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Fibrinolysin

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277: 2201: 333:. It is used locally only and exclusively together with the enzyme desoxyribonuclease (extracted from bovine pancreas). Fibrinolysin and desoxyribonuclease both act as lytic enzymes. The combination is available as ointment containing 1 BU ( 374:
The activity of both enzymes is almost completely exhausted after 24 hours. Usually, it is necessary to repeat the application (and renew the dressing) every 6 to 8 hours until healing becomes complete.
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to any ingredient. It should be used with caution in patients with hypersensitivity to bovine proteins in general and in pregnant women (category C), because no human data is available.
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Where approved, Fibrolan has been licensed on the basis of claimed good therapeutical experience, but adequate and well controlled studies are still lacking.
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Birk Y, Khalef S, Jibson MD (September 1983). "Purification and properties of protease F, a bacterial enzyme with chymotrypsin and elastase specificities".
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Both enzymes are marginally resorbed into systemic circulation because of their very high molecular weight and their macromolecular structure.
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under the brand name Fibrolan in a variety of countries (e.g. Switzerland). It is currently not approved in the USA.
2191: 368:. According to the manufacturer the ointment provides enhanced wound cleaning and accelerates the healing process. 2061: 2177: 2164: 2151: 2138: 2125: 2112: 2099: 1590: 1575: 1475: 1172: 1146: 1138: 2071: 2025: 1968: 1472: 509: 436:
Infrequently, local reactions such as increased pain or a stitching/burning sensation are noticed. No systemic
1973: 1865: 1830: 1825: 1404: 65: 272: 753: 677: 254: 1994: 1913: 1820: 1670: 1281: 2066: 1810: 1343: 922: 877: 151: 2226: 2030: 1710: 1700: 1517: 1512: 733: 169: 2221: 1963: 1024: 47: 1186: 589: 584: 1692: 1268: 1039: 1029: 1019: 1014: 1009: 984: 557: 544: 536: 490: 365: 2009: 2004: 1978: 1906: 1484: 1242: 1073: 1034: 1004: 482: 425: 364:. The combination of the two enzymes has a synergistic effect on necrotic but not on living 123: 234: 2056: 2040: 1953: 1725: 1720: 1492: 1468: 1046: 397: 396:
and death, these were banned. Additionally, combinations with the antifibrinolytic agent
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were available, but because chloramphenicol in any form of application has led to
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Enzymatic wound cleaning to assist healing of minor burns, superficial wounds,
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activity has been seen due to the exclusively local character of treatment.
