JPH01503537A - Orally administrable therapeutic composition for reducing the effects of beta-lactamines - Google Patents

Orally administrable therapeutic composition for reducing the effects of beta-lactamines

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JPH01503537A
JPH01503537A JP63503346A JP50334688A JPH01503537A JP H01503537 A JPH01503537 A JP H01503537A JP 63503346 A JP63503346 A JP 63503346A JP 50334688 A JP50334688 A JP 50334688A JP H01503537 A JPH01503537 A JP H01503537A
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lactamase
bacteria
bacteroides
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タンクルド・シリル
アンドルモン・アントワーヌ
ラビア・ロジエ
レオナルド・フローレンス
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アンステイテユー・ギユスタブ・ルシイ
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/66Microorganisms or materials therefrom
    • A61K35/74Bacteria
    • A61K35/741Probiotics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/12Antidiarrhoeals

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Abstract

(57)【要約】本公報は電子出願前の出願データであるため要約のデータは記録されません。 (57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.

Description

【発明の詳細な説明】 β−ラクタミン類の効果を減少させる ための、経口投与可能な治療用組成物 不発明は腸内菌相(1ntestinal flora ) に対するβ−ラク タミン類(β−1actamines ) の好ましくない作用を減少させるだ めの、経口投与可能々治療用組成物に関する。特に本発明はヒトに対して非病原 性である、選択された細Mを含有する組成物に関する。[Detailed description of the invention] Reduces the effects of beta-lactamines Orally administrable therapeutic composition for Non-invention is β-lactam against intestinal flora. It reduces the undesirable effects of tamins (β-1actamines). The present invention relates to an orally administrable therapeutic composition. In particular, the present invention is non-pathogenic to humans. The present invention relates to a composition containing selected microorganisms which have a specific property.

担汁路(biliary route )によって冥質的に除去されるβ−ラク タミンが使用された場合、広範囲のβ−ラクタミンに:る処置を行う間に、正常 な微生物相(m1crobial flora ) 、%に、腸内薗相に重大な 異変(modification ) が出現することは周知である。β-lacquer removed subtly by the biliary route When tamins are used, normal microbial flora (m1crobial flora), which is important for the intestinal flora. It is well known that modifications occur.

この異変は、特に、腸内菌相O主体をなす個体群(population )  であシかつその存在によシ、通常、腸内細菌(enterobacteria  )、 プソイドモナス(pseudomonas )、ブドウ球菌(5taph ylococcus ) %酵母菌のごとき潜在的に病原体である微先物の侵入 (implantation ) と増殖(developrnent ) が 阻止される偏性嫌気性lfB菌(5trictly anaerobic ba cteria )に関係がある。従って、上記の主体となっている腸内菌相の少 なくとも一部が破壊されることによシ、感染性の微生物が増殖するという好まし くない結果を生ずるが、こOことはある8iの患者には極めて危険である。This abnormality is particularly observed in the population consisting mainly of intestinal microbiota O. Due to its presence, enterobacteria ), pseudomonas, staphylococcus (5taph ylococcus)% Invasion of microorganisms that are potentially pathogenic, such as yeast (implantation) and proliferation (developrnent) 5 strictly anaerobic lfB bacteria cteria). Therefore, the intestinal flora, which is the main cause of the above, is If at least a portion of the virus is destroyed, infectious microorganisms will likely grow. However, this can be extremely dangerous for some 8i patients.

種々の細菌又は酵母菌を同時に経口投与することがすでに提案されている:しか しながら、この方法は腸内に通常存在する菌相(flora )であってかつ抗 生物質による処tGcよって破項された微生物群と置換するために行われてbる に過ぎない。The simultaneous oral administration of various bacteria or yeasts has already been proposed: However, this method uses flora that normally exists in the intestines and Treatment with biological substances is carried out to replace the microbial population destroyed by Gc. It's nothing more than that.

本発明は腸内薗相と置換するためOものではなく、自然に発生する腸内菌相O破 壊を防止するための細菌を含有する新規な組成物を提供することを目的とする。Since the present invention replaces the intestinal flora, it is not an O type, but a naturally occurring intestinal bacterial flora. The purpose of the present invention is to provide a novel composition containing bacteria for preventing bacterial damage.

