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The Journal of Neuroscience, 1999, 19:RC35:1-6
RAPID COMMUNICATION
A Role for the Bed Nucleus of the Stria Terminalis, But Not the
Amygdala, in the Effects of Corticotropin-Releasing Factor on
Stress-Induced Reinstatement of Cocaine Seeking
Suzanne
Erb and
Jane
Stewart
Center for Studies in Behavioral Neurobiology, Department of
Psychology, Concordia University, Montreal, Quebec, Canada H3G 1M8
 |
ABSTRACT |
We have shown that intracerebroventricular administration of the
corticotropin-releasing factor (CRF) receptor antagonist D-Phe
CRF12-41, blocks footshock-induced reinstatement of drug
seeking in cocaine-trained rats. We now report that D-Phe acts in the
bed nucleus of the stria terminalis (BNST), and not in the amygdala, to
block footshock-induced reinstatement of cocaine seeking. In addition,
CRF injections in the BNST, and not in the amygdala, are sufficient to
reinstate cocaine seeking. Rats were trained to self-administer cocaine
intravenously on a fixed ratio (FR-1) schedule of reinforcement. After
5 drug-free days, animals were returned to the self-administration
chambers and given daily extinction and reinstatement test sessions. To
test the effects of D-Phe CRF12-41 on stress-induced
reinstatement, rats were pretreated with vehicle or D-Phe in either the
BNST (10 or 50 ng per side) or amygdala (50 or 500 ng per side) before
being exposed to 15 min of intermittent footshock stress. To test
whether injections of CRF itself could induce reinstatement, rats were given vehicle or CRF in either the BNST (100 or 300 ng per side) or
amygdala (300 ng per side) 15 min before the session. Injections of
D-Phe into the BNST completely blocked footshock-induced reinstatement of cocaine seeking; injections of CRF itself in this structure induced
reinstatement. Injections of these compounds into the amygdala were
without effect. These findings suggest that activation of CRF receptors
in the BNST, but not in the amygdala, is critical for footshock-induced
reinstatement of cocaine seeking.
Key words:
CRF; CRF receptor antagonist; BNST; amygdala, cocaine
self-administration; reinstatement; relapse; stress
 |
INTRODUCTION |
Stress
has long been considered an important factor contributing to relapse to
drug use in humans (Kreek and Koob, 1998 ) and recently, in a controlled
experimental setting, was reported to induce craving for cocaine in
addicts (Sinha et al., 1999 ). These findings are paralleled by studies
in laboratory animals in which we and others have shown that brief
exposure to intermittent footshock stress strongly provokes
reinstatement of heroin (Shaham and Stewart, 1995 ), cocaine (Erb et
al., 1996 ; Ahmed and Koob, 1997 ), nicotine (Buczek et al., 1999 ), and
alcohol (Lê et al., 1998 ) seeking.
Recently, we demonstrated a role for the stress-related neuropeptide
corticotropin-releasing factor (CRF) in the reinstatement of cocaine
seeking induced by footshock stress. Intracerebroventricular administration of the CRF receptor antagonist D-Phe
CRF12-41 completely blocked the
footshock-induced reinstatement of cocaine seeking, both in intact
animals and in adrenalectomized animals given corticosterone
replacement (Erb et al., 1998 ) [see also Shaham et al. (1997) for
studies in heroin-trained rats]. Such findings point to a critical
role for brain CRF in the footshock-induced reinstatement of drug
seeking, independent of the effects of CRF on the
hypothalamic-pituitary-adrenal axis.
In the present experiments we examined the question of where in the
brain CRF antagonists act to block stress-induced relapse. Two brain
sites that contain CRF receptors (Chalmers et al., 1995 ) and are likely
to be involved in these effects are the amygdala and the bed nucleus of
the stria terminalis (BNST). Although, initially, evidence pointed to
the amygdala as the primary site of action of CRF in emotional
behaviors, Davis and colleagues (Lee and Davis, 1997 ; Gewirtz et al.,
1998 ) have shown dissociations between the behavioral effects of CRF in
the BNST and amygdala. Importantly for our purposes, they have reported
a role for the BNST, and not the amygdala, in CRF-induced enhancement
of the acoustic startle reflex (Lee and Davis, 1997 ). On the basis of these and other findings, they have argued that the actions of CRF in
the BNST may be important for unconditioned emotional responses, whereas the amygdala may be preferentially involved in mediating conditioned responses (Walker and Davis, 1997 ; Gewirtz et al., 1998 ).
