increased exposure to environmental factors and EDCs (D)</p> Signup and view all the answers

    What type of toxicological effects are phthalates known to cause?

    <p>Reproductive toxicity (B)</p> Signup and view all the answers

    What is a consequence of phthalate exposure on male fertility?

    <p>Poor semen quality and male subfertility (B)</p> Signup and view all the answers

    What was the primary hypothesis regarding the levels of PCBs in people living far from urban industrial centers?

    <p>They would have low levels of PCBs. (A)</p> Signup and view all the answers

    What was found regarding PCB levels in Inuit women's breast milk compared to women in southern Québec?

    <p>PCBs were found at 7x the levels in Inuit women's breast milk. (C)</p> Signup and view all the answers

    Which tissues are commonly sampled in biomonitoring to assess chemical exposure?

    <p>Blood, urine, and hair. (B)</p> Signup and view all the answers

    What does the term 'NOAEL' stand for in dose-response assessments?

    <p>No Observable Adverse Effect Level. (A)</p> Signup and view all the answers

    What is the main characteristic of endocrine-disrupting chemicals (EDCs)?

    <p>They can disrupt hormonal pathways and affect multiple systems. (A)</p> Signup and view all the answers

    What does 'bioaccumulation' refer to in the context of environmental toxins?

    <p>Toxins building up in higher concentrations as they move up the food web. (A)</p> Signup and view all the answers

    Which of the following best describes the role of biomonitoring in public health?

    <p>It assesses the population's body burden of chemicals. (A)</p> Signup and view all the answers

    What is the significance of identifying the 'Lowest Observable Adverse Effect Level' (LOAEL)?

    <p>It represents the lowest dose that produces an observable effect. (A)</p> Signup and view all the answers

    What is the primary developmental role of Hoxa10?

    <p>Regulation of reproductive systems in males and females (B)</p> Signup and view all the answers

    What are Hoxa10 knockout mice characterized by?

    <p>Infertility and cryptorchidism in males (D)</p> Signup and view all the answers

    How does DES influence Hoxa10 expression?

    <p>By inhibiting Hoxa10 expression through regulation of ERE (B)</p> Signup and view all the answers

    What risk is increased for women who were prescribed DES during pregnancy?

    <p>Risk of breast cancer (C)</p> Signup and view all the answers

    What is a consequence of improper cell specification due to DES exposure?

    <p>Disorganized smooth muscle tissue (B)</p> Signup and view all the answers

    Which cancer is specifically associated with women exposed to DES in utero?

    <p>Clear cell adenocarcinoma of the vagina and cervix (C)</p> Signup and view all the answers

    What significant reproductive defect do Hoxa10 knockout mice exhibit?

    <p>Embryo resorption and implantation failure (C)</p> Signup and view all the answers

    How does exposure to DES in the long term affect cancer rates in women?

    <p>It increases the likelihood of developing cancers after 20-40 years (C)</p> Signup and view all the answers

    What reproductive effect has been demonstrated in laboratory animals due to xenoestrogens?

    <p>Infertility (C)</p> Signup and view all the answers

    Which of the following statements about BPA's mechanism of action is correct?

    <p>BPA binds to both nuclear and membrane-bound estrogen receptors. (D)</p> Signup and view all the answers

    How does BPA affect the Agouti gene according to the studies mentioned?

    <p>It causes reduced methylation. (C)</p> Signup and view all the answers

    Which of the following best describes the impact of BPA on non-estrogen sensitive organs?

    <p>They can also be dysregulated due to a cascade effect. (C)</p> Signup and view all the answers

    What significant action did Canada take regarding BPA in 2008?

    <p>Became the first nation to ban BPA in baby bottles. (C)</p> Signup and view all the answers

    What does 'BPA Free' labeling imply about a product?

    <p>It may still contain other estrogenic substances. (D)</p> Signup and view all the answers

    Which of the following effects has BPA been linked to concerning cell and gene expression?

    <p>Alterations in gene expression that lead to tumorigenesis. (C)</p> Signup and view all the answers

    Which growth factors are involved in the mechanisms affected by BPA?

    <p>VEGF, TGFα, and BCl2. (A)</p> Signup and view all the answers

    Flashcards

    Endocrine disruptor definition

    An exogenous substance that disrupts normal hormone functions in the body.

    Endocrine disruption mechanisms

    Endocrine disruptors interfere with hormone production, transport, action, or removal.

    Variables affecting endocrine disruption

    Factors influencing endocrine disruption are not entirely known.

    Early exposure effects

    Early exposure to endocrine disruptors can have long-lasting health consequences.