従って不発明によれば、β−ラクタアーゼを産生すbことができるかつヒト(2 )FJk内国相に対するβ−ラクタミン■好ましく力い作用を減少させることの できる、以下に示すごとき偏性嫌気性紅菌を含有する経口投与可能な治療用組成 物が提供される: バクテロイデス メチシリン (Bacteroides fragilis)バクテロイデス メラニノグニ クス (Bacteroides melaninogenicus)バクテロイデス  インテルメデイウス (Bacteroides intermedius)バクテロイデス ノン7 ラギリス (Bacteroides nonfragilis)バクテロイデス アサツ カロリテイクス(Bacteroides asaccharolyticus )ハ/テロイデス ビビウス (Bacteroides bivius)バクテロイデス ディ7ェンス (Bacteroides disiens)バクテロイデス オラリス (Bacteroides oralis)バクテロイデス ルミニ;う (Bacteroides ruminicola)バクテロイデス カヒロス ス (Bacteroides capillosus)バクテロイデス ユニフォ ルミス (Bacteroides uniformis)クロストリジウム プチリク ム (Clostridium butyricum)フンバクテリウム ヌクレア タム (Fusobacterium nucleatum)(上記OgW l: N ord C,E、 19B6 Rev、 Infect Dis、 8−5 5 43、548に記載されている)これらO細菌は健康なヒトの個体群の一部の腸 内菌相中に存在しかつこれらの細菌が失われた被検体(ヒト)の胎内に導入した 場合に何ら毒性を示すことがない。Therefore, according to the invention, it is possible to produce β-lactase and human (2 ) β-lactamine on FJk domestic phase An orally administrable therapeutic composition containing obligate anaerobic fungi as shown below. Items provided: Bacteroides methicillin (Bacteroides fragilis) Bacteroides melaninogni Kusu (Bacteroides melaninogenicus)  Intermedius (Bacteroides intermedius) Bacteroides non 7 Lagiris (Bacteroides nonfragilis) Bacteroides asaccharolyticus )Ha/Theroides Bibius (Bacteroides bivius) (Bacteroides disiens) Bacteroides oralis (Bacteroides oralis) Bacteroides lumini; (Bacteroides ruminicola) Bacteroides kahilos vinegar (Bacteroides capillosus) Bacteroides Unifo Lumis (Bacteroides uniformis) Clostridium petilik Mu (Clostridium butyricum) Humbacterium nuclea Tam (Fusobacterium nucleatum) (OgW l:N ord C, E, 19B6 Rev, Infect Dis, 8-5 5 43, 548) These O bacteria are found in the intestines of some healthy human populations. introduced into the womb of a subject (human) that is present in the endophytic flora and these bacteria have been lost. It does not show any toxicity in some cases.

不発明によれば、こO治療用組成物はβ−2クタミンに二る通常の処t′5r行 う数時間前又はこの処tを行うのと同時に8口投与される。こ0投与はβ−ラク タミンに2る処置を行う間、反復して行い得る。According to the invention, this O therapeutic composition can be used in a conventional manner as compared to β-2-cutamine. Eight doses are administered several hours before or at the same time as this treatment. 0 administration is β-lac It may be repeated during the second treatment with Tamin.