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ointment for local application, in combination with deoxyribonuclease
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The ointment should not be used in patients with a known
360:, while desoxyribonuclease targets and destroys (human) 337:) fibrinolysin and 666 BUs desoxyribonuclease per gram. 308: 2189: 2085: 2049: 2018: 1987: 1936: 1798: 1775: 1741: 1691: 1528: 1483: 1366: 1267: 1210: 1137: 1089: 978: 966: 876: 867: 837: 809: 752: 714: 676: 608: 565: 556: 288: 283: 264: 244: 224: 208: 188: 168: 163: 150: 140: 130: 122: 106: 101: 76: 64: 46: 28: 23: 400:have been withdrawn from pharmaceutic markets. 177: 388:In the past, combinations with the antibiotic 348:on the surface of the human body and on human 1914: 1449: 517: 8: 458:Staphylokinase (staphylococcal fibrinolysin) 159:almost completely inactivated after 24 hours 16: 1921: 1907: 1899: 1456: 1442: 1434: 975: 873: 562: 524: 510: 502: 275: 233: 329:) or extracted from cultures of certain 2196: 197: 1469:serine proteases/serine endopeptidases 266: 15: 340:Fibrinolysin attacks and inactivates 253: 38: 7: 469:Swiss scientific product information 321:is an enzyme derived from plasma of 89: 344:molecules occurring in undesirable 14: 420:Contraindications and precautions 2199: 1139:Direct thrombin (IIa) inhibitors 567:Glycoprotein IIb/IIIa inhibitors 762:Thromboxane synthase inhibitors 1: 1681:Urinary plasminogen activator 1676:Tissue plasminogen activator 1000:Low-molecular-weight heparin 811:Phosphodiesterase inhibitors 724:Acetylsalicylic acid/Aspirin 487:10.1016/0003-9861(83)90053-X 378:The ointment is marketed by 2248: 284:Chemical and physical data 2077:Michaelis–Menten kinetics 1767:Proteinase 3/Myeloblastin 1394: 972:(with some II inhibition) 298: 115:Rx only (where available) 1969:Diffusion-limited enzyme 40:International Drug Names 352:, e.g., in superficial 2232:Antithrombotic enzymes 1821:Proprotein convertases 1282:Plasminogen activators 754:Thromboxane inhibitors 678:Prostaglandin analogue 475:Arch. Biochem. Biophys 2062:Eadie–Hofstee diagram 1995:Allosteric regulation 1671:Plasminogen activator 1344:serine endopeptidases 878:Vitamin K antagonists 2072:Lineweaver–Burk plot 1811:Prolyl endopeptidase 1091:Direct Xa inhibitors 923:Ethyl biscoumacetate 789:Receptor antagonists 734:Carbasalate calcium 20: 2031:Enzyme superfamily 1964:Enzyme promiscuity 1421:Never to phase III 1269:Thrombolytic drugs 985:glycosaminoglycans 558:Antiplatelet drugs 545:antiplatelet drugs 412:, and superficial 146:local inactivation 2187: 2186: 1896: 1895: 1693:Complement system 1485:Digestive enzymes 1431: 1430: 1263: 1262: 1133: 1132: 863: 862: 316: 315: 2239: 2204: 2203: 2195: 2067:Hanes–Woolf plot 2010:Enzyme activator 2005:Enzyme inhibitor 1979:Enzyme catalysis 1923: 1916: 1909: 1900: 1458: 1451: 1444: 1435: 1243:Drotrecogin alfa 1223:Antithrombin III 1074:Dermatan sulfate 1047:Oligosaccharides 