bioseguridad en transfeencia de embriones

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    Thibier M. 2010. Biosecurity its added value to Embryo Transfer.Acta Scientiae Veterinariae.38 (Supl 2): s649-s659

    I. INTRODUCTION

    II. TRANSFER OF IN VIVODERIVED EMBRYOS

    THE RISK ASSESSMENT

    THE RISK MANAGEMENTIII. TRANSFER OF IN VITROPRODUCED EMBRYOS

    THE RISK ASSESSMENT

    THE RISK MANAGEMENT

    IV. CONCLUSIONS

    I. INTRODUCTION

    The second and third generations of the Reproductive Biotechnologies, respectively embryo transfers of in

    vivoderived embryos and of in vitroproduced embryos have now been used for more than a third of a century for the

    former and a quarter of a century for the latter, in other words for quite a significant period of time. Moreover the latest

    report of the International Embryo Transfer Society Data Retrieval Committee [19] in cattle and in 2008, shows that

    800 000 embryos were transferred worldwide (two thirds as in vivoderived embryos and one third as in vitroproduced)

    and from almost all continents and regions. Those figures have increased more or less gradually along the last years

    but have remained in the same order of magnitude for the last 10 years or so which results in the fact that for the first

    decade of the 21stcentury, roughly close to 10 millions of bovine embryos have been so transferred from one herd to

    another wherever the recipient herd may be located, in the same farm as the donor animals or to different farms,

    towns, provinces, countries, regions, or continents And yet no major contamination of pathogens associated with

    the embryos proper has ever been identified. Clearly there have been some major crisis in the disease epidemiologyof livestock those last two decades or so in many parts of the world but never have those diseases occurrences been

    associated with the transfer of embryos.

    So, those two Reproductive Biotechnologies do have a significant added value to their own potential of

    transferring germplasm from one donor animal to a recipient and this is to provide full biosecurity in such operations.

    This advantage does not imply at all that there are no risks at stakes but only results from appropriate measures

    implemented to manage such risks, measures that have been identified, tested and validated.

    The aims of the present review are in taking the bovine species as a model, first to recall the risks at stakes

    and second to report on and describe those measures, constraints and critical points to follow by the practitioners

    which only can assure this potential of added value of Biosecurity to embryo transfers.

    II. TRANSFER OF IN VIVODERIVED EMBRYOS

    The risk assessment

    In order to implement with efficiency appropriate measures to ensure that transfer of in vivocollected

    embryos exerts its full impact in terms of biosecurity, it is necessary to clearly identify the risks that are at stakes

    when collecting, handling and transferring such embryos.

    Pathogens can be shed in the genital tract and hence may be one first source of contamination to the

    embryo to be collected if present at the time of collection or between fertilization and collection. So, as soon as these

    in vivoderived embryo collections and transfers started to be implemented and thanks to the veterinary community,

    the latter started to investigate the risks and by the same token tested appropriate means to mitigate such risks. For

    example, it was interesting to see published in 1979, a paper by Wrathall and Mengeling [28] showing in the pig for the

    first time very demonstratively, the risk of contaminating the recipients with infected embryos. So there are such risks

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    Thibier M. 2010. Biosecurity its added value to Embryo Transfer.Acta Scientiae Veterinariae.38 (Supl 2): s649-s659

    A special notice should be given to the risks associated with materials of animal origin. Any biological

    product of this kind used for recovery of gametes, sperm and oocytes or embryos, dilution, in vitromaturation of

    oocytes, washing and storage is potentially a source of contamination. This is of particular relevance with regard to

    the Transmissible Spongiform Encephalopathies (TSE) as discussed at large by Wrathall [27].

    The putative contamination of semen or embryos while stored in liquid nitrogen (LN) tanks for example, as

    an additional source of contamination, has also received recent attention. Bielanski et al. [4] have demonstrated the

    occurrence of microflora in LN tanks such as Stenotrophomonas maltophilia that was able in experimental contact

    with semen, to decrease the motility of this semen. These authors have indicated that direct contact of contaminated

    LN with embryos may lead to their association with viral agent. However, they have also shown that all sealed

    samples of embryos stored in contaminated LN tanks tested negative for the presence of bacteria or viruses. Similarly,

    this author [1] showed that the vapor phase of liquid nitrogen is a safe means for short-term storage and transportation

    of embryos in so-called dry shipper dewars. A recent and comprehensive review on the risk of contamination of

    germplasm during cryopreservation and cryobanking [2] has been published in the latest edition of the IETS Manual.