こO治療用組成物は、特に、下記Oごときβ−ラクタミンに:る処置と同時に使 用すべきであるニーペニシリン類 すなわち、ペニシリンG及び7ニノキシメテルはニジリン、メチシリン及びイン キサゾリルベニシ’)7C例、tはオキサシリン及びクロキサシリン)、アミノ ズニシリン(例えばアンピシリン及びアモキシリン)、アミジノにニジリン(例 えばビプメシリナム)、カルボキシはニジリン(例えばカルベニシリン、テカル クリン)、メトキシカルボキシペニシリン(例えばテモシリン)、アシルウレイ ドにニジリン(例えばメズ;シリン、アモキシリン、ピ5ラシリン)、アシルに ニジリン(例えばアモキシリン)。This O treatment composition is particularly suitable for use concurrently with β-lactamine-based treatments such as O, as described below. Nipenicillins that should be used That is, penicillin G and 7-ninoxy methane are 7C examples, t is oxacillin and cloxacillin), amino Zunicillin (e.g. ampicillin and amoxicillin), amidino and nigiline (e.g. (e.g. bipmecillinum), carboxy is nigiline (e.g. carbenicillin, tecal). clin), methoxycarboxypenicillin (e.g. temocillin), acylurei Nigilin (e.g. mes; sirin, amoxicillin, pi5racillin), acyl Nigilin (e.g. amoxicillin).

一セファロスポリン類 例えばセファロテン、セファゾリン、セファマンドール、セフ0キシム、セフ0 キシム、セフ0キシム、セフタジジム、セ7トリアクノン。-Cephalosporins For example, cephalotene, cefazolin, cefamandole, cef0xime, cef0 Xime, cef0xime, ceftazidime, cef7triacnone.

−モノバクタム煩(アゼチジン環を有するもの)、例えばアズトセナム。- Monobactams (those with an azetidine ring), such as aztocenam.

本発明に従って使用される偏性嫌気性細菌菌株は例えばバクテロイド属に属する β−ラクタマーゼ産産性性菌株下記のごとき試験管内試験を使用し得る。この試 験においてはβ−ラクタマーゼ活性を有すると考えられる溶液と接触させつめで β−ラクタミンの残存量を測定する( Rolfe RD及びCo11. J、  Infect Dis、 147.227. t9ss参照)。The obligate anaerobic bacterial strains used according to the invention belong to the genus Bacteroides, for example. β-Lactamase-Producing Strains In vitro tests such as those described below may be used. this test In experiments, it is recommended that the product be brought into contact with a solution thought to have β-lactamase activity. Measuring the residual amount of β-lactamine (Rolfe RD and Co11. J, Infect Dis, 147.227. (See t9ss).

この試験の後、少なくとも0.02μmol のセファロリジン(cephaJ oridin )/分/蛋白質1.9C,酵素活性を示す菌株が選択される。After this test, at least 0.02 μmol of cephaloridine (cephaJ (oridin)/min/1.9 C of protein, a strain exhibiting enzyme activity is selected.

β−−ラクタマーゼ生性菌株はヒトの便から単離し得る。β-lactamase producing strains can be isolated from human stool.

β−−ラクタマーゼ産生する偏性嫌気性でかつ非病原性の菌株は投与前に、経口 的に吸収され得る担体にその場で添力するために凍結乾燥した形で提供し得る。An obligately anaerobic and non-pathogenic strain that produces β-lactamase should be administered orally before administration. It may be provided in lyophilized form for in situ loading onto a carrier that can be absorbed.

この菌株は、また、必要ならば逼に)な担体と混合されたゼラチンカプセル、錠 剤等の形でらシ得る。胃中でのバクテリアの破壊を防止するためには、上記製剤 は耐酸性担体及び/又は腸溶皮を含有し得る。This strain can also be used in gelatin capsules, tablets mixed with a tough carrier (if necessary). Recipes are available in the form of medicines, etc. To prevent the destruction of bacteria in the stomach, the above preparations may contain an acid-resistant carrier and/or an enteric coating.

ヒトの場合、通常の経口にニジ投与する投与薬剤は約108〜1o” 個の生存 バクテリア細胞を含有し得る。In humans, drugs administered orally usually have a survival rate of approximately 108 to 10". May contain bacterial cells.

本発明によれば、治療用組成物の活性はセフ) IJアクンンで処理された多宿 主性(heteroxenic )マウスについて示される。β−ラクタマーゼ 産生性嫌気性細Mを予めヒトの便試料から採取し、このa菌から生じた培養株( cueture )を投与に使用する。この実験を以下で詳述する: 1、 β−2クタマ−ゼ産生性偏性嫌気性細菌株の採取健康な被検者の便を厳密 に嫌気性の条件下で単離した。According to the present invention, the activity of the therapeutic composition is determined by Shown for heteroxenic mice. β-lactamase Productive anaerobic bacteria M were collected in advance from human stool samples, and the cultured strain ( cueture) is used for administration. This experiment is detailed below: 1. Collection of β-2 catamase-producing obligate anaerobic bacterial strains. Strictly collect stool from healthy subjects. isolated under anaerobic conditions.

