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| PMID |
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| TITLE |
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| Genome-wide meta-analysis of quantitatively measured generalized anxiety symptoms in individuals of European ancestry. |
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| ABSTRACT |
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| Anxiety is heritable and exists on a continuum, with symptoms ranging from adaptive threat response to clinical disorder. Here we performed a genome-wide association meta-analysis of generalized anxiety symptom severity in 693,869 individuals of European ancestry from 14 cohorts. We identified 80 independent genome-wide significant variants within 74 loci, 39 of which were newly associated with anxiety. SNP-based heritability was 5.9% (posterior s.d. = 0.15%). Polygenic scores were significantly associated with anxiety symptom severity and disorder in European, African and South Asian ancestry samples (R = 1.2-2.9%). Significant genetic correlations (r ) were estimated with mental and physical health traits, including case-control anxiety, neuroticism and depression (r = 0.71-0.85), irritable bowel syndrome (r = 0.57), coronary artery disease, endometriosis and migraine (r = 0.20-0.27). Gene-based and pathway analyses implicated synaptic and axonal processes, with enriched expression in the brain. These findings highlight the discovery power gained from analysing a quantitative trait rather than a case-control phenotype in anxiety genetics. |
| © 2026. The Author(s). |
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| DATE PUBLISHED |
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| HISTORY |
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| PUBSTATUS |
PUBSTATUSDATE |
| received |
2025/07/08 |
| accepted |
2026/04/13 |
| medline |
2026/06/10 06:54 |
| pubmed |
2026/06/10 06:54 |
| entrez |
2026/06/09 23:27 |
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| AUTHORS |
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| NAME |
COLLECTIVENAME |
LASTNAME |
FORENAME |
INITIALS |
AFFILIATION |
AFFILIATIONINFO |
| Skelton M |
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Skelton |
Megan |
M |
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Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. |
| Mitchell BL |
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Mitchell |
Brittany L |
BL |
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School of Biomedical Sciences, Queensland University of Technology, Brisbane, Queensland, Australia. |
| Assary E |
|
Assary |
Elham |
E |
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Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. |
| Li D |
|
Li |
Danyang |
D |
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Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. |
| Morneau-Vaillancourt G |
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Morneau-Vaillancourt |
Genevieve |
G |
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Research Centre of the Montreal University Institute of Mental Health, University of Montreal, Montreal, Quebec, Canada. |
| Murphy AE |
|
Murphy |
Alan E |
AE |
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Department of Brain Sciences, Imperial College London, London, UK. |
| Ter Kuile AR |
|
Ter Kuile |
Abigail R |
AR |
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Department of Clinical, Educational, and Health Psychology, University College London, London, UK. |
| Wang R |
|
Wang |
Rujia |
R |
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National Institute for Health and Care Research Maudsley Biomedical Research Centre, South London and Maudsley NHS Trust, London, UK. |
| Adams MJ |
|
Adams |
Mark J |
MJ |
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Division of Psychiatry, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK. |
| Byrne EM |
|
Byrne |
Enda M |
EM |
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The University of Queensland, Child Health Research Centre, Brisbane, Queensland, Australia. |
| Corfield EC |
|
Corfield |
Elizabeth C |
EC |
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MRC Integrative Epidemiology Unit, Bristol Medical School, University of Bristol, Bristol, UK. |
| Grimes PZ |
|
Grimes |
Poppy Z |
PZ |
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Division of Psychiatry, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK. |
| Hannigan LJ |
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Hannigan |
Laurie J |
LJ |
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Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK. |
| Hu J |
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Hu |
Jihua |
J |
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School of Biomedical Sciences, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia. |
| Kõiv K |
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Kõiv |
Kadri |
K |
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Estonian Genome Centre, Institute of Genomics, University of Tartu, Tartu, Estonia. |
| Kwong ASF |
|
Kwong |
Alex S F |
ASF |
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Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK. |
| Papiol S |
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Papiol |
Sergi |
S |
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Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain. |
| Pettersen JH |