    For in vivo-derived embryos, and with the proviso that all guidelines published by IETS and OIE after

    official approval, are rigorously followed (see below), the IETS/ HASAC [Health And Safety Advisory Committee]

    relevant committee, has categorized diseases according to the risks assessment analysis, into four categories. The

    category one is that for which sufficient data are available to determine the risks to be negligible provided that theembryos are properly handled between collection and transfer. As seen in the table 2, there are only eight diseases

    listed in this category and it is unlikely, unfortunately, that this number will increase in the near future due to the

    insufficiency of research in this area.

    Table 2.List of International Embryo Transfer Society (IETS)/World Animal Health Organization (OIE) diseases

    in category 1 [26].

    Disease Species Note

    Foot and mouth disease Cattle

    Enzootic bovine leucosis Cattle

    Blue tongue Cattle

    Brucella abortus Cattle

    Infectious bovine rhinotracheitis Cattle Trypsin treatment required

    Pseudorabies Swine Trypsin treatment required

    Bovine spongiform encephalopathies Cattle

    Scrapie Sheep

    Scrapie in sheep has been added very recently according to the conclusions of the Research sub-Committee

    of the IETS/Health and Safety Advisory Committee (meeting of 2010, in Cordoba, Argentina) and in the process ofbeing approved by the World Animal Health Organization (OIE) in 2010 [OIE, Terrestrial Animal Health Code, chapter

    4.7].

    The risk management

    Those procedures to follow in order to assure full safety to the herds in which recipients are to receive in

    vivocollected and transferred embryos are described in details in the latest edition of the IETS Manual [14]. It is a

    code of good practice and should be included in a quality assurance system wherever possible.

    The first critical step of course refers to the thorough clinical examination of the donor animal and its

    environment (lack of infectious contagious disease in the area or in the herd). As pointed out by Wrathall et al. [29], the

    semen used for inseminating the donors should not be forgotten in the check list. It is always beneficial in terms of

    risks management and/or compulsory, particularly in the context of international exchanges, to use semen processed

    from semen collection centres that are officially accredited (see OIE, 2010 Animal Terrestrial Code, chapters 4.5 and

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    4.6) [26] because of being under official supervision.

    For the handling of embryos, the basic recommendations widely described by Stringfellow [11] in the latest

    edition of the IETS Manual, can be summarized as follows. The first stage is to ensure an appropriate washing, 10

    times consecutively with a new pipette each time, with immersion of the embryo(s) in each wash for duration of 1 min.

    with light agitation and with at least a dilution factor of 1/100 between each washing. There are now means to do this

    in a convenient manner and consuming little time. The embryo should be very carefully inspected under magnification

    (X 50) and should only been processed if the embryo has an intact zona pellucida and no adherent debris because

    such cells could serve as a source of contamination and allow for carry over the pathogen. The treatment of embryos

    with the enzyme trypsin is often recommended when dealing with sticky pathogens such as the herpes virus BHV1.

    This was shown not to be always necessary [20] but is nevertheless a good procedure and often required for exported

    embryos. The way trypsin is to be handled is also relevant since as a protein enzyme, it is quite sensitive to the

    environment. It should also be mentioned that such a treatment is not by any mean, a panacea. Even if used, it should

    not be considered as replacing the need for sanitary precautions with the environment of the embryos.

    The media may also be of some concern as discussed above. Its nature and origin should hence be

    selected with great care. The addition of antibiotics is also of some value if used appropriately.

    The quality control of the whole process is now necessary for a given team and regular testing in the media

    collected and stored for assay should be a standard procedure. This could involve search for a putative contamination

    by various viruses that might originate from the collected donor of from some serum used in the media, and the status

    for pathogenic and also for saprophytic microflora. This should contribute in the mid-term to establish and verify the

    effectiveness of the quality assured production process procedure.

