WO1996002240A2 - Use of inhibitors of human s-cd23 - Google Patents
Use of inhibitors of human s-cd23 Download PDFInfo
- Publication number
- WO1996002240A2 WO1996002240A2 PCT/EP1995/002693 EP9502693W WO9602240A2 WO 1996002240 A2 WO1996002240 A2 WO 1996002240A2 EP 9502693 W EP9502693 W EP 9502693W WO 9602240 A2 WO9602240 A2 WO 9602240A2
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- WO
- WIPO (PCT)
- Prior art keywords
- inhibitor
- human
- formation
- prophylaxis
- treatment
- Prior art date
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- MOPRTFSMCQNUCT-CABCVRRESA-N CC(C)C[C@H](CC(NO)=O)C(N[C@@H](Cc1ccccc1)C(NC)=O)=O Chemical compound CC(C)C[C@H](CC(NO)=O)C(N[C@@H](Cc1ccccc1)C(NC)=O)=O MOPRTFSMCQNUCT-CABCVRRESA-N 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/66—Phosphorus compounds
- A61K31/662—Phosphorus acids or esters thereof having P—C bonds, e.g. foscarnet, trichlorfon
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/16—Amides, e.g. hydroxamic acids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/16—Amides, e.g. hydroxamic acids
- A61K31/165—Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/38—Heterocyclic compounds having sulfur as a ring hetero atom
- A61K31/381—Heterocyclic compounds having sulfur as a ring hetero atom having five-membered rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/40—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
- A61K31/403—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
- A61K31/404—Indoles, e.g. pindolol
- A61K31/4045—Indole-alkylamines; Amides thereof, e.g. serotonin, melatonin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P37/00—Drugs for immunological or allergic disorders
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P37/00—Drugs for immunological or allergic disorders
- A61P37/08—Antiallergic agents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
Definitions
- This invention relates to a medical use and in particular to the use of inhibitors of the formation of soluble human CD23 for the treatment of conditions associated with excess production of soluble CD23 (s-CD23) such as autoimmune disease and allergy.
- s-CD23 soluble CD23
- Matrix metalloproteases such as coUagenase, stromelysin and gelatinase are known to be involved in connective tissue breakdown.
- matrix metalloprotease inhibitors include derivatives of hydroxamic acid, phosphonates and Lhiols.
- WO 93/20047 discloses various derivatives of hydroxamic acid including those from the following patent publications: USP 4599361, EP-A-0236872, EP-A- 0274453, WO 90/05716, WO 90/05719, WO 91/02716, EP-A-0489577, EP-A- 0489579, EP-A-0497192 and WO 92/13831.
- CD23 (the low affinity IgE receptor Fc ⁇ RH, Blast 2), is a 45 kDa type ⁇ integral protein expressed on the surface of a variety of mature cells, including B and T lymphocytes, macrophages, natural killer cells, Langerhans cells, monocytes and platelets (Delespesse et al, Adv Immunol, 42 [1991] 149-191). There is also a CD23- like molecule on eosinophils (Grangette et al, J Immunol, 142 [1989] 3580-3588). CD23 has been implicated in the regulation of the immune response (Delespesse et al, Immunol Rev, 125 [1992] 77-97).
- Human CD23 exists as two differentially regulated isoforms, a and b, which differ only in the amino acids at the intracellular N-terminus (Yokota et al. Cell, U [1988] 611-618). In man the a isoform is found only on B- lymphocytes, whereas type b is found on all other cells capable of expressing CD23. However, expression of the b isoform on B-lymphocytes is inducible by IL4.
- i-CD23 cell bound CD23
- S-CD23 well-defined soluble fragments
- S-CD23 has been implicated in the overproduction of IgE, the hallmark of allergic diseases such as extrinsic asthma, rhinitis, allergic conjuctivitis, eczema, atopic dermatitis and anaphylaxis (Sutton and Gould, Nature, 2 ⁇ & [1993] 421-428).
- Other biological activities attributed to S-CD23 include the stimulation of B cell growth and the induction of the release of mediators from monocytes.
- S-CD23 serum of patients having B-chronic lymphocytic leukaemia (Sarfati et al, Blood, 21 [1988] 94-98) and in the synovial fluids of patients with rheumatoid arthritis (Chomarat et al, Arthritis and Rheumatism, _ [1993] 234-242).