各々の被検者にお込て主要なりローン((lone )を同定しかつ単離された 菌株のβ−ラクタマーゼ活性を試験管内で測定した。The primary loan in each subject was identified and isolated. The β-lactamase activity of the strain was measured in vitro.

β−ラクタマーゼu Rolfe RD 等によシ報告されている早足量的微生 物学的方法(J、 Infect Dis、 147.227゜1983 )  にニジ検呂した。活性番−〇+〜4+の任意的な尺度で評価する。最大β−ラク タマーゼ活性は4+で示される。3+、2+、1+で示される中間の活性は抗生 物質の部分的加水分解か生じたことに対応する。0+の場合はβ−ラクタマーゼ 活性がないものと考えられる。β-Lactamase u Fast mass microorganisms reported by Rolfe RD et al. Physical methods (J, Infect Dis, 147.227゜1983) I checked it out. Evaluation is made using an arbitrary scale of activity number -〇+ to 4+. Maximum β-Easy Tamase activity is indicated by 4+. Intermediate activity indicated by 3+, 2+, and 1+ is antibiotic. Corresponds to partial hydrolysis of the substance. If 0+, β-lactamase It is considered inactive.

この試旅ではグロース メジウム(Ge1ose Medium ) 5(Di fco )及びB、スプテリス(B、 5ubtilis ) ATCC663 3対照菌株を使用した。On this test trip, we used Growth Medium (Ge1ose Medium) 5 (Di fco) and B, spteris (B, 5ubtilis) ATCC663 Three control strains were used.

便試料を濃度既知の抗生物質:アモキシシリン、アモキシシリン+クラグラン酸 (C1avulanic acid )、チカルシリン、セ7オタキシム、セフ トリアクノン又はセ7オベラゾンと共に37°Cで30分間、保温しついで残留 抗生物質活性を測定した。Antibiotics with known concentrations: amoxicillin, amoxicillin + claglanic acid (C1avulanic acid), ticarcillin, se7otaxime, cef Incubate at 37°C for 30 minutes with triacone or se7oberazone and remain Antibiotic activity was measured.

選択された菌株の活性を第1表に示す。表中の数字は種々のβ−ラクタミン抗生 物質の仄水分解兆(支)を表わす。The activities of selected strains are shown in Table 1. The numbers in the table are for various β-lactamine antibiotics. Represents the sign of water decomposition of a substance.

第 ■ 表 第1表 β−ラクタマーゼ活性を更に分光測光法(O″Cal laghan等、Ant imicro bial AHents Chernotherapy 1.2 83.1972参照)に=9測定した。得られた結果を第■表に示す。■Table Table 1 β-lactamase activity was further determined spectrophotometrically (O″Cal laghan et al., Ant imicro vial AHents Chernotherapy 1.2 83.1972) = 9 measurements were taken. The results obtained are shown in Table ①.