    These procedural considerations are part of the OIE recommendations (World Animal Health Organization,

    Terrestrial Animal Health Code 2010, chapter 4.7.) [26] that specifically refer to the guidelines published in the IETS

    Manual. They are also most of the time included in the regulations for moving embryos from one farm to another.

    In doing so, it is right to state that embryo transfer contributes to improving the animal health status of a

    given population in controlling very strictly such movements of germplasm between herds.

    The basic concept of those regulations relies on that of the official approval of embryo transfer teams. This

    was a very important step in the scope of the veterinary regulations that generally rely on the animals, its confinementand its products. Here the safety of the industry fully relies on the ethical and technical excellence of the man/woman

    in charge, head of the embryo transfer team [18].

    The criteria used by the veterinary authorities to give their official approval rely on the relevant chapter

    (chapter 4.7) of the OIE Code. According to it, the embryo collection team is a group of competent technicians,

    including at least one veterinarian, to perform the collection, processing and storage of embryos. The following

    conditions should apply:

    1. The team should be approved by the Competent authority,

    2. The team should be supervised by a team veterinarian.

    3. The team veterinarian is responsible for all team operations which include verification of donor health status,sanitary handling and surgery of donors and disinfection and hygienic procedures.

    4. Team personnel should be adequately trained in the techniques and principles of disease control. Highstandards of hygiene should be practiced to preclude the introduction of infection.

    5. The collection team should have adequate facilities and equipment for:

    a. collecting embryos;

    b. processing and treatment of embryos at a permanent site or mobile laboratory;

    c. storing embryos.

    These facilities need not necessarily be at the same location.

    6. The embryo collection team should keep a record of its activities, which should be maintained for inspection bythe Veterinary Authority for a period of at least 2 years after the embryos have been exported.

    7. The embryo collection team should be subjected to regular inspection at least once a year by an Official

    Veterinarian to ensure compliance with procedures for the sanitary collection, processing and storage of embryos.

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    The following articles of this chapter deal with the conditions applicable to 1) processing laboratories, 2)

    introduction of donor animals, 3) the risk management, 4) collection and storage of embryos, 5) optional tests ands

    treatments, 6) storage and transport of embryos and 7) procedure for micromanipulation.

    These articles refer, as always from the OIE, to international movements but it is of interest to note the

    wording regarding the optional tests.

    The testing of samples can be requested by an importing country to confirm the absence of pathogenic

    organisms that may be transmitted via in vivoderived embryos, or to help assess whether the degree of quality

    control of the collection team (with regard to adherence to procedures as described in the IETS Manual) is at an

    acceptable level. Samples may include:

    Non-viable embryos/oocytes

    Embryo collection (flushing) fluids

    Washing fluids, the last four washes of the embryos/oocytes should be pooled (ref. IETS Manual).

    Samples, the samples referred to above should be stored at 4C and tested within 24 hours. If this is notpossible, then samples should be stored frozen at -70C or lower.

    In conclusion to this part and as far as biosecurity is concerned in the context of in vivoderived embryos,the system in place worldwide and as approved by OIE has proven to be effective. It is based on science and integrity

    in the collection and processing procedures and so provides an immense comparative advantage to this technique in

    moving germplasm from one herd to another.

    III. TRANSFER OF IN VITROPRODUCED EMBRYOS

    The risk assessment

    As already stated [6,17] when dealing with the pathogen-embryo interaction, one should never extrapolate

    from one species to another and from one pathogen to another, even if generically very close. This holds certainly true

    for the mode of production of embryos: in vivoderived vs.in vitroproduced. Due to apparent morphologic differences

    in the zonae pellucidae of these two classes [23], some pathogens seem to adhere more readily to the ZP of the IVF

    embryos [15,24] and such interactions might differ from one type or subtype of pathogen to another not only between

    in vivoderived and in vitro produced embryos but even within in vitroproduced embryos. An example of differences

    between in vivoderived and invitroproduced is that of FMD virus as shown in table 3.