- compounds which inhibit the formation of S-CD23 should have twofold actions of a) enhancing negative feedback inhibition of IgE synthesis by maintaining levels of i-CD23 on the surface of B cells, and b) inhibiting the immunostimulatory cytokine activities of higher molecular weight soluble fragments (Mr 37, 33 and 29 kDa) of S-CD23. It has now surprisingly been found that compounds which inhibit the action of matrix metalloproteases (eg coUagenase, stromelysin and gelatinase) are effective inhibitors of the release of human soluble CD23 transfected into mammalian cell culture systems.
- matrix metalloproteases eg coUagenase, stromelysin and gelatinase
- Inhibitors of the matrix metalloproteases are therefore potentially useful for the treatment or prophylaxis of disorders such as allergy and autoimmune disease in which the overproduction of S-CD23 is implicated.
- matrix metalloprotease inhibitors include derivatives of hydroxamic acid, phosphonic acid and thiols, all of which have been shown to inhibit CD23 proteolysis.
- the present invention provides the use of an inhibitor of the formation of human soluble CD23, such as an inhibitor of matrix metalloproteases, for the production of a medicament for the treatment or prophylaxis of disorders such as allergy and autoimmune disease in which the overproduction of S-CD23 is implicated.
- the invention provides a method for the treatment or prophylaxis of disorders such as allergy and autoimmune disease in which the overproduction of S-CD23 is implicated, which method comprises the administration of an inhibitor of the formation of soluble human CD23, such as an inhibitor of matrix metalloproteases, to a human or non-human mammal in need thereof.
- the invention also provides a pharmaceutical composition for the treatment or prophylaxis of disorders such as allergy and autoimmune disease in which the overproduction of S-CD23 is implicated which comprises an inhibitor of the formation of soluble human CD23, such as an inhibitor of matrix metalloproteases and optionally a pharmaceutically acceptable carrier therefor.
- Suitable matrix metalloprotease inhibitors are set out in the Table and include the hydroxamic acid derivatives disclosed in WO 90/05716, WO 90/05719, WO 91/02716. WO 92/13831, WO 93/20047, EP-A-0236872, EP-A-0274453, EP-A- 0489577, EP-A-0489579, EP-A-0497192 and USP 4599361. Suitable matrix metalloprotease inhibitors also include the thiols and phosphonic acids disclosed in EP 273689 and EP320118.
- Particular matrix metalloprotease inhibitors include the compounds disclosed hereinafter in the Procedures section.
- Favoured matrix metalloprotease inhibitors include Example 2 of WO 90/05719 and Example 1 of EP 0497192.
- the matrix metalloprotease inhibitors mentioned herein may exist in several different isomeric forms, including stereoisomeric forms. Unless specifically stated to the contrary herein with respect to particular compounds, all isomers including stereoisomers and mixtures of isomers, such as racemic mixtures, are included within the present invention.
- the matrix metalloprotease inhibitors of the invention may be prepared by use of any appronate conventional method, for example the matrix metalloprotease inhibitors disclosed in patent publications WO 90/05716, WO 90/05719, WO 91/02716, WO 92 13831, WO 93/20047, EP-A-0236872, EP-A-0274453, EP-A- 0489577, EP-A-0489579, EP-A-0497192 and USP 4599361, EP 273689 and EP320118 may be prepared by the methods disclosed therein.
- the isomers, including stereoisomers, of the matrix metalloprotease inhibitors of the present invention may be prepared as mixtures of such isomers or as individual isomers.
- the individual isomers may be prepared by any appropriate method, for example individual stereoisomers may be prepared by stereospecific chemical synthesis starting from chiral substrates or by separating mixtures of enantiomers using known methods.
- matrix metalloprotease inhibitors are isolated in substantially pure form.
- matrix metalloprotease inhibitor and equivalent terms means any compound which inhibits any member of the family of zinc and calcium dependent endopeptidases (matrix metalloproteases) that have the ability to degrade components of the connective tissue matrices. Matrix metalloproteases and their inhibition are discussed by inter alia Hooper, FEBS Letters 1994, 354,1-6; Gordon et al., Clinical and Experimental Rheumatology 1993, 1 KSuppl. 8), S91-S94; Woessner, FASEB 1991, 5, 2145-2154; and Birkedal-Hansen, Critical Reviews in Oral Biology and Medicine 1993, 4(2), 197-250.