976: 874: 610:ADP receptor/P2Y 563: 526: 519: 512: 503: 498: 426:hypersensitivity 312: 311: 304: 279: 268: 257: 237: 201: 181: 155: 93: 42: 21: 19: 2247: 2246: 2242: 2241: 2240: 2238: 2237: 2236: 2212: 2211: 2210: 2198: 2190: 2188: 2183: 2095:Oxidoreductases 2081: 2057:Enzyme kinetics 2045: 2041:List of enzymes 2014: 1983: 1954:Catalytic triad 1932: 1927: 1897: 1892: 1794: 1771: 1737: 1687: 1524: 1493:Enteropeptidase 1479: 1462: 1432: 1427: 1426: 1411:Clinical trials 1390: 1362: 1272: 1259: 1206: 1129: 1085: 988: 983: 971: 962: 938:1,3-Indandiones 880: 859: 833: 805: 748: 710: 672: 624:Thienopyridines 613: 604: 552: 533:Antithrombotics 530: 472: 466: 454: 446: 434: 422: 406: 398:tranexamic acid 394:aplastic anemia 390:chloramphenicol 335:Biological Unit 307: 305: 302:(what is this?) 299: 260: 240: 220: 204: 184: 153: 132:Bioavailability 124:Pharmacokinetic 118: 97: 67: 60: 49: 12: 11: 5: 2245: 2243: 2235: 2234: 2229: 2224: 2214: 2213: 2209: 2208: 2185: 2184: 2182: 2181: 2168: 2155: 2142: 2129: 2116: 2103: 2089: 2087: 2083: 2082: 2080: 2079: 2074: 2069: 2064: 2059: 2053: 2051: 2047: 2046: 2044: 2043: 2038: 2033: 2028: 2022: 2020: 2019:Classification 2016: 2015: 2013: 2012: 2007: 2002: 1997: 1991: 1989: 1985: 1984: 1982: 1981: 1976: 1971: 1966: 1961: 1956: 1951: 1946: 1940: 1938: 1934: 1933: 1928: 1926: 1925: 1918: 1911: 1903: 1894: 1893: 1891: 1890: 1889: 1888: 1883: 1873: 1868: 1859: 1845: 1840: 1835: 1834: 1833: 1828: 1818: 1813: 1808: 1802: 1800: 1796: 1795: 1793: 1792: 1787: 1781: 1779: 1773: 1772: 1770: 1769: 1764: 1759: 1754: 1748: 1746: 1739: 1738: 1736: 1735: 1730: 1729: 1728: 1723: 1713: 1708: 1703: 1697: 1695: 1689: 1688: 1686: 1685: 1684: 1683: 1678: 1668: 1656: 1655: 1654: 1653: 1648: 1643: 1638: 1633: 1628: 1623: 1618: 1613: 1608: 1603: 1598: 1593: 1588: 1583: 1578: 1568: 1563: 1558: 1553: 1548: 1543: 1534: 1532: 1526: 1525: 1523: 1522: 1521: 1520: 1515: 1505: 1500: 1495: 1489: 1487: 1481: 1480: 1465:Endopeptidases 1463: 1461: 1460: 1453: 1446: 1438: 1429: 1428: 1425: 1424: 1423: 1422: 1419: 1408: 1402: 1396: 1395: 1392: 1391: 1389: 1388: 1383: 1378: 1372: 1370: 1364: 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603: 602: 597: 592: 587: 582: 577: 571: 569: 560: 554: 553: 541:anticoagulants 531: 529: 528: 521: 514: 506: 500: 499: 470: 465: 464:External links 462: 461: 460: 453: 450: 445: 442: 433: 430: 421: 418: 405: 402: 314: 313: 296: 295: 294:~ 13,800 g/mol 292: 286: 285: 281: 280: 270: 262: 261: 259: 258: 250: 248: 242: 241: 239: 238: 230: 228: 222: 221: 219: 218: 214: 212: 206: 205: 203: 202: 194: 192: 186: 185: 183: 182: 174: 172: 166: 165: 161: 160: 157: 148: 147: 144: 138: 137: 136:virtually none 134: 128: 127: 120: 119: 117: 116: 112: 110: 104: 103: 99: 98: 96: 95: 82: 80: 74: 73: 70: 68:administration 62: 61: 59: 58: 54: 52: 44: 43: 36: 26: 25: 13: 10: 9: 6: 4: 3: 2: 2244: 2233: 2230: 2228: 2225: 2223: 2220: 2219: 2217: 2207: 2202: 2197: 2193: 2179: 2175: 2174: 2169: 