    Table 3. Different interaction of FMD virus (Type 0) with in vivoderived embryos or in vitroproduced embryos

    (from ref.[17]).

    Embryos In vivoderived (*) In vitroproduced (* *)

    Number 169 73

    Type of virus 01

    01

    Viral concentration 106pfu 107TCIDSO/ml

    Time of exposure 4-18h 4h

    Test Plaque and inoculation of epithelium Plaque and PCR

    Results Negative Virus isolation in all first

    fluids and

    cytopathogenically

    positivefrom the

    developed and degenerated

    embryos

    (*) adapted from Singh et al. [10], (* *) adapted from Marquant Le Guienne et al. [8].

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    Regarding the subtlety of the association of subtypes of viruses with in vitroproduced embryos, a very

    interesting experiment was performed by Bielanski et al. [5] dealing with two non cytopathic (NCP) BVDV biotypes,

    type 1 (NY-1) or type 2 (PA-131). Those two viruses were experimentally added to bovine in vitroproduced embryos.

    Then the embryos were treated according to the IETS protocol and transferred to recipients. Part of the results of this

    experiment is reported on table 4.

    Table 4.Different interaction of subtypes of BVDV with in vitroproduced embryos (adapted from ref. [5]).

    Type of NCP BVDV NY - 1 PA 131

    No Pregnancies /No of transfers 20/33 25/61

    Percentage of seroconversions in recipients 0% 51.4%

    No of seroconversions in offspring 0 (18 full term calves) 0 (only 2 went to full term

    and gave birth)

    Virus isolation tests on non transferred embryos (in %) 25% 28%

    The authors concluded that a large proportion of recipients that received embryos exposed to BVDV,

    especially those exposed to a high concentration of type 2 virus, became infected after ET and their pregnancies

    failed. However term pregnancies resulted in calves free of both virus and antibody.

    This emphasizes two points: the first is that the whole procedure seems to be quite safe in producing

    embryos even in such a worst case scenario, in resulting in non contaminated embryos but second, the possibility

    of contaminating the recipients and hence the herd which means that regarding potentially BVDV- infected donors or

    from batches of ovaries collected at abattoirs, additional biosecurity measures have to be taken.

    As proposed by Thibier and Gurin [22], the sequence of hazards in terms of infectious agents includes 1)

    those related to the female donor and the mode of collection (abattoir collection or ovum pick up), 2) the maturation

    process, 3) the fertilization (introduction of semen), 4) the co-culture in vitrodevelopment, 5) the cryopreservation

    before 6) the last step, thawing and transfer.

    The first point of interaction is the oocyte itself and its follicular environment, (surrounding cells of the

    oocytes and the follicular fluid). The magnitude of this risk itself may be modulated according to the source of ovaries

    that are being used: either from ovum pick up in which case the donor animal health status may be well identified or

    from the abattoir in which case a different approach for risk management has to be taken (see below).

    Because contamination of such cells by two types of viruses, BVDV and BHV-1 (IBR/IPV) is not uncommon

    (table 5), those two viruses has been extensively investigated by several investigators in different parts of the world

    [15].

    Table 5.Level of contamination reported in abattoir-origin materials of animal origin used in multiple in vitro

    fertilization laboratories (according to ref. [15]).

    Contaminant Range of positive samples (%)

    Bovine herpesvirus-1 012

    Bovine viral diarrhoea virus 112

    Bacteria 1368

    Collected by the authors from data from Avery et al. (1993), Bielanski et al. (1993), Bielanskiand Stewart (1996), Marquant-Le

    Guienne et al. (2000) and Galik et al. (2002), cited in [15].

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    Those viruses appeared to adhere to the oocyte zona pellucida and hence are external to the oocyte. This

    hazard is complicated by the fact that those viruses often result in an asymptomatic disease and this explains why

    particular attention should be given to those pathogens.