無SマウスC3H(Centre de 5election desバクテリ ア抽出物のβ−ラクタマーゼ活性(セファロリジンOμmo I e/分/蛋臼 質IF)Animaux de Laboratoires、フランス オルレ アン所在ニジ入手)を軟質ヲラステツクアイソレーター千に収容した。飲料とし てマウスに熱殺菌したp830水だけを与倍に稀釈しついで得らり、た調製液を 無菌マウスを収容したアイソレーター中に放置した。この細菌溶液が酸素と接触 することを防止するために、上記溶液を嫌気室同に装入するのに密閉チューブを 使用した。前記の場合と同様に、予め水だけを与えたマウスに胃及び直腸経由で 投餌した。投餌は24時間後に繰返した。ヒト(便提供者)におけると同様O腸 内のバランスとバリヤー効果(barrier effect ) を得るのに 10〜1513を要した。No S mouse C3H (Centre de 5 selection des bacterium β-lactamase activity of A. extract (cephaloridine Quality IF) Animaux de Laboratoires, Olle, France (Obtained at the current location) was housed in a soft-walled isolator. As a drink Heat-sterilized p830 water was diluted to a volume of 100% to mice, and the prepared solution was given to mice. The mice were placed in an isolator containing sterile mice. This bacterial solution comes into contact with oxygen To prevent this, a sealed tube is used to introduce the above solution into the anaerobic chamber. used. As in the previous case, the mice were given water only beforehand and then administered via the stomach and rectum. I threw bait. Baiting was repeated 24 hours later. O intestine as in humans (fecal donor) To achieve inner balance and barrier effect It took 10-1513.

ヒトの面相を保有するマウスに5.108cfu /rJ04SOβ−ラクp  ? −セg生性菌株(C1,C6,E9. V4E3)を含有する、1−のTG Yグロス(トリプチケース301/l 、酵母抽出物20 i/l 、グルコー ス5 J7 / t 。5.108 cfu/rJ04SOβ-lacp in mice with human features ? -TG of 1- containing Segogenic bacterial strain (C1, C6, E9. V4E3) Y gloss (Tripticase 301/l, Yeast extract 20 i/l, Glucose S5 J7/t.

チオグリコール酸ナトリウム1 g/ L 、 pH= 7.4 )を胃内に接 種し、そ(DH後にセフトリアクンン(飲料水中、211P/ゴ)を経口投与し た。得られた結果を第m表に示す。Inject sodium thioglycolate (1 g/L, pH = 7.4) into the stomach. Orally administered ceftriacunun (211P/go in drinking water) after DH. Ta. The results obtained are shown in Table m.

処理中、抗生物質a糞中に認められなかった。セフトリアクノンに対するβ−ラ クタツーゼ活性は処世の14日後に認められた(1千〜4+の間)。During treatment, no antibiotics were found in the feces. β-ra for ceftriacone Cutatuse activity was observed 14 days after death (between 1000 and 4+).

セフトリアクノン耐性腸内紀菌は排除された。二ンテ′:l′ツシ数(Enie rococci count )は非処理対象と同一であった。セントリアクン ンに耐性の外来性微生物(Ent、coloacae、 IGR67、C,al bicars IGR66)による転移増殖(colonization )  は活性バクテロイド菌株を予め接種したマウスにおいて保持された。Ceftriacone-resistant Enterobacteriaceae were eliminated. 2': l' Tsusi number (Enie rococci count) was the same as in the untreated subjects. Centria Kun Invasive microorganisms (Ent, coloacae, IGR67, C, al metastatic proliferation (colonization) due to bicars IGR66) was maintained in mice previously inoculated with active bacteroid strains.

バクテロイドを接種した群で#′i嫌気性細菌が依然として存在し、そして嫌気 性震内で得られた全菌株数は、対照と比較して、これらのバクテロイドの存在に よシ著しく変化しなかった。これらの細菌0MIC50及び90は、それぞれ、 1−当り、セ7トリアクノン512及び1024μ2以上であった。グラム陰性 バチルヌがこの菌相の84%を形成しそして16%の胞子形成ダラム陽性/ぐテ ルスと己チOコツシが存在した。In the group inoculated with bacteroids #'i anaerobic bacteria were still present and anaerobic The total number of bacterial strains obtained within the sexes was determined by the presence of these bacteroids compared to the control. There was no significant change. These bacteria 0MIC50 and 90 are, respectively. It was more than 512 and 1024 μ2 of ce7triacone per 1. gram negative Bacillus formed 84% of this flora and 16% spore-forming Durum positive/gute. Rusu and Chio Kotushi existed.

Api 20A系を使用する同定法によシ、セ7トリアクンンに2る処理の開始 直前トて投与されたものと同一〇性質を有するC、クロストリシフ万ルミスとム ユニホルミスの菌株の間で検出を行うことができる。Using the identification method using the Api 20A system, start the process in step 2. C, clostricifum lumis and mucilage having the same properties as those administered immediately before. Detection can be performed among strains of S. uniformis.