2166: 2162: 2161: 2156: 2153: 2149: 2148: 2143: 2140: 2136: 2135: 2130: 2127: 2123: 2122: 2117: 2114: 2110: 2109: 2104: 2101: 2097: 2096: 2091: 2090: 2088: 2084: 2078: 2075: 2073: 2070: 2068: 2065: 2063: 2060: 2058: 2055: 2054: 2052: 2048: 2042: 2039: 2037: 2036:Enzyme family 2034: 2032: 2029: 2027: 2024: 2023: 2021: 2017: 2011: 2008: 2006: 2003: 2001: 2000:Cooperativity 1998: 1996: 1993: 1992: 1990: 1986: 1980: 1977: 1975: 1972: 1970: 1967: 1965: 1962: 1960: 1959:Oxyanion hole 1957: 1955: 1952: 1950: 1947: 1945: 1942: 1941: 1939: 1935: 1931: 1924: 1919: 1917: 1912: 1910: 1905: 1904: 1901: 1887: 1884: 1882: 1879: 1878: 1877: 1874: 1872: 1871:Streptokinase 1869: 1867: 1863: 1860: 1857: 1853: 1849: 1846: 1844: 1841: 1839: 1836: 1832: 1829: 1827: 1824: 1823: 1822: 1819: 1817: 1814: 1812: 1809: 1807: 1804: 1803: 1801: 1797: 1791: 1788: 1786: 1783: 1782: 1780: 1778: 1774: 1768: 1765: 1763: 1760: 1758: 1755: 1753: 1750: 1749: 1747: 1745: 1744:immune system 1740: 1734: 1733:C3-convertase 1731: 1727: 1724: 1722: 1719: 1718: 1717: 1714: 1712: 1709: 1707: 1704: 1702: 1699: 1698: 1696: 1694: 1690: 1682: 1679: 1677: 1674: 1673: 1672: 1669: 1667: 1664: 1662: 1658: 1657: 1652: 1649: 1647: 1644: 1642: 1639: 1637: 1634: 1632: 1629: 1627: 1624: 1622: 1619: 1617: 1614: 1612: 1609: 1607: 1604: 1602: 1599: 1597: 1594: 1592: 1589: 1587: 1584: 1582: 1579: 1577: 1574: 1573: 1572: 1569: 1567: 1564: 1562: 1559: 1557: 1554: 1552: 1549: 1547: 1544: 1542: 1539: 1536: 1535: 1533: 1531: 1527: 1519: 1516: 1514: 1511: 1510: 1509: 1506: 1504: 1501: 1499: 1496: 1494: 1491: 1490: 1488: 1486: 1482: 1477: 1474: 1470: 1466: 1459: 1454: 1452: 1447: 1445: 1440: 1439: 1436: 1420: 1418: 1415: 1414: 1412: 1409: 1406: 1403: 1401: 1398: 1397: 1393: 1387: 1384: 1382: 1379: 1377: 1374: 1373: 1371: 1369: 1368:Non-medicinal 1365: 1359: 1356: 1354: 1351: 1349: 1345: 1341: 1339: 1338:Streptokinase 1336: 1334: 1331: 1329: 1326: 1322: 1319: 1317: 1314: 1313: 1311: 1307: 1304: 1302: 1299: 1297: 1294: 1292: 1289: 1288: 1287: 1283: 1280: 1279: 1277: 1275: 1274:fibrinolytics 1270: 1266: 1256: 1253: 1251: 1248: 1244: 1241: 1240: 1239: 1236: 1234: 1231: 1229: 1226: 1224: 1221: 1219: 1216: 1215: 1213: 1209: 1203: 1200: 1198: 1195: 1193: 1190: 1188: 1185: 1183: 1180: 1178: 1174: 1171: 1167: 1164: 1162: 1159: 1157: 1154: 1153: 1152: 1148: 1145: 1144: 1142: 1140: 1136: 1126: 1123: 1121: 1118: 1116: 1113: 1111: 1108: 1106: 1103: 1101: 1098: 1097: 1095: 1092: 1088: 1080: 1077: 1075: 1072: 1070: 1067: 1066: 1065: 1062: 1058: 1055: 1053: 1050: 1049: 1048: 1045: 1041: 1038: 1036: 1033: 1031: 1028: 1026: 1023: 1021: 1018: 1016: 1013: 1011: 1008: 1006: 1003: 1002: 1001: 998: 997: 995: 992: 986: 981: 977: 974: 969: 965: 959: 955: 953: 950: 948: 945: 943: 939: 936: 934: 931: 929: 928:Phenprocoumon 926: 924: 921: 919: 916: 914: 913:Coumatetralyl 911: 909: 908:Acenocoumarol 905: 902: 901: 899: 896: 892: 888: 884: 879: 875: 872: 870: 866: 856: 853: 851: 848: 846: 