- an inhibitor of the formation of soluble human CD23 such as a matrix metalloprotease inhibitor, has useful medical properties.
- the active compounds are administered as pharmaceuticaUy acceptable compositions.
- compositions are preferably adapted for oral administration. However, they may be adapted for other modes of administration, for example in the form of a spray, aerosol or other conventional method for inhalation, for treating respiratory tract disorders; or parenteral administration for patients suffering from heart failure. Other alternative modes of administration include sublingual or transdermal administration.
- compositions may be in the form of tablets, capsules, powders, granules, lozenges, suppositories, reconstitutable powders, or liquid preparations, such as oral or sterile parenteral solutions or suspensions.
- a composition of the invention is in the form of a unit dose.
- Unit dose presentation forms for oral administration may be tablets and capsules and may contain conventional excipients such as binding agents, for example syrup, acacia, gelatin, sorbitol, tragacanth, or polyvinylpyrrolidone; fillers, for example lactose, sugar, maize-starch, calcium phosphate, sorbitol or glycine; tabletting lubricants, for example magnesium stearate; disintegrants, for example starch, polyvinylpyrrolidone, sodium starch glycoUate or microcrystalline cellulose; or pharmaceutically acceptable wetting agents such as sodium lauryl sulphate.
- binding agents for example syrup, acacia, gelatin, sorbitol, tragacanth, or polyvinylpyrrolidone
- fillers for example lactose, sugar, maize-starch, calcium phosphate, sorbitol or glycine
- tabletting lubricants for example magnesium stearate
- disintegrants for example star
- the solid oral compositions may be prepared by conventional methods of blending, filling or tabletting. Repeated blending operations may be used to distribute the active agent throughout those compositions employing large quantities of fiUers. Such operations are of course conventional in the art
- the tablets may be coated according to methods weU known in normal pharmaceutical practice, in particular with an enteric coating.
- Oral liquid preparations may be in the form of, for example, emulsions, syrups, or elixirs, or may be presented as a dry product for reconstitution with water or other suitable vehicle before use.
- Such liquid preparations may contain conventional additives such as suspending agents, for example sorbitol, syrup, methyl ceUulose, gelatin, hydroxyethylceUulose, carboxymethylceUulose, aluminium stearate gel, hydrogenated edible fats; emulsifying agents, for example lecithin, sorbitan monooleate, or acacia; non-aqueous vehicles (which may include edible oils), for example almond oil, fractionated coconut oil, oily esters such as esters of glycerine, propylene glycol, or ethyl alcohol; preservatives, for example methyl or propyl p-hydroxybenzoate or sorbic acid; and if desired conventional flavouring or colouring agents.
- suspending agents for example sorbitol
- fluid unit dosage forms are prepared utilizing the compound and a sterile vehicle, and, depending on the concentration used, can be either suspended or dissolved in the vehicle.
- the compound can be dissolved in water for injection and filter sterilized before filling into a suitable vial or ampoule and sealing.
- adjuvants such as a local anaesthetic, a preservative and buffering agents can be dissolved in the vehicle.
- the composition can be frozen after filling into the vial and the water removed under vacuum.
- Parenteral suspensions are prepared in substantially the same manner, except that the compound is suspended in the vehicle instead of being dissolved, and sterilization cannot be accomplished by filtration.
- the compound can be sterilized by exposure to ethylene oxide before suspending in the sterile vehicle.
- a surfactant or wetting agent is included in the composition to facilitate uniform distribution of the compound.
- compositions of this invention may also suitably be presented for administration to the respiratory tract as a snuff or an aerosol or solution for a nebulizer, or as a microfine powder for insufflation, alone or in combination with an inert carrier such as lactose.
- the particles of active compound suitably have diameters of less than 50 microns, preferably less than 10 microns for example diameters in the range of 1-50 microns, 1-10 microns or 1-5 microns.
- compositions may contain from 0.1% to 99% by weight, preferably from 10-60% by weight, of the active material, depending upon the method of administration.