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Pettersen |
Johanne H |
JH |
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PsychGen Centre for Genetic Epidemiology and Mental Health, Norwegian Institute of Public Health, Oslo, Norway. |
| Pistis G |
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Pistis |
Giorgio |
G |
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Department of Psychiatry, Lausanne University Hospital (CHUV) and University of Lausanne, Prilly, Switzerland. |
| Castelao E |
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Castelao |
Enrique |
E |
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Department of Psychiatry, Lausanne University Hospital (CHUV) and University of Lausanne, Prilly, Switzerland. |
| Strom NI |
|
Strom |
Nora I |
NI |
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Department of Biomedicine, Aarhus University, Aarhus, Denmark. |
| van der Most PJ |
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van der Most |
Peter J |
PJ |
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Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. |
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Anxiety Disorders Working Group of the Psychiatric Genomics Consortium |
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GLAD+ authors |
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Lifelines Cohort Study |
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NIHR BioResource |
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PROTECT-AD Consortium |
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| Andreassen OA |
|
Andreassen |
Ole A |
OA |
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Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway. |
| Erhardt-Lehmann A |
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Erhardt-Lehmann |
Angelika |
A |
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Department of Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Würzburg, Würzburg, Germany. |
| Havdahl A |
|
Havdahl |
Alexandra |
A |
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PROMENTA Research Centre, Department of Psychology, University of Oslo, Oslo, Norway. |
| Skene N |
|
Skene |
Nathan |
N |
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Department of Brain Sciences, Imperial College London, London, UK. |
| Verhulst B |
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Verhulst |
Brad |
B |
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Department of Psychiatry and Behavioral Sciences, Texas A&M University, Bryan, TX, USA. |
| Weber H |
|
Weber |
Heike |
H |
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Department of Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Würzburg, Würzburg, Germany. |
| Armour C |
|
Armour |
Chérie |
C |
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Stress, Trauma and Related Conditions Research Centre (STARC), School of Psychology, Queen's University Belfast, Belfast, UK. |
| Ask H |
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Ask |
Helga |
H |
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PsychGen Centre for Genetic Epidemiology and Mental Health, Norwegian Institute of Public Health, Oslo, Norway. |
| Copeland WE |
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Copeland |
William E |
WE |
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Department of Psychiatry, University of Vermont, Burlington, VT, USA. |
| Dannlowski U |
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Dannlowski |
Udo |
U |
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Center for Intervention and Research on Adaptive and Maladaptive Brain Circuits Underlying Mental Health (C-I-R-C), Site Jena Magdeburg Halle, Jena, Germany. |
| Deckert J |
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Deckert |
Jürgen |
J |
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Institute of Clinical Epidemiology and Biometrics, University of Würzburg, Würzburg, Germany. |
| Domschke K |
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Domschke |
Katharina |
K |
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German Center for Mental Health (DZPG), Partner Site Berlin-Potsdam, Berlin, Germany. |
| Hickie IB |
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Hickie |
Ian B |
IB |
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Brain and Mind Centre, The University of Sydney, Sydney, New South Wales, Australia. |
| Lehto K |
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Lehto |
Kelli |
K |
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Estonian Genome Centre, Institute of Genomics, University of Tartu, Tartu, Estonia. |
| Lonsdorf TB |
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Lonsdorf |
Tina B |
TB |
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Psychology, Biological Psychology and Cognitive Neuroscience, University of Bielefeld, Bielefeld, Germany. |
| Lueken U |
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Lueken |
Ulrike |
U |
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German Center for Mental Health (DZPG), Partner Site Berlin-Potsdam, Berlin, Germany. |
| Lupton MK |
|
Lupton |
Michelle K |
MK |
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School of Biomedical Sciences, Queensland University of Technology, Brisbane, Queensland, Australia. |
| Medland SE |
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Medland |
Sarah E |
SE |
