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PMID |
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TITLE |
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Genome-wide association meta-regression identifies stem cell lineage orchestration as a key driver of acne risk. |
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ABSTRACT |
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Over 85% of the population experience acne at some point in their lives, with its severity spanning a quantitative spectrum, from mild, transient outbreaks to more persistent, severe forms of the condition. Moderate to severe disease poses a substantial global burden arising from both the physical and psychological impacts of this highly visible condition. The analytical approach taken in this study aimed to address the impact of variation in the dichotomisation of acne case control status, driven by ascertainment and study design, on effect size estimates across independent genetic association studies of acne. Through a fixed intercept meta-regression framework, we combined evidence genome-wide for association with acne across studies in which case-control status had been ascertained in different settings, allowing for different severity threshold definitions. Across a combined sample of 73,997 cases and 1,103,940 controls of European, South Asian and African American ancestry we identify genetic variation at 165 genomic loci that influence acne risk. There is evidence for both shared and ancestry specific components to the genetic susceptibility to acne and for sex differences in the magnitude of effect of risk alleles at three loci. We observe that common genetic variation explains 13.4% of acne heritability on the liability scale. Consistent with the hypothesis that genetic risk primarily operates at the level of individual pilosebaceous units, a polygenic score derived from this case-control study of acne susceptibility is associated with both self-reported and clinically assessed acne severity in adolescence, further strengthening the link between genetic risk and disease severity. Prioritisation of causal genes at the identified acne risk loci, provides genetic validation of the targets of established and emerging acne therapies, including retinoid treatments. The identified acne risk loci are enriched for genes encoding downstream effectors of signalling, including and components of the and p53 pathways. Illustrating that the control of stem cell lineage plasticity and cellular fate are important mechanisms through which genetic variation influences acne susceptibility within the pilosebaceous unit. |
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DATE PUBLISHED |
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HISTORY |
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PUBSTATUS |
PUBSTATUSDATE |
pubmed |
2025/07/16 06:25 |
medline |
2025/07/16 06:26 |
entrez |
2025/07/16 05:29 |
pmc-release |
2025/07/15 |
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AUTHORS |
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NAME |
COLLECTIVENAME |
LASTNAME |
FORENAME |
INITIALS |
AFFILIATION |
AFFILIATIONINFO |
Maxwell J |
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Maxwell |
Jessye |
J |
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Department of Medical and Molecular Genetics, School of Basic and Medical Biosciences, King's College London, London, United Kingdom. |
Mitchell BL |
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Mitchell |
Brittany L |
BL |
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School of Biomedical Sciences, Queensland University of Technology, Brisbane, Australia. |
DuHarpur X |
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DuHarpur |
Xinyi |
X |
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St John's Institute of Dermatology, School of Basic and Medical Biosciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom. |
Pardo LM |
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Pardo |
Luba M |
LM |
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Department of Dermatology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands. |
Witkam WCAM |
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Witkam |
Willemijn C A M |
WCAM |
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Department of Dermatology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands. |
Dand N |
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Dand |
Nick |
N |
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Department of Medical and Molecular Genetics, School of Basic and Medical Biosciences, King's College London, London, United Kingdom. |
Bartels M |
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Bartels |
Meike |
M |
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Amsterdam Public Health Research Institute, Amsterdam, the Netherlands. |
Betti MJ |
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Betti |
Michael J |
MJ |
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Department of Medicine, Division of Genetic Medicine, Vanderbilt University Medical Center, Nashville, TN, USA. |
Boomsma DI |
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Boomsma |
Dorret I |
DI |
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Amsterdam Reproduction & Development (AR&D) research institute, Amsterdam, the Netherlands. |
Dong X |
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Dong |
Xianjun |
X |
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Adams Center of Parkinson's Disease Research, Department of Neurology, Yale School of Medicine, Yale University, New Haven, CT, USA. |
Gerring Z |
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Gerring |
Zachary |
Z |
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Walter and Eliza Hall Institute of Medical Research, VIC, Australia. |