    As far of the methods of collection are concerned, the risks arc diverse according to that used. In the case

    of abattoir collections, the problem is first to ensure that the health status of the lot of females from which ovaries

    have been collected are free from infectious or contagious diseases which implies a good tracing system of the origin

    of the females. A second level of risk of abattoir collections relates to possible environmental contamination of the

    collected material. In the case of ovum pick up, the risks are very much the same as for collecting embryos as

    regards the donor female. In addition, there is another source of contamination from the equipment particularly when

    a series of animals (which is usually the case) are collected at the same session. Transportation of this material to the

    laboratory is another source of external contamination.

    An additional source of risks coming from individual animals is that of semen. As indicated above, this

    point has been recently revisited [29] and should not be overlooked.

    During the handling and the processing of embryos in the laboratory, from collection to transfer, there are

    many risks of environmental contamination that need to be controlled (see below). As seen for in vivoderived

    embryos, the media are also an important possible source of contamination and moreover, several types of media

    may be used during the whole week thereby increasing the risks. A number of media contain products which are of

    animal origin. It is strongly recommended to replace wherever possible such products by others such as amino acids

    from plant origin. Finally, the contamination of co-culture cells is also at risks, particularly when of primary origin.

    Several investigators have reported such contamination by bacteria or viruses such as BVDV or BHV-1 V [7]. The use

    of controlled cell lines which have been determined to be pathogen free is recommended whenever possible. Another

    approach relies on the use of totally synthetic medium (SOF) which also contributes to lower the risks of adverse

    consequences associated with pathogen contamination.

    One additional point may be here noted referring to the effect of cryopreservation. The objective a recent

    study by Bielanski & Lalonde [3] was to determine the effect of cryopreservation by conventional slow controlled

    cooling and by vitrification on the presence of BVDV and BHV-1 infectivity associated with frozen-thawed day 7

    bovine IVF produced embryos. Their conclusion was that cryopreservation reduced the proportion of infected embryos

    but did not render all of them free from infectious pathogens.

    The risk management

    A set of recommendations to control risks associated with such embryos have been elaborated within the

    IETS and been published in the relevant chapter of the latest edition of the IETS Procedures Manual [9]. Here too,

    they should be considered by all practitioners as a mandatory code of good practice.

    The first step to survey is the health status of the area, the herd of origin when relevant and the donor

    herself making sure that no infectious, contagious disease are present at the time of collecting the oocytes. A special

    note is to be given when dealing with animal from a given species or breeds threatened by extinction. It may well be

    for reasons of biodiversity or germplasm conservation that the general conditions required are not met. There could

    consequently be some exceptions, because of the considerable power of this technique for quality control (see

    below) and this, incidentally, constitutes one comparative advantage to this technique. When ovaries are collectedfrom the slaughter house, it is of the greatest importance to trace back the herd situation of those females and check

    for example that they do not come from any depopulated herd for health reasons.

    The premises and working areas should be so designed that individual specialized units are set aside for

    particular tasks with restricted access. Wherever possible, a laminar flow chamber should be in place with close

    attention to cleaning and disinfecting procedures as rightly stated by Gurin et al. [7].

    The handling of embryos during the various steps should always be conducted with great care and under

    highest hygienic conditions. As stated above, the semen used should be specific pathogen free and it is desirable to

    test each lot in IVF before it is used routinely, because some semen with low levels of bacterial contamination has

    been problematic according to Stringfellow et al. [15]. The quality of the media and of the co-culture cells system

    when relevant is one of the most critical points of the procedure. All biological products should be strictly controlled

    and guaranteed free from microorganisms (virus, bacteria or fungi). Sera containing antibodies against agents of

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    particular concern should be avoided. It is also strongly advised to have knowledge and confirmation of the inactivation

    procedures from the manufacturers when relevant.

    Adding antibiotics to the media is also always of good practice as it contributes to remove permanent or

    opportunistic pathogenic agents or saprophytic microorganisms inadvertently introduced at the collection point or at

    the time of fertilization from semen that can never be sterile [7]. Unfortunately, approved antiviral compounds are not

    currently available yet for use in embryo production however promising it might be [Givens, personal communication,

    2010].