In light of these arguments, and because reinstatement of drug seeking
can be induced by footshock stress in animals exposed to it for the
first time, it seemed reasonable to hypothesize that the BNST, and not
the amygdala, would play a primary role in mediating the effects of CRF
antagonists in our model of stress-induced relapse. Thus in the present
study, the effects of local BNST and amygdala injections of the CRF
receptor antagonist D-Phe CRF12-41 on the
footshock-induced reinstatement of cocaine seeking were assessed in
animals trained to self-administer cocaine intravenously. In addition,
we assessed the ability of intra-BNST and intra-amygdala injections of
CRF, itself, to induce relapse.
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MATERIALS AND METHODS |
Subjects
The subjects were male Long-Evans rats (Charles River,
Montreal, Quebec) (weight 325-350 g) that were housed in a colony room on a reversed light/dark schedule (lights on at 5:30 P.M. and off at
5:30 A.M.) and given free access to food and water.
Surgery
Rats were anesthetized (sodium pentobarbital, 65 mg/kg, i.p.)
and injected with atropine sulfate (0.6 mg/ml, s.c.; 0.2 ml per rat)
and antibiotic (Penlong, Rogar/STB; 0.1 ml per rat, i.m.). An
intravenous catheter (Dow Corning) was implanted in the right jugular
vein. A 3 cm length of SILASTIC tubing was inserted into the
vein [inner diameter (ID): 0.30 mm; outer diameter (OD): 0.64 mm] and
connected with heat-shrink tubing to a 9 cm length of SILASTIC tubing
(ID: 0.51 mm; OD: 0.94 mm) that was passed subcutaneously to the top of
the skull where it exited into a connector (modified 22 gauge cannula;
Plastic Products). Animals were then implanted bilaterally with
cannulae (22 gauge; Plastic Products) aimed 2 mm above either the BNST
or the amygdala. Coordinates for entry of cannulae from the skull
surface (midline at bregma) were taken from the atlas of Paxinos and
Watson (1997) . Cannulae were aimed to inject into the ventrolateral
division of the BNST or the intersection of the central and basolateral
nuclei of the amygdala. BNST coordinates (arms positioned at 15°)
were the following: anteroposterior (A/P), 0.6; mediolateral (M/L),
±3.7; dorsoventral (D/V), 4.6 mm. Amygdala coordinates (arms
positioned at 0°) were as follows: A/P, 2.4; M/L, ±4.7; D/V, 5.4
mm. Obdurators extending 2 mm beyond the tip of the cannula were
inserted in the cannulae. Cannulae were mounted to the skull with
jeweler's screws and dental cement. Animals were allowed at least
5 d to recover from surgery.
Apparatus
The self-administration chambers used in the experiments were
equipped with one retractable lever (Med Associates, St. Albans, VT)
and one non-retractable lever, both located 9 cm above the floor. An
infusion pump (Razel Scientific Instruments, Stamford, CT) was
activated only by responses on the retractable, or "active," lever.
Drug solution (65 µl) was delivered over a 10 sec period, during
which time a white stimulus light above the active lever was
illuminated, and additional responses were recorded but without consequence. Each self-administration chamber was fitted to deliver constant-current, intermittent, inescapable, electric footshock (0.8 mA; 0.5 sec on; mean interval between shocks 40 sec; 10-70 sec range)
through a scrambler to the grid floor (Med Associates).
Drugs
Cocaine HCl was obtained from BDH Chemicals (Toronto, Ontario)
and was dissolved in physiological saline. D-Phe
CRF12-41 was purchased from Bachem (Torrance,
CA); rat/human CRF was purchased from Sigma (Oakville, Ontario). D-Phe
and CRF were dissolved in 0.5 µl saline or distilled water, respectively.