Finer S |
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Finer |
Sarah |
S |
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Wolfson Institute of Population Health, Queen Mary University of London, London, UK. |
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Genes & Health Research Team |
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Hagenbeek FA |
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Hagenbeek |
Fiona A |
FA |
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Amsterdam Public Health Research Institute, Amsterdam, the Netherlands. |
Hottenga JJ |
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Hottenga |
Jouke Jan |
JJ |
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Amsterdam Public Health Research Institute, Amsterdam, the Netherlands. |
Hripcsak G |
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Hripcsak |
George |
G |
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Department of Biomedical Informatics, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA. |
Huilaja L |
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Huilaja |
Laura |
L |
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Medical Research Center, Oulu University Hospital, Oulu, Finland. |
Hveem K |
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Hveem |
Kristian |
K |
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Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway. |
Jacobs BM |
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Jacobs |
Benjamin M |
BM |
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Wolfson Institute of Population Health, Queen Mary University of London, London, UK. |
Kals M |
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Kals |
Mart |
M |
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Estonian Genome Center, Institute of Genomics, University of Tartu, Tartu, Estonia. |
Kaufman-Cook J |
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Kaufman-Cook |
James |
J |
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Department of Medical and Molecular Genetics, School of Basic and Medical Biosciences, King's College London, London, United Kingdom. |
Kettunen J |
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Kettunen |
Johannes |
J |
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Systems Epidemiology, Research Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland. |
Khan A |
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Khan |
Atlas |
A |
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Division of Nephrology, Department of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA. |
Kingo K |
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Kingo |
Külli |
K |
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Tartu University Hospital, Tartu, Estonia. |
Kiryluk K |
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Kiryluk |
Krzysztof |
K |
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Division of Nephrology, Department of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA. |
Løset M |
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Løset |
Mari |
M |
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Department of Dermatology, Clinic of Orthopaedy, Rheumatology and Dermatology, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway. |
Lunter G |
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Lunter |
Gerton |
G |
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Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands. |
Lupton MK |
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Lupton |
Michelle K |
MK |
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School of Biomedical Sciences, Queensland University of Technology, Brisbane, Australia. |
Min JL |
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Min |
Josine L |
JL |
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Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK. |
Martin NG |
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Martin |
Nicholas G |
NG |
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School of Biomedical Sciences, Queensland University of Technology, Brisbane, Australia. |
Medland SE |
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Medland |
Sarah E |
SE |
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School of Psychology and Counselling, Queensland University of Technology (QUT), Brisbane, Australia. |
Neijzen D |
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Neijzen |
Dorien |
D |
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Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands. |
Nijsten TEC |
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Nijsten |
Tamar E C |
TEC |
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Department of Dermatology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands. |
Nikopensius T |
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Nikopensius |
Tiit |
T |
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Estonian Genome Center, Institute of Genomics, University of Tartu, Tartu, Estonia. |
Olsen CM |
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Olsen |
Catherine M |
CM |
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Population Health program, QIMR Berghofer Medical Research Institute, Brisbane, Australia. |
Petukhova L |
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Petukhova |
Lynn |
L |
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Department of Population Health, NYU Grossman School of Medicine, NYU Langone Health, New York, New York, USA. |
Reigo A |
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Reigo |
Anu |
A |
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Estonian Genome Center, Institute of Genomics, University of Tartu, Tartu, Estonia. |