843: 842: 840: 836: 830: 827: 825: 822: 820: 817: 816: 814: 812: 808: 800: 797: 795: 792: 791: 790: 787: 783: 780: 778: 775: 772: 768: 765: 764: 763: 760: 759: 757: 755: 751: 745: 742: 740: 737: 735: 732: 730: 727: 725: 722: 721: 719: 717: 713: 707: 704: 702: 699: 697: 694: 692: 689: 688: 686: 683: 679: 675: 667: 664: 662: 659: 657: 654: 653: 651: 647: 644: 640: 637: 635: 632: 630: 627: 626: 625: 622: 621: 619: 617: 614: 607: 601: 598: 596: 593: 591: 588: 586: 583: 581: 578: 576: 573: 572: 570: 568: 564: 561: 559: 555: 550: 546: 542: 538: 537:thrombolytics 534: 527: 522: 520: 515: 513: 508: 507: 504: 496: 492: 488: 484: 480: 476: 471: 468: 467: 463: 459: 456: 455: 451: 449: 443: 441: 439: 438:anticoagulant 431: 429: 427: 419: 417: 415: 411: 403: 401: 399: 395: 391: 386: 383: 381: 376: 372: 369: 367: 363: 359: 355: 351: 347: 343: 338: 336: 332: 328: 324: 320: 310: 303: 297: 293: 291: 287: 282: 278: 274: 271: 269: 267:ECHA InfoCard 263: 256: 255:ChEMBL1201505 252: 251: 249: 247: 243: 236: 232: 231: 229: 227: 223: 216: 215: 213: 211: 207: 200: 196: 195: 193: 191: 187: 180: 176: 175: 173: 171: 167: 162: 158: 156: 149: 145: 143: 139: 135: 133: 129: 125: 121: 114: 113: 111: 109: 105: 100: 92: 87: 84: 83: 81: 79: 75: 71: 69: 63: 56: 55: 53: 51: 45: 41: 37: 35: 31: 27: 24:Clinical data 22: 2173:Translocases 2170: 2157: 2144: 2131: 2118: 2108:Transferases 2105: 2092: 1949:Binding site 1661:fibrinolysis 1659: 1537: 1503:Chymotrypsin 1358:Fibrinolysin 1357: 1328:Anistreplase 1306:Desmoteplase 1301:Tenecteplase 1202:Ximelagatran 1052:Fondaparinux 991:antithrombin 947:Diphenadione 824:Dipyridamole 767:Dipyridamole 706:Treprostinil 701:Prostacyclin 580:Eptifibatide 481:(2): 451–7. 478: 474: 447: 444:Interactions 435: 432:Side-effects 423: 410:ulcus cruris 407: 387: 384: 377: 373: 370: 339: 319:Fibrinolysin 318: 317: 306:   300:   152:Elimination 108:Legal status 102:Legal status 18:Fibrinolysin 1944:Active site 1566:Factor XIIa 1546:Factor VIIa 1530:Coagulation 1407:from market 1228:Defibrotide 1156:Bivalirudin 1125:Rivaroxaban 1064:Heparinoids 1057:Idraparinux 958:Tioclomarol 952:Phenindione 942:Clorindione 845:Cloricromen 639:Ticlopidine 629:Clopidogrel 448:Not known. 404:Indications 273:100.029.661 164:Identifiers 2227:Hydrolases 2216:Categories 2147:Isomerases 2121:Hydrolases 1988:Regulation 1848:Subtilisin 1790:Batroxobin 1571:Kallikrein 1561:Factor XIa 1551:Factor IXa 1518:Pancreatic 1513:Neutrophil 1333:Monteplase 1250:Ramatroban 1233:Nafamostat 1218:Abelacimab 1197:Melagatran 1182:Dabigatran 1177:Argatroban 1120:Otamixaban 1105:Betrixaban 1093:("xabans") 1079:Sulodexide 1069:Danaparoid 1040:Tinzaparin 1030:Parnaparin 1025:Nadroparin 1020:Enoxaparin 1015:Dalteparin 1010:Certoparin 970:inhibitors 918:Dicoumarol 819:Cilostazol 799:Terutroban 777:Picotamide 666:Ticagrelor 650:nucleoside 646:Nucleotide 616:inhibitors 595:Sibrafiban 290:Molar mass 235:A4028U842W 210:ChemSpider 170:CAS Number 142:Metabolism 