- a preferred range for inhaled administration is 10-99%, especiaUy 60-99%, for example 90, 95 or 99%.
- Microfine powder formulations may suitably be administered in an aerosol as a metered dose or by means of a suitable breath-activated device.
- Suitable metered dose aerosol formulations comprise conventional propellants, cosolvents, such as ethanol, surfactants such as oleyl alcohol, lubricants such as oleyl alcohol, desiccants such as calcium sulphate and density modifiers such as sodium chloride.
- Suitable solutions for a nebulizer are isotonic sterilised solutions, optionally buffered, at for example between pH 4-7, containing up to 20mg/ml of compound but more generally 0.1 to lOmg/ml, for use with standard nebulisation equipment
- a unit dose form of a composition of the invention may contain from 0.1 to lOOOmg of a compound of the invention (0.001 to lOmg via inhalation) and more usually from 1 to 500mg, for example 1 to 25 or 5 to 500mg.
- Such compositions may be administered from 1 to 6 times a day, more usually from 2 to 4 times a day, in a manner such that the daily dose is from lmg to lg for a 70 kg human adult and more particularly from 5 to 500mg. That is in the range of about 1.4 x ⁇ 0 ⁇ - mg/kg/day to 14 mg/kg/day and more particularly in the range of about 7 x 10"2 mg/kg day to 7 rag kg/day.
- Procedure 1 The ability of test compounds to inhibit the release of soluble CD23 was investigated by use of the following procedure.
- Adherent Chinese Hamster Ovary cells which had been transfected with the alpha form of CD23 were grown in microtitre plates. CeUs were grown to confluence in ⁇ -MEM medium with 10% foetal calf serum, 2mM glutamine containing 800 micro g/ml G418. Medium was removed and the cells washed with sterile phosphate buffered saline. Test compounds were dissolved in dimethyl sulphoxide at a stock concentration of 20mM, then dUuted 1 in 200 with ⁇ -MEM containing 800 micro g ml G418 (no foetal calf serum). 100ml of the diluted compounds were added to the adherent cells in triplicate weUs.
- the average concentration (IC50) of test compound which inhibits the release of soluble CD23 by 50% relative to the control culture was determined.
- test compounds to inhibit the formation of human IgE in vitro was investigated using the following procedure: Human peripheral blood mononuclear cells were separated by centrifugation over Ficoll-Paque (Pharmacia). The cells were suspended in RPMI 1640 medium containing 10% foetal calf serum, 2mM glutamine, 50 microM 2-mercaptoethanol and 50 micro g/ml gentamycin (TCM) at a concentration of 1.25 x 10 6 cells/ml. 800 micro 1 of the cell suspension were aliquoted into the weUs of a 48 weU plate.
- TCM or IL4 100 micro 1 of TCM or IL4 at 500ng/ml was added in quadripUcate to the appropriate wells, followed by 100 micro 1 of TCM or lOx the final concentration of compound under investigation.
- Test compounds are dissolved in dimethylsulphoxide (DMSO) at a stock dilution of 10" 2 M diluted 1 in 100 in TCM and then as above. The plates are incubated for 12 days at 37°C in a 95% air/5% CO2 humidified incubator. At the end of the culture period the supernatants were removed with the weUs and centrifuged (200xg for 10 minutes) to remove any non-adherent cells. There was no toxicity as assessed by trypan blue dye exclusion. The IgE concentration in the supernatants was measured by ELISA.
- test compounds to inhibit the formation of human IgE in vitro was investigated using the following procedure:
- Human tonsillar B lymphocytes were suspended in RPMI 1640 medium containing 10% foetal calf serum, 2mM glutamine, 50 micro M 2-mercaptoethanol and 50 micro g/ml gentamycin (TCM) at a concentration of 1.25 x 10 6 cells/ml. 800 micro 1 of the cell suspension were aliquoted into the wells of a 48 well plate. 100 micro 1 of TCM or IL4 at lOOng/ml and antibody to CD40 at 10 microg/ml was added in quadripUcate to the appropriate wells, followed by
- Test compounds are dissolved in DMSO at a stock dilution of 10 ⁇ ⁇ M diluted 1 in 100 in TCM and then as above. The plates are incubated for 11 days at 37°C in a 95% air/5% CO2 humidified incubator. At the end of the culture period the supernatents were removed from the wells and centrifuged (200xg for 10 minutes) to remove any non-adherent cells. There was no toxicity as assessed by trypan dye exclusion. The IgE concentration in the supernatants was measured by ELISA.