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    Reducing endocrine disruptor exposure challenges

    Reducing exposure to endocrine disruptors faces considerable challenges.

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    Endocrine Disruptors

    Chemicals that interfere with the body's hormone system, disrupting its normal functions.

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    Endocrine System

    The system of glands that produce hormones to regulate body functions.

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    Bisphenol A (BPA)

    A chemical used in plastics that can disrupt hormones.

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    Dioxins

    Chemicals produced during industrial processes, including herbicide manufacturing and waste burning, also found in fire.

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    Perfluoroalkyl and Polyfluoroalkyl Substances (PFAS)

    Used in industrial applications like firefighting foam and non-stick cookware; they can disrupt the endocrine system.

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    Hormone

    A chemical messenger that travels through the body and regulates various processes and functions.

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    Hormone Imbalance

    A disruption in the endocrine system leading to either too much or too little of a hormone.

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    Endocrine System Function

    Regulates growth, development, tissue functions, reproduction, and metabolism.

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    Trans-placental

    The transfer of substances, including chemicals, from the mother's bloodstream to the developing fetus through the placenta.

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    Lactation

    The process of producing and secreting milk from the mammary glands, primarily for nourishing offspring.

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    Bioaccumulation

    The increasing concentration of toxins in organisms as they move up the food chain.

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    Biomonitoring

    The process of measuring chemicals and their metabolites in human tissues to assess exposure levels.

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    Dose-response curve

    A graph that shows the relationship between the dose of a substance and the observed effect.

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    NOAEL

    No Observable Adverse Effect Level: The highest dose of a substance that does not produce any observable adverse effects.

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    LOAEL

    Lowest Observable Adverse Effect Level: The lowest dose of a substance that produces an observable adverse effect.

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    Windows of susceptibility

    Periods in development where an organism is more vulnerable to the effects of environmental factors, including toxins.

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    What are phthalates?

    Phthalates are chemicals commonly added to plastics to make them more flexible. They can be found in toys, flooring, detergents, food packaging, and personal care products.

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    What are phthalates' effects on fetal development?

    Exposure to phthalates during fetal development can lead to adverse health effects in adulthood, including alterations in reproductive health, neurodevelopment, and respiratory systems. These effects can even be passed down to future generations.

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    What are some examples of phthalates' adverse effects?

    Studies have shown that phthalates can negatively impact reproductive health, neurodevelopment, and respiratory systems. This includes problems like reduced anogenital distance in male offspring, undescended testes, and poor semen quality in adults.

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    Why is global semen quality declining?

    Studies have shown that semen quality has been declining globally over the past 50 years. This is a cause for concern as it may contribute to male infertility and reproductive issues.

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    What is testicular dysgenesis syndrome?

    Testicular dysgenesis syndrome (TDS) is a cluster of reproductive abnormalities in males, including cryptorchidism, hypospadias, and testicular cancer. It is believed to be linked to exposure to endocrine disruptors like phthalates.

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    What is cryptorchidism?

    Cryptorchidism is a condition where one or both testicles fail to descend into the scrotum before birth. It is a common manifestation of testicular dysgenesis syndrome and can affect fertility.

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    What are endocrine disruptors?

    Endocrine disruptors are substances that interfere with the normal function of hormones in the body. They can mimic, block, or alter the actions of hormones, leading to various health problems.

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    What are some examples of endocrine disruptors?

    Examples of endocrine disruptors include phthalates, bisphenol A (BPA), pesticides, and some industrial chemicals. These chemicals can be found in various consumer products and can have a significant impact on human health.

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    What is a xenoestrogen?

    Xenoestrogens are synthetic chemicals that mimic the effects of natural estrogens in the body.

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    How do xenoestrogens impact reproduction?

    Xenoestrogens can disrupt reproductive processes in animals, leading to issues like ovulatory defects, impaired embryo development, decreased semen quality, and even infertility.

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    How does BPA disrupt the endocrine system?

    BPA binds to estrogen receptors, altering tissues, cells, and gene expression in estrogen-sensitive organs like the brain, mammary glands, ovaries, uterus, etc.

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    What are proto-oncogenes?

    Proto-oncogenes are genes that regulate cell growth and division. When they are activated or mutated, they can lead to uncontrolled cell growth and cancer.

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    How does BPA affect methylation?

    BPA can interfere with DNA methylation, which is an important epigenetic process that regulates gene expression. It can both reduce and increase methylation depending on the specific genes and environmental factors.

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    What is DNA methyltransferase (DNMT)?

    DNMTs are enzymes that add methyl groups to DNA, influencing gene expression and playing a critical role in epigenetic regulation.