    Finally, the recommended washing procedure such as that described above for the in vivoderived embryos

    contributes to further reduce the likelihood of associating pathogens with the embryos so produced and released from

    the lab for transfer. One of the major comparative advantages of this technology is that the production system

    provides control points and sufficient time to allow for each batch of embryo produced to be monitored and assessed

    to relative to their sanitary status. In addition, the many different media used provides an excellent source of sampling

    as it has been shown that the media, as a mediate environment of the embryos, serves as a good indicator of the

    pathogens to which they could have been exposed during the process [21]. The quality control is here of particular

    relevance. Such a control starts with the strict recording in the laboratory book of all the events, from the identification

    of the ovaries to the release of the so produced embryos. It should in a routine operation, as indeed is often the case,

    include regular sampling of all the media used in the process and any degenerated embryos which give a veryaccurate indicator of the environment to which viable embryos may have been exposed. Such tests are also sometimes

    required in special circumstances by the veterinary authorities before exports of such in vitro produced embryos, for

    example. Here too, the whole system could facilitate the establishment a quality assured production process.

    Just like for in vivoderived embryos, these procedural considerations are part of the OIE recommendations

    (World Animal Health Organization, Terrestrial Animal Health Code 2010, chapter 4.8.) [26] that specifically refer to

    the guidelines published in the IETS Manual. They are also most of the time included in the domestic regulations for

    moving embryos from one farm to another.

    The basic concept of those regulations relies on that of the official approval of embryo production teams.

    Like for in vivoderived embryos and again, this was a very important step in the scope of the veterinary regulations

    that generally rely on the animals, its confinement and its products. Here again, the safety of the industry fully relies

    on the ethical and technical excellence of the man/woman in charge, head of the embryo transfer team.

    The criteria used by the veterinary authorities to give their official approval rely on the relevant chapter of

    the OIE Animal Terrestrial animal health code [chapter 4.8. http://www.oie.int/eng/normes/mcode/en_chapitre_1.4.8.htm].

    According to this OIE Code, the embryo production team is a group of competent technicians, including at least one

    veterinarian, to perform the collection and processing of ovaries/oocytes and the production and storage of in vitro

    produced embryos. The following conditions should apply:

    1. The team should be approved by the competent authority

    2. The team should be supervised by a team veterinarian.

    3. The team veterinarian is responsible for all team operations which include the hygienic collection of ovariesand oocytes and all other procedures involved in the production of embryos intended for internationalmovement.

    4. Team personnel should be adequately trained in the techniques and principles of disease control. Highstandards of hygiene should be practised to preclude the introduction of infection.

    5. The production team should have adequate facilities and equipment for:

    a. collecting ovaries and/or oocytes;

    b. processing of oocytes and production of embryos at a permanent site or mobile laboratory;

    c. storing oocytes and/or embryos.

    These facilities need not necessarily be at the same location.

    6. The embryo production team should keep a record of its activities, which should be maintained for inspectionby the Veterinary Authority for a period of at least 2 years after the embryos have been exported.

    7. The embryo production team should be subjected to regular inspection at least once a year by an Official

    Veterinarian to ensure compliance with procedures for the sanitary collection and processing of oocytes andthe production and storage of embryos.

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    13 Stringfellow D.A. & Givens M.D. 2000.Preventing disease transmission through the transfer of in vivoderived bovine embryo.

    Livestock Production Science. 62: 237-251.

    14 Stringfellow D.A. & Givens M.D. 2009.International Embryo Transfer Manual. A procedural guide and general information for the use

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    15 Stringfellow D.A., Givens M.D. & Waldrop J.G. 2004. Biosecurity issues associated with current and emerging technologies.

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    22 Thibier M. & Gurin B. 2000.Embryo transfer in small ruminants: the method of choice for health control in germplasm exchanges.

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    23 VanRoose G., Nauwynck H., Van Soom A., Ysebaert M.T., Charlier G., Van Oostvelt P. & de Kruif A. 2000.Structural aspects of the

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    24 Van Soom A. & Nauwynck H. 2008.Risk associated with bovine embryo transfer and their containment. CAB reviews: Perspectives in

    Agriculture, Veterinary Science, Nutrition and Natural Resources, 7pp. htpp://www.cababstractsplus.org/cabreviews.

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