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Abstract
Description
Claims
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP95943503A EP0769939A1 (en) | 1994-07-13 | 1995-07-07 | Use of inhibitors of human s-cd23 |
JP8504670A JPH10502656A (en) | 1994-07-13 | 1995-07-07 | Use of inhibitors of human S-CD23 |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GB9414157.9 | 1994-07-13 | ||
GB9414157A GB9414157D0 (en) | 1994-07-13 | 1994-07-13 | Medical use |
Publications (2)
Publication Number | Publication Date |
---|---|
WO1996002240A2 true WO1996002240A2 (en) | 1996-02-01 |
WO1996002240A3 WO1996002240A3 (en) | 1997-02-13 |
Family
ID=10758281
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/EP1995/002693 WO1996002240A2 (en) | 1994-07-13 | 1995-07-07 | Use of inhibitors of human s-cd23 |
Country Status (4)
Country | Link |
---|---|
EP (1) | EP0769939A1 (en) |
JP (1) | JPH10502656A (en) |
GB (1) | GB9414157D0 (en) |
WO (1) | WO1996002240A2 (en) |
Cited By (12)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1997025981A1 (en) * | 1996-01-17 | 1997-07-24 | Smithkline Beecham Plc | Medical use |
WO1997043249A1 (en) * | 1996-05-10 | 1997-11-20 | Smithkline Beecham Plc | INHIBITORS OF THE PRODUCTION OF s-CD23 AND THE SECRETION OF TNF |
WO1997043250A1 (en) * | 1996-05-10 | 1997-11-20 | Smithkline Beecham Plc | Hydroxamic acid based inhibitors of the formation of cd23 and tnf |
WO1998042659A2 (en) * | 1997-03-26 | 1998-10-01 | Smithkline Beecham Plc | Aryl- or heteroarylsulfonamide substituted hydroxamic acid derivates, process for their preparation and their use as pharmaceuticals |
WO1999067201A1 (en) * | 1998-06-22 | 1999-12-29 | Smithkline Beecham Plc | Hydroxamic acid derivatives as inhibitors of the production of human cd23 and of the tnf release |
WO2000003703A1 (en) * | 1998-07-17 | 2000-01-27 | Fuji Yakuhin Kogyo Kabushiki Kaisha | Novel remedies for allergic diseases |
WO2000003734A1 (en) * | 1998-07-17 | 2000-01-27 | Fuji Yakuhin Kogyo Kabushiki Kaisha | Therapeutic agents for allergic diseases |
WO2001044221A1 (en) * | 1999-12-14 | 2001-06-21 | Smithkline Beecham Plc | Hydroxamic acid derivatives as inhibitors of human cd23 and of the tnf release |
WO2001049657A1 (en) * | 1999-12-29 | 2001-07-12 | Smithkline Beecham, Plc | 2-`3-amino-4-(n-hydroxyamino)-succinylamino-acetamides for use as cd23 formation inhibitors |
WO2001062715A1 (en) * | 2000-02-24 | 2001-08-30 | Smithkline Beecham P.L.C. | Novel cd23 inhibitors |
EP1142910A1 (en) * | 2000-04-07 | 2001-10-10 | Jürgen Prof. Dr. Frey | Inhibitors for the formation of soluble human CD23 |
US7229640B2 (en) | 1995-07-20 | 2007-06-12 | Smithkline Beecham P.L.C. | Paroxetine controlled release compositions |
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-
1994
- 1994-07-13 GB GB9414157A patent/GB9414157D0/en active Pending
-
1995
- 1995-07-07 EP EP95943503A patent/EP0769939A1/en not_active Ceased
- 1995-07-07 WO PCT/EP1995/002693 patent/WO1996002240A2/en not_active Application Discontinuation
- 1995-07-07 JP JP8504670A patent/JPH10502656A/en not_active Ceased
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EP0769939A1 (en) | 1997-05-02 |
WO1996002240A3 (en) | 1997-02-13 |
JPH10502656A (en) | 1998-03-10 |
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