第 m 派 ヒト菌相を保有するマウスにおけるセ7トリアクノン(飲料水2岬/m) の生 態学的性質に対する、β−ラクタマーゼ産生性嫌気性障の効果6個の採取物につ いて0便(’toy)o平均−!=SEMufc/に’アンダーラインを引いf c結来:顕著な差p > o、、s*極端な値 S=供試マウス0数 n=試験した便試料 ヒトの治療においては投与′jkけ、腸溶皮を有する耐胃酸性(gastro− sesistant ) ゼラチン カプセル(各ゼラチンカプセルは5 x  10 @(D−<クチリアを含有する)の場合、抗生物質処理1日当9、・ぐク チリア約10〜約1011個でちる。Mth faction Growth of ce7triacnone (drinking water 2 capes/m) in mice harboring human microbiota Effect of β-lactamase-producing anaerobic disorder on morphological properties of six samples. 0 flights ('toy) o average -! =SEMufc/ underline f c result: significant difference p> o,,s*extreme value S = 0 number of test mice n = stool sample tested In the treatment of humans, gastro-acid resistant (gastro- gelatin capsules (each gelatin capsule is 5 x 10@(D-<Contains Cutilia), antibiotic treatment daily allowance 9,・Guku Makes about 10 to 1011 chillies.

ml m m、 PC?/T−RεB100172ml m m, PC? /T-RεB100172

Claims (7)

【特許請求の範囲】[Claims] 1.ヒトに対して非病原性でありかつβ−ラクタマ−ゼを産生することのできる 偏性嫌気性細菌を含有することを特徴とする、ヒトの腸内菌相に対するβ−ラク タミンの作用を減少させるための経口投与可能な治療用組成物。1. Non-pathogenic to humans and capable of producing β-lactamase β-lactams against the human intestinal flora, characterized by containing obligate anaerobic bacteria. Orally administrable therapeutic composition for reducing the effects of tamins. 2.細菌はβ−ラクタマ−ゼ産生性のクロストリジウム及びバクテロイデスの菌 株から選ばれる、請求項1記載の組成物。2. Bacteria include β-lactamase producing Clostridium and Bacteroides. A composition according to claim 1, wherein the composition is selected from a strain. 3.細菌はβ−ラクタマ−ゼ産生性のクロストリジウムから選ばれる、請求項2 記載の組成物。3. Claim 2, wherein the bacterium is selected from β-lactamase producing Clostridium. Compositions as described. 4.細菌はβ−ラクタマ−ゼ産生性のバクテロイデスユニフオルミスから選ばれ る請求項2記載の組成物。4. The bacteria were selected from the β-lactamase producing Bacteroides uniformis. The composition according to claim 2. 5.細菌はβ−ラクタマ−ゼ産生性のバクテロイテステタイオタオミクロンから 選ばれる請求項2記載の組成物。5. Bacteria are derived from the β-lactamase-producing Bacteroites thethetaiotaomicron. The composition according to claim 2, which is selected. 6.選択された細菌は少なくとも0.02μmoleのセフアロリジン/分/全 細菌蛋白質1mgのβ−ラクタマ−ゼ活性を提供する。請求項1〜5のいずれか に記載の組成物。6. The selected bacteria have at least 0.02 μmole of cephaloridine/min/total 1 mg of bacterial protein provides β-lactamase activity. Any one of claims 1 to 5 The composition described in . 7.約108〜1011個の非病原性でかつβ−ラクタマ−ゼ産生性の偏性嫌気 性細菌を含有する、請求項1〜6のいずれかに記載の組成物。7. Approximately 108-1011 non-pathogenic and β-lactamase producing obligate anaerobic 7. The composition according to any one of claims 1 to 6, which contains sexually transmitted bacteria.
JP63503346A 1987-04-10 1988-04-08 Orally administrable therapeutic composition for reducing the effects of beta-lactamines Pending JPH01503537A (en)

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