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    Why is BPA considered toxic?

    BPA has been declared toxic due to its potential to disrupt the endocrine system, affecting reproduction, development, and overall health.

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    What is the significance of the 'BPA Free' label?

    While products labeled 'BPA Free' are often assumed to be safer, they may still contain other estrogenic chemicals, meaning they may still have endocrine-disrupting effects.

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    DES Mechanism of Action

    Diethylstilbestrol (DES) inhibits the expression of the Hoxa10 gene, a crucial regulator of reproductive development. This occurs through estrogen receptors (ERα and ERβ) binding to specific regions of the Hoxa10 gene.

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    Hoxa10 Function

    The Homeobox-a10 (Hoxa10) gene plays a critical role in the development of both male and female reproductive systems. It's a key player in the proper development of testes, ovaries, and endometrial tissue.

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    Hoxa10 Knockout Mice

    Mice lacking the Hoxa10 gene (knockout mice) demonstrate significant reproductive issues. Males exhibit infertility and undescended testicles (cryptorchidism), while females have problems with implantation and embryo survival.

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    DES Impact on Cell Regulation

    DES exposure disrupts the delicate balance of cell signaling pathways involved in reproductive development. It alters the expression of genes like Wnt7a and Wnt5a, leading to improper cell specialization and disorganized tissues.

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    DES Adverse Effects in Mothers

    Women who were prescribed DES during pregnancy face an elevated risk of breast cancer compared to the general population. Animal studies further demonstrate the potential for DES to cause cancer in various organs.

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    DES Adverse Effects in Daughters

    DES daughters, exposed to the drug in utero, have a substantially increased risk of developing a rare vaginal and cervical cancer called Clear Cell Adenocarcinoma (CCA).

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    DES and Reproductive System Development

    DES exerts its negative effects primarily through its impact on Hoxa10 gene function, a key regulator of reproductive development. This disruption leads to a range of adverse outcomes, impacting both the mothers and their daughters.

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    DES and Cancer Risk

    DES exposure during pregnancy, especially for mothers and long-term exposure for adults, is linked to an increased risk of developing various cancers, including breast cancer, ovarian cancer, and reproductive tract cancers.

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    Study Notes

    Endocrine Disruptors

    • Endocrine disruptors (EDCs) are exogenous agents that interfere with the synthesis, secretion, transport, binding, action, or elimination of natural hormones
    • EDCs can cause adverse health effects in both the organism exposed and future generations (progeny)
    • Identifying a "typical" EDC is challenging due to the diverse biochemical characteristics and mixtures of chemicals involved
    • Epigenetic changes, such as DNA methylation and acetylation, and histone modifications play a role in EDC mechanisms
    • EDCs are found in various consumer products, including pesticides, industrial solvents, plastics and other materials

    Learning Objectives

    • Students must comprehend the definition of endocrine disruption
    • Students must understand the various mechanisms used by endocrine disruptors acting on cells
    • Knowledge of variables contributing to hormonal disruption is required
    • Students must understand the long-term health effects of early endocrine disruptor exposure
    • Challenges in reducing exposure to potential endocrine disruptors need to be understood

    Examples of Endocrine Disruptors

    • Dioxins
    • Phytoestrogens
    • Polyaromatic hydrocarbons
    • Pesticides
    • Polychlorinated biphenyls (PCBs)
    • Phthalates
    • Flame retardants
    • Phenols

    Endocrine System

    • Endocrine organs regulate growth, development, and functions of various tissues.
    • They play a role in supporting pregnancy and other reproductive functions.
    • They are also responsible for regulating metabolism.

    Endocrine Disruption

    • Too much or too little hormone can lead to disease or dysfunction.

    Endocrine Disruptors in Development

    • Continuous exposure to EDCs can result in transgenerational effects.
    • These chemicals can leave epigenetic marks, affecting future generations.
    • This occurs when e.g. the mother is exposed and the effects follow through to the fetus.

    Human Health Impacts of Endocrine Disruptors: Development/Fertility

    • Reproductive tract abnormalities (cryptorchidism/hypospadias), precocious puberty, and spontaneous abortion are development problems
    • Endometriosis, infertility, and decreased semen quality are fertility problems

    Human Health Impacts of Endocrine Disruptors: Other Issues

    • Breast cancer, endometrial cancer, ovarian cancer, prostate cancer, and testicular cancer are reproductive cancers
    • Thyroid disease, immune dysfunction, and diabetes are other related diseases

    Exposure Pathways

    • Policy Implications:* Reducing exposure through environmental safety standards, food labeling, pesticide controls, and protective equipment.
    • Family Safety:* Including the safety of family members in all precautions, e.g. through food labelling and product use guidance