Procedure
Phase 1: Training. Rats were trained to
self-administer cocaine (0.5 mg/kg per infusion, i.v.) on a fixed-ratio
(FR)-1 schedule of reinforcement during one daily 3 hr
self-administration session. Animals were allowed a maximum of 50 infusions per session. The time of the daily training session
alternated between the morning and afternoon. Training conditions were
in place for 9-10 d. At the end of training, animals were left
undisturbed in the colony room for 5 d.
Phase 2: Extinction and testing. Throughout phase 2, animals
were housed in the self-administration chambers and given free access
to food and water, except during the daily extinction and test
sessions. During extinction and testing, all of the conditions that
were present during training were maintained, except that lever presses
did not result in drug infusions.
Tests for reinstatement after intra-BNST or intra-amygdala
injections of D-Phe CRF12-41. On day 1 of
phase 2, animals were given four 60 min self-administration sessions
with 60 min intervening periods during which the active lever was
withdrawn. On days 2 and 3, when testing occurred, animals were given
60 min self-administration sessions with 60 min intervening periods until they made 15 or fewer responses on the active lever in 60 min;
this criterion was reached within two to three sessions. When all
animals reached the baseline criterion for that day, a test for
reinstatement was given.
Two tests for reinstatement (no footshock, footshock) were given on
consecutive days and in a counterbalanced order. Animals were
pretreated with D-Phe CRF12-41 in either the
BNST (0, 10, or 50 ng per side) or the amygdala (0, 50, or 500 ng per
side) 30 min before insertion of the active lever into the chamber. In
the case of the amygdala, when 50 ng per side was found to be
ineffective, the dose was raised to 500 ng per side, previously found
to be effective intracerebroventricularly. Different groups of animals
were assigned to different doses of the antagonist. For the footshock
tests, animals were exposed to the 15 min intermittent footshock stress
immediately before lever insertion. Test sessions were 3 hr in
duration. The footshock parameters and doses of D-Phe were based on
previous work (Erb et al., 1998 ; Shaham et al., 1998 ).
Tests for reinstatement after intra-BNST or intra-amygdala
injections of CRF. Two additional groups of animals were trained and prepared for testing as just described. On day 1 of phase 2, animals were given four 60 min extinction sessions with 30 min
intervening periods during which the active lever was withdrawn. On
days 2-4, when testing occurred, animals were given 60 min extinction
sessions with 30 min intervening periods until all animals responded 15 or fewer times in 60 min on the active lever; this criterion was
reached within two to three sessions. When all animals reached the
baseline criterion for that day, a test for reinstatement was given.
Animals were pretreated with CRF either into the BNST (0, 100, or 300 ng) or into the amygdala (0 or 300 ng per side) 15 min before insertion
of the active lever in the self-administration chamber. No footshock
was administered in this experiment. All animals were tested at each
dose of CRF on consecutive days and in a counterbalanced order.
 |
RESULTS |
Table 1 shows the mean (±SEM)
number of infusions of 0.5 mg/kg cocaine made in the 3 hr sessions on
the last 2 d of training and the mean (±SEM) number of responses
(infusions + time-out responses) made during the first three 1 hr
extinction sessions on day 1 of phase 2 for animals in each treatment
condition.
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Table 1.
Responding on the active lever in training and extinction
of cocaine self-administration for each treatment group
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Intra-BNST injection of D-Phe CRF12-41
Data from 24 animals, 8 per group, were used in the analyses for
the tests for reinstatement. One animal that had improperly placed
cannulae was excluded from the analyses. This animal, whose cannulae
lay just posterior to the BNST, was given 50 ng D-Phe and showed robust
footshock-induced reinstatement (110 responses on the active lever in 3 hr). See Figure 1A for
a diagram showing the distribution of injector tips of animals used in
the analyses with BNST cannula implants. It can be seen from Figure
2A that pretreatment
with 10 and 50 ng of the CRF antagonist D-Phe completely blocked the
footshock-induced reinstatement of cocaine seeking in these animals. A
mixed-factor ANOVA for responding on the active lever revealed a
significant interaction between dose and test condition
(F(2,21) = 7.25, p < 0.01). A subsequent one-factor ANOVA conducted for the footshock
condition revealed a significant effect of dose
(F(2,21) = 9.62, p < 0.01). See Figure 2A for reliable post hoc
comparisons (Fisher's LSD, p < 0.05). A mixed-factor ANOVA conducted for responses on the inactive lever revealed no significant effects.