2222:EC 3.4.21 2026:EC number 1876:Cathepsin 1862:Sedolisin 1838:Prostasin 1556:Factor Xa 1417:Phase III 1405:Withdrawn 1321:Urokinase 1316:Saruplase 1296:Reteplase 1291:Alteplase 1238:Protein C 1192:Inogatran 1187:Efegatran 1173:Univalent 1166:Lepirudin 1161:Desirudin 1110:Darexaban 1035:Reviparin 1005:Bemiparin 968:Factor Xa 904:Coumarins 881:(inhibit 855:Vorapaxar 829:Triflusal 794:Terbogrel 782:Terbogrel 771:+ aspirin 744:Triflusal 739:Indobufen 729:Aloxiprin 691:Beraprost 661:Elinogrel 656:Cangrelor 634:Prasugrel 600:Tirofiban 590:Roxifiban 585:Orbofiban 575:Abciximab 179:9004-09-5 154:half-life 66:Routes of 48:Pregnancy 34:Drugs.com 2050:Kinetics 1974:Cofactor 1937:Activity 1777:Venombin 1762:Tryptase 1757:Granzyme 1711:Factor I 1706:Factor D 1701:Factor B 1541:Thrombin 1538:factors: 1508:Elastase 1147:Bivalent 1115:Edoxaban 1100:Apixaban 933:Warfarin 850:Ditazole 696:Iloprost 652:analogs 452:See also 414:hematoma 346:exudates 331:bacteria 325:origin ( 309:(verify) 190:DrugBank 78:ATC code 50:category 2206:Biology 2160:Ligases 1930:Enzymes 1816:Pronase 1806:Acrosin 1752:Chymase 1666:Plasmin 1498:Trypsin 1386:Oxalate 1376:Citrate 1353:Brinase 1151:Hirudin 980:Heparin 956:Other: 495:6226244 327:plasmin 199:DB08977 94:) 88: ( 86:B01AD05 2192:Portal 2134:Lyases 1843:Reelin 1785:Ancrod 1742:Other 1476:3.4.21 1400:WHO-EM 1348:Ancrod 1342:Other 989:(bind 982:group/ 493:  380:Pfizer 366:tissue 354:wounds 350:mucosa 342:fibrin 323:bovine 246:ChEMBL 2086:Types 1852:Furin 1799:Other 1726:MASP2 1721:MASP1 1651:KLK15 1646:KLK14 1641:KLK13 1636:KLK12 1631:KLK11 1626:KLK10 1286:r-tPA 1211:Other 838:Other 358:burns 2178:list 2171:EC7 2165:list 2158:EC6 2152:list 2145:EC5 2139:list 2132:EC4 2126:list 2119:EC3 2113:list 2106:EC2 2100:list 2093:EC1 1866:TPP1 1716:MASP 1621:KLK9 1616:KLK8 1611:KLK7 1606:KLK6 1601:KLK5 1596:KLK4 1591:KLK3 1586:KLK2 1581:KLK1 1381:EDTA 1312:UPA 1255:REG1 682:PGI2 543:and 491:PMID 356:and 226:UNII 217:none 126:data 30:AHFS 1856:S1P 1576:PSA 887:VII 549:B01 547:) ( 483:doi 479:225 362:DNA 91:WHO 2218:: 1473:EC 1467:: 1413:: 1346:: 1284:: 1175:: 1149:: 940:: 906:: 893:, 891:IX 889:, 885:, 883:II 612:12 539:, 489:. 477:. 416:. 2194:: 2180:) 2176:( 2167:) 2163:( 2154:) 2150:( 2141:) 2137:( 2128:) 2124:( 2115:) 2111:( 2102:) 2098:( 1922:e 1915:t 1908:v 1886:G 1881:A 1864:/ 1858:4 1854:/ 1850:/ 1831:2 1826:1 1663:: 1478:) 1471:( 1457:e 1450:t 1443:v 1271:/ 993:) 987:/ 897:) 895:X 773:) 769:( 684:) 680:( 648:/ 551:) 535:( 525:e 518:t 511:v 497:. 485:: 57:C 32:/

Index

AHFS
Drugs.com
International Drug Names
Pregnancy
category

Routes of
administration

ATC code
B01AD05
WHO
Legal status
Pharmacokinetic
Bioavailability
Metabolism
Elimination half-life
CAS Number
9004-09-5
DrugBank
DB08977
ChemSpider
UNII
A4028U842W
ChEMBL
ChEMBL1201505
ECHA InfoCard
100.029.661
Edit this at Wikidata
Molar mass
(what is this?)
(verify)
bovine
plasmin

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