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School of Psychology and Counselling, Queensland University of Technology, Brisbane, Queensland, Australia. |
| McIntosh AM |
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McIntosh |
Andrew M |
AM |
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Division of Psychiatry, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK. |
| Oldehinkel AJ |
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Oldehinkel |
Albertine J |
AJ |
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Department of Psychiatry, Interdisciplinary Center Psychopathology and Emotion Regulation, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. |
| Preisig M |
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Preisig |
Martin |
M |
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Department of Psychiatry, Lausanne University Hospital (CHUV) and University of Lausanne, Prilly, Switzerland. |
| Reif A |
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Reif |
Andreas |
A |
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Fraunhofer Institute for Translational Medicine and Pharmacology ITMP, Frankfurt am Main, Germany. |
| Snieder H |
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Snieder |
Harold |
H |
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Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. |
| Walters JTR |
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Walters |
James T R |
JTR |
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National Centre for Mental Health and Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, Cardiff, UK. |
| Wray NR |
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Wray |
Naomi R |
NR |
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Department of Psychiatry, University of Oxford, Oxford, UK. |
| Hartman CA |
|
Hartman |
Catharina A |
CA |
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Department of Psychiatry, Interdisciplinary Center Psychopathology and Emotion Regulation, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. |
| Martin NG |
|
Martin |
Nicholas G |
NG |
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School of Biomedical Sciences, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia. |
| Hettema JM |
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Hettema |
John M |
JM |
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Department of Psychiatry and Behavioral Sciences, Texas A&M University, Bryan, TX, USA. |
| Breen G |
|
Breen |
Gerome |
G |
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National Institute for Health and Care Research Maudsley Biomedical Research Centre, South London and Maudsley NHS Trust, London, UK. |
| Coleman JRI |
|
Coleman |
Jonathan R I |
JRI |
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National Institute for Health and Care Research Maudsley Biomedical Research Centre, South London and Maudsley NHS Trust, London, UK. |
| Eley TC |
|
Eley |
Thalia C |
TC |
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National Institute for Health and Care Research Maudsley Biomedical Research Centre, South London and Maudsley NHS Trust, London, UK. thalia.eley@kcl.ac.uk. |
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| INVESTIGATORS |
|
| LASTNAME |
FORENAME |
INITIALS |
AFFILIATION |
| Wittchen |
Uli |
U |
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| Pittig |
Andre |
A |
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| Heinig |
Ingmar |
I |
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| Hoyer |
Jürgen |
J |
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| Fydrich |
Thomas |
T |
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| Hamm |
Alfons |
A |
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| Richter |
Jan |
J |
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| Arolt |
Volker |
V |
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| Kölkebeck |
Katja |
K |
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| Schneider |
Sylvia |
S |
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| Margraf |
Jürgen |
J |
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| Straube |
Benjamin |
B |
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| Rief |
Winfried |
W |
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| Pauli |
Paul |
P |
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| Neudeck |
Peter |
P |
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| JOURNAL |
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| VOLUME: |
| ISSUE: |
| TITLE: Nature human behaviour |
| ISOABBREVIATION: Nat Hum Behav |
| YEAR: 2026 |
| MONTH: Jun |
| DAY: 09 |
| MEDLINEDATE: |
| SEASON: |
| CITEDMEDIUM: Internet |
| ISSN: 2397-3374 |
| ISSNTYPE: Electronic |
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| MEDLINE JOURNAL |
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| MEDLINETA: Nat Hum Behav |
| COUNTRY: England |
| ISSNLINKING: 2397-3374 |
| NLMUNIQUEID: 101697750 |
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| PUBLICATION TYPE |
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| PUBLICATIONTYPE TEXT |
| Journal Article |
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| COMMENTS AND CORRECTIONS |
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| GRANTS |
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| GRANTID |
AGENCY |
COUNTRY |
| MR/V012878/1 |
RCUK | Medical Research Council (MRC) |
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| GENERAL NOTE |
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