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Figure 1.
A, Placement of injector tips for
animals with BNST cannula implants for D-Phe CRF12-41 and
CRF; B, placement of injector tips for animals with
amygdala cannula implants for D-Phe CRF12-41 and CRF.
Values at right represent millimeters from bregma.
Drawings are adapted from Paxinos and Watson (1997) .
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Figure 2.
Intra-BNST injections. A, Mean
(±SEM) number of responses (infusions + time-out responses) on the
previously active and inactive levers in 3 hr tests for reinstatement
after exposure to no footshock or 15 min of intermittent footshock (0.8 mA; 0.5 sec on). Separate groups of animals were tested in each
reinstatement test condition under one dose of D-Phe
CRF12-41 (0 ng, n = 8; 10 ng,
n = 8; 50 ng, n = 8).
B, Mean (±SEM) number of responses (infusions + time-out responses) on the previously active and inactive levers in 3 hr tests for reinstatement in which no footshock was given. All animals
(n = 10) were tested after injections of 0, 100, and 300 ng CRF. * Different from other conditions (active lever);
# different from other conditions (inactive lever).
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Intra-BNST injections of CRF
Data from 10 animals were used in the analyses for the tests for
reinstatement; no animals were excluded. The distribution of injector
tips in the BNST is shown in Figure 1A. It can be seen from Figure 2B that the 300 ng dose of CRF
induced reinstatement of cocaine seeking; 100 ng was not effective. A
repeated-measures ANOVA for number of responses on the active lever
revealed a significant effect of dose
(F(2,18) = 18.17, p < 0.001). A similar analysis of responding on the inactive lever was also
significant (F(2,18) = 5.89, p < 0.03). Therefore, difference scores (responses on active lever minus responses on inactive lever) were calculated for
each subject, and these scores were entered into a repeated-measures ANOVA. This analysis revealed a significant effect of dose
(F(2,18) = 5.13, p < 0.03). See Figure 2B for reliable post hoc
comparisons (Fisher's LSD, p < 0.05).
Intra-amygdala injections of D-Phe CRF12-41
Data from 15 animals, 5 per group, were used in the analyses for
the tests for reinstatement. Eleven animals, four from the 50 ng and
seven from the 500 ng group, were excluded from the analyses because of
misplacement of one of the cannulae bilaterally. (Removal of the data
for these animals made no difference to the outcome, inasmuch as no
effects of amygdala injections were found.) Because there was a
relatively wide distribution of injector tips throughout the central
and basolateral nuclei (Fig. 1B), and because of the
known differential effects of CRF on cell firing in these two regions
(Rainnie et al., 1992 ), separate analyses were conducted for the
animals with placements in basolateral and central nuclei. There was no
significant difference between the effects in the two areas after
either the D-Phe CRF or CRF injections (see below).
Figure 3A shows that neither
the 50 nor 500 ng dose of D-Phe CRF12-41
interfered with footshock-induced reinstatement of cocaine seeking. A
mixed-factor ANOVA for responding on the active lever revealed only a
significant effect of test condition (F(1,12) = 9.08, p < 0.03); regardless of dose, animals responded more under the footshock
than the no footshock test condition. A similar analysis conducted for
responses on the inactive lever revealed no significant effects.

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Figure 3.
Intra-amygdala injections.
A, Mean (±SEM) number of responses (infusions + time-out responses) on the previously active and inactive levers in 3 hr tests for reinstatement after exposure to no footshock or 15 min of
intermittent footshock (0.5 mA; 0.5 sec on). Separate groups of animals
were tested in each reinstatement test condition under one dose of
D-Phe CRF12-41 (0 ng, n = 5; 50 ng,
n = 5; 500 ng, n = 5).
B, Mean (±SEM) number of responses (infusions + time-out responses) on the previously active and inactive levers in
3 hr tests for reinstatement in which no footshock was given. All
animals (n = 10) were tested after injections of 0 and 300 ng CRF.