Rentería ME |
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Rentería |
Miguel E |
ME |
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School of Biomedical Sciences, Queensland University of Technology, Brisbane, Australia. |
Rispoli R |
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Rispoli |
Rossella |
R |
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Department of Medical and Molecular Genetics, School of Basic and Medical Biosciences, King's College London, London, United Kingdom. |
Saklatvala J |
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Saklatvala |
Jake |
J |
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Department of Medical and Molecular Genetics, School of Basic and Medical Biosciences, King's College London, London, United Kingdom. |
Sliz E |
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Sliz |
Eeva |
E |
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Systems Epidemiology, Research Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland. |
Tasanen-Määttä K |
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Tasanen-Määttä |
Kaisa |
K |
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Medical Research Center, Oulu University Hospital, Oulu, Finland. |
Thomas L |
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Thomas |
Laurent |
L |
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BioCore - Bioinformatics Core Facility, NTNU - Norwegian University of Science and Technology, Trondheim. Norway. |
Trembath RC |
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Trembath |
Richard C |
RC |
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Department of Medical and Molecular Genetics, School of Basic and Medical Biosciences, King's College London, London, United Kingdom. |
Vaht M |
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Vaht |
Mariliis |
M |
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Estonian Genome Center, Institute of Genomics, University of Tartu, Tartu, Estonia. |
van Heel DA |
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van Heel |
David A |
DA |
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Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK. |
Weng C |
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Weng |
Chunhua |
C |
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Department of Biomedical Informatics, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA. |
Whiteman DC |
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Whiteman |
David C |
DC |
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Population Health program, QIMR Berghofer Medical Research Institute, Brisbane, Australia. |
Barker JN |
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Barker |
Jonathan N |
JN |
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St John's Institute of Dermatology, School of Basic and Medical Biosciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom. |
Smith C |
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Smith |
Catherine |
C |
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St John's Institute of Dermatology, School of Basic and Medical Biosciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom. |
Simpson MA |
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Simpson |
Michael A |
MA |
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Department of Medical and Molecular Genetics, School of Basic and Medical Biosciences, King's College London, London, United Kingdom. |
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INVESTIGATORS |
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JOURNAL |
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VOLUME: |
ISSUE: |
TITLE: medRxiv : the preprint server for health sciences |
ISOABBREVIATION: medRxiv |
YEAR: 2025 |
MONTH: Jun |
DAY: 28 |
MEDLINEDATE: |
SEASON: |
CITEDMEDIUM: Internet |
ISSN: |
ISSNTYPE: |
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MEDLINE JOURNAL |
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MEDLINETA: medRxiv |
COUNTRY: United States |
ISSNLINKING: |
NLMUNIQUEID: 101767986 |
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PUBLICATION TYPE |
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PUBLICATIONTYPE TEXT |
Journal Article |
Preprint |
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COMMENTS AND CORRECTIONS |
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GRANTS |
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GRANTID |
AGENCY |
COUNTRY |
RC2 MH089951 |
NIMH NIH HHS |
United States |
U01 HG008676 |
NHGRI NIH HHS |
United States |
R01 MH081802 |
NIMH NIH HHS |
United States |
RC2 MH089995 |
NIMH NIH HHS |
United States |
U01 HG008657 |
NHGRI NIH HHS |
United States |
R01 HD042157 |
NICHD NIH HHS |
United States |
R01 AR080796 |
NIAMS NIH HHS |
United States |
U01 HG008672 |
NHGRI NIH HHS |
United States |
U01 HG008679 |
NHGRI NIH HHS |
United States |
U01 HG008666 |
NHGRI NIH HHS |
United States |
U24 MH068457 |
NIMH NIH HHS |
United States |
U54 MD007593 |
NIMHD NIH HHS |
United States |
U01 HG008685 |
NHGRI NIH HHS |
United States |
U01 HG006379 |
NHGRI NIH HHS |
United States |
U01 HG008664 |
NHGRI NIH HHS |
United States |
U01 HG008701 |
NHGRI NIH HHS |
United States |
U01 HG008684 |
NHGRI NIH HHS |
United States |
EP-C-15-001 |
EPA |
United States |
K01 AR075111 |
NIAMS NIH HHS |
United States |
U01 HG008680 |
NHGRI NIH HHS |
United States |
TL1 TR001875 |
NCATS NIH HHS |
United States |
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Wellcome Trust |
United Kingdom |
U01 HG008673 |
NHGRI NIH HHS |
United States |
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GENERAL NOTE |
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KEYWORDS |
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CHEMICALS |
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