    Sources of Endocrine Disruptors

    • Food production (agricultural chemicals, additives, packaging materials)
    • Industrial activity (air pollutants, industrial chemicals, water contaminants)
    • Personal care products (cleaning supplies, flame retardants, solvents and coatings)
    • Medical products (pharmaceuticals, medical equipment)

    Routes of Exposure

    • Inhalation
    • Ingestion
    • Injection
    • Absorption (dermal)
    • Trans-placental
    • Lactation

    Indigenous People and Environmental Research

    • Studies in the Arctic highlight higher PCB levels in indigenous peoples' breast milk compared to other populations
    • This is linked to traditional diets that bioaccumulate toxins from the food web.

    Human Dose Assessment

    • Biomonitoring assesses chemicals and metabolites in human tissue compartments (Blood, Urine, Hair, Saliva)
    • This data reflects recent/long-term exposure and is essential for public health assessments.

    Dose-Response Curves

    • Simple monotonic relationships exist but other curves can also be complex (U-shaped)

    Critical Windows of Sensitivity (In Females)

    • Various stages of development in females (1st trimester, 2nd trimester, 3rd trimester, childhood, adolescence, and adulthood) have different susceptibilities to EDCs

    Mechanisms of Endocrine Disruption

    • EDCs can both stimulate and inhibit hormonal pathways.
    • Alteration of receptors and/ or related enzymes can affect hormone levels and functions

    Reproductive System Disruption (Animals/Humans)

    • Exposure to endocrine disruptors can cause reproductive issue in animals/ humans (e.g. abnormal developments, reduced fertility, cancer)

    Mechanisms of Action

    • EDCs can have multiple mechanisms of action and disrupt several systems at once.
    • They may alter receptor binding, signal transduction, gene expression and other hormonal pathway components.

    Phthalates

    • Chemicals that make plastics more flexible and harder to break
    • They are found in various products, including toys, vinyl flooring, food packaging, and personal care products.
    • Exposure to phthalates can have adverse health effects, including reproductive issues, even in developing fetuses, and resulting in effects observed in adulthood

    DDT

    • A widely used pesticide in the past, leading to bioaccumulation in the environment and various organisms.
    • Classified as a probable carcinogen
    • Causes harm to insects, fish, birds, and mammals, through reproductive issues, neurotoxins, and localized liver/kidney damage
    • DDT persists in the environment over time
    • Use of the chemical decreased over time due to environmental concerns and was banned in several countries.

    Atrazine

    • A widely used herbicide and pesticide
    • Causes frogs to develop into hermaphrodites (both male and female reproductive systems)
    • The chemical can alter hormone levels, resulting in reproductive issues and reduced testosterone

    Bisphenol A (BPA)

    • A chemical used in plastics and other materials
    • Acts as a xenoestrogen, mimicking estrogen's effects.
    • Linked to reproductive toxicities in animals (and humans), including impaired pre-implantation embryo development, ovulatory defects, and decreased semen quality, and testis morphology
    • BPA may leach from plastic items, exposing humans to the chemical, especially from early life

    Precautionary Principle

    • The precautionary principle involves taking preventive actions when a chemical or activity poses potential harm to human health/ environment, even if cause and effect are not fully understood scientifically
    • Shifting the burden of proof, exploring various alternatives, and increasing public participation in decision making are crucial components for implementing this principle.

    EDCs, Childhood-Adult Endpoints

    • Exposure to EDCs can impact neurodevelopment in humans causing ASD, ADHD, delayed menarcy, early menarche, and other associated conditions
    • Obesity is positively associated with prenatal exposure to EDCs

    Obesogens

    • Chemical class suspected of contributing to obesity in humans through various mechanisms, mainly hormonal disruption

    EDC Key Points

    • Fetal growth is dependent on hormonal factors and nutrition.
    • Exposure to several EDCs in the placenta/ fetus has been linked to various problems
    • Prenatal exposure to EDCs can have epigenetic alterations, increasing the risk of non-communicable diseases post-natally (DOHaD)
    • EDCs can damage several parts of the endocrine system, causing both direct and trans-generational impacts

    Additional Resources

    • Links to reputable websites containing further information on endocrine disruptors.

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    Endocrine Disruptors: M6_L2 PDF

    Description

    This quiz covers the essential concepts surrounding endocrine disruptors (EDCs), including their definition, mechanisms of action, and potential health effects. Students will explore how EDCs interfere with hormone function and the challenges in identifying these agents. Understanding the implications of EDC exposure for both individuals and future generations is key to grasping this critical environmental health topic.

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