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|
Intra-amygdala injections of CRF
Data from 10 animals were used in the analyses for the tests for
reinstatement. One animal that had improperly placed cannulae was
excluded from the analyses. Another animal that was found to have
extremely enlarged ventricles and an atrophied hippocampus was also
excluded from the analyses. See Figure 1B for a
diagram showing the distribution of injector tips of animals used in
the analyses with amygdala cannula implants.
The number of responses made on the active lever in the 3 hr tests for
reinstatement after injections of CRF (0 and 300 ng) is shown in Figure
3B. The same dose of CRF that reinstated cocaine seeking
when injected into the BNST had no effect when injected into the
amygdala. A paired-samples t test for number of responses on
the active lever after 0 and 300 ng CRF was not significant (t(9) = 0.89; p = 0.40).
 |
DISCUSSION |
Two principal findings emerge from the present experiments. First,
intra-BNST administration of a CRF receptor antagonist at a dose 10 times lower than that effective when given intracerebroventricularly abolishes footshock-induced reinstatement of cocaine seeking in the
rat. In contrast, intra-amygdala injections of doses as high as
those that are effective when given intracerebroventricularly are
completely without effect. Second, local administration of CRF into the
BNST, but not the amygdala, induces reinstatement of cocaine seeking,
mimicking, at least in part, the effects of footshock on relapse.
The findings obtained in the present study are consistent with those of
Davis and colleagues (Lee and Davis, 1997 ), suggesting that the BNST,
and not the amygdala, is responsible for the unconditioned emotional
changes induced by CRF. Lee and Davis (1997) showed, for example, that
lesions of the BNST and not the amygdala interfered with the effects of
CRF administered intracerebroventricularly, and that intra-BNST
injections of CRF enhanced startle responses. Furthermore, our findings
support the view that the BNST is preferentially involved in mediating
behavioral responses to unconditioned stress (Walker and Davis, 1997 ;
Gewirtz et al., 1998 ); in the present experiments, neither the
footshock stressor nor the CRF injections had been paired previously
with the self-administration environment and were, as such,
unconditioned stressors.
Injections of CRF and its receptor antagonist into the BNST could mimic
or block the effects of CRF released locally from cells intrinsic to
this structure (Veinante et al., 1997 ). It must be kept in mind,
however, that although injections of CRF and D-Phe
CRF12-41 into the amygdala neither induced
reinstatement nor interfered with footshock-induced reinstatement, the
amygdala cannot be ruled out as a component of the circuitry mediating the effect of stress. A CRF-containing projection from the amygdala to
the BNST has been identified (Sakanaka et al., 1986 ), and
stress-induced activation of this pathway could be responsible, in
part, for the increases in CRF found in the BNST after exposure to
stress (Lee and Davis, 1997 ).
Although in the present experiments intra-BNST injections of both the
CRF antagonist and CRF were effective, and consistent with the findings
of others, one must be concerned about diffusion of injected compounds
to other structures, such as the septum, substantia innominata, and
preoptic area, that lie close to the BNST and contain moderate to high
levels of CRF receptors (Chalmers et al., 1995 ). We are reassured,
therefore, by the fact that injections of D-Phe
CRF12-41 made through cannulae placed improperly just posterior to the BNST were ineffective in blocking the effects of
footshock on relapse.
As mentioned previously, CRF could be released in the BNST by cells
intrinsic to that structure or via a projection from the amygdala. We
have reason to think, however, that the unconditioned stress activation
of CRF in our experiments may involve noradrenergic (NE) input to the
BNST. We have found recently that the -2 agonist clonidine, which
acts to inhibit NE activity, effectively blocks stress-induced
reinstatement of both cocaine and heroin seeking (S. Erb,
P. K. Hitchcott, H. Rajabi, D. Mueller, Y. Shaham, J. Stewart,
unpublished observations; Y. Shaham, D. Highfield, J. Delfs, S. Leung,
J. Stewart, unpublished observations), and we have evidence that this
effect of clonidine may be mediated by the ventral NE bundle (Y. Shaham, D. Highfield, J. Delfs, S. Leung, J. Stewart, unpublished
observations), which is known to provide a massive projection to the
BNST (Aston-Jones et al., 1995 ; Terenzi and Ingram, 1995 ). Thus we
speculate that stress-induced activation of NE neurons of the ventral
bundle, whose terminals lie in close proximity to (Hornby and Piekut,
1989 ) and in fact synapse with dendrites of CRF-containing cells of the
ventral BNST (Phelix et al., 1994 ), may be responsible for CRF release
in that region. To explore this interaction between NE and CRF in the
BNST, we used in vivo microdialysis to measure NE release in
the BNST in response to footshock after intracerebroventricular
injections of D-Phe CRF12-41. These injections,
previously found to block footshock-induced reinstatement (Erb et al.,
1998 ), did not interfere with footshock-induced NE release (our
unpublished data). We suggest, therefore, that the effects of the CRF
antagonist and CRF in the BNST occur subsequent to the actions of NE in
this region. At present one can only speculate about how CRF acting in
the BNST serves to initiate the behaviors involved in relapse.
It is interesting in this context, however, to consider the fact that
animals with a history of drug taking appear to be highly sensitive to
footshock stress-induced relapse. We and others have shown in several
studies, using procedures similar to those described here, that animals
trained to self-administer food, sucrose pellets, or sucrose solutions
show little evidence of stress-induced reinstatement of these behaviors
(Ahmed and Koob, 1997 ; Buczek et al., 1999 ). We suggest that after a
period of drug exposure, the NE system innervating the BNST may show a
heightened response to stress that could conceivably act to enhance CRF
release in the region. We are currently exploring this possibility.
Finally, although D-Phe CRF12-41 is a
nonselective CRF receptor antagonist (Menzaghi et al., 1994 ), it is
important to note that CRF-1 and CRF-2 receptors are differentially
distributed in the brain (Chalmers et al., 1995 ) and are functionally
dissociable (e.g., Heinrichs et al., 1997 ; Radulovic et al., 1999 ).
Although both receptors are present in the BNST, in the lateral
division of the BNST there are more CRF-1 than CRF-2 receptors, and it is there that they are most abundant (Chalmers et al., 1995 ). It would
appear, therefore, that CRF-1 receptors are especially important for
mediating the effects of footshock on relapse. Consistent with this
possibility, we have shown previously that systemic injections of the
nonpeptide CRF-1 receptor antagonist CP-154, 526 block
footshock-induced reinstatement of cocaine and heroin seeking (Shaham
et al., 1998 ) as effectively as intracerebroventricular infusions of
peptide CRF antagonists (Erb et al., 1998 ; Shaham et al., 1998 ).
In summary, we have demonstrated in the present study a role for the
BNST in the effects of CRF and its receptor antagonists on the
reinstatement of cocaine seeking. Furthermore, we have shown that CRF
receptors in the amygdala, a structure anatomically and functionally
related to the BNST, appear not to play a role in the stress-induced
reinstatement of cocaine seeking. Finally, we propose a possible
interaction between NE and CRF systems in the BNST in the mediation of
the effects of footshock stress on relapse.
 |
FOOTNOTES |
Received July 8, 1999; revised Aug. 23, 1999; accepted Aug. 23, 1999.
This work was supported by grants from National Institute on Drug
Abuse, Medical Research Council (Canada), and Fonds pour la Formation
de Chercheurs et l'Aide à la Recherche (Quebec). S.E. was
supported by graduate fellowships from Natural Sciences and Engineering
Research Council (Canada) and Concordia University.
Correspondence should be addressed to Dr. Jane Stewart, 1455 de
Maisonneuve Boulevard West, Montreal, Quebec, Canada H3G 1M8. E-mail:
Stewart{at}CSBN.concordia.ca.
This article is published in
The Journal of Neuroscience, Rapid Communications Section,
which publishes brief, peer-reviewed papers online, not in print. Rapid
Communications are posted online approximately one month earlier than
they would appear if printed. They are listed in the Table of Contents
of the next open issue of JNeurosci. Cite this article as:
JNeurosci, 1999, 19:RC35 (1-6). The
publication date is the date of posting online at
www.jneurosci.org.
 |
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