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Green Tea Polyphenol Epigallocatechin Gallate

Inhibits Adipogenesis and Induces Apoptosis in


3T3-L1 Adipocytes
Ji Lin,* Mary Anne Della-Fera,* and Clifton A. Baile*

Abstract apoptosis in mature adipocytes, as demonstrated by both


LIN, JI, MARY ANNE DELLA-FERA, AND CLIFTON A. laser scanning cytometry and terminal deoxynucleotidyl
BAILE. Green tea polyphenol epigallocatechin gallate transferase dUTP nick-end labeling assays. Furthermore,
inhibits adipogenesis and induces apoptosis in 3T3-L1 EGCG dose-dependently inhibited lipid accumulation in
adipocytes. Obes Res. 2005;13:982990. maturing preadipocytes.
Objective: Green tea catechins have been shown to promote Discussion: These results demonstrate that EGCG can act
loss of body fat and to inhibit growth of many cancer cell directly to inhibit differentiation of preadipocytes and to
types by inducing apoptosis. The objective of this study was induce apoptosis of mature adipocytes and, thus, could be
to determine whether epigallocatechin gallate (EGCG), the an important adjunct in the treatment of obesity.
primary green tea catechin, could act directly on adipocytes
to inhibit adipogenesis and induce apoptosis. Key words: green tea catechins, lipid accumulation, la-
Research Methods and Procedures: Mouse 3T3-L1 pre- ser scanning cytometry, cell death, cell viability
adipocytes and mature adipocytes were used. To test the
effect of EGCG on viability, cells were incubated for 3, 6,
Introduction
12, or 24 hours with 0, 50, 100, or 200 M EGCG. Viability The prevalence of overweight and obesity has reached
was quantitated by MTS assay. To determine the effect of epidemic proportions in recent years. This growing obesity
EGCG on apoptosis, adipocytes were incubated for 24 hours trend has been seen in the United States and is steadily
with 0 to 200 M EGCG, then stained with annexin V and increasing in other western countries as well as in develop-
propidium iodide and analyzed by laser scanning cytometry. ing countries (1). Over the past 2 decades, the occurrence of
Both preadipocytes and adipocytes were also analyzed for obesity among U.S. adults has increased by 74%, and about
apoptosis by terminal deoxynucleotidyl transferase dUTP two-thirds of U.S. adults are currently either overweight or
nick-end labeling assay. To determine the effect of EGCG obese (2). In addition, the incidence of obesity and over-
on adipogenesis, maturing preadipocytes were incubated weight seen in U.S. children is continuing to rise (3).
during the 6-day induction period with 0 to 200 M EGCG, Evidence indicates that overweight and obesity are strongly
then stained with Oil-Red-O and analyzed for lipid content. associated with major health risks such as cardiovascular
Results: EGCG had no effect on either viability or apoptosis disease, diabetes, and cancer (4). These obesity-related ad-
of preconfluent preadipocytes. EGCG also did not affect verse health consequences have led to an increased number
viability of mature adipocytes; however, EGCG increased of preventable deaths (5). Therefore, the prevention and
treatment of obesity are critical to curtail the rising inci-
dence of morbidity and mortality.
Received for review December 1, 2004. Obesity is a complex disorder with multiple causes in-
Accepted in final form March 28, 2005.
The costs of publication of this article were defrayed, in part, by the payment of page
cluding both genetic and environmental factors. The cause
charges. This article must, therefore, be hereby marked advertisement in accordance with of obesity is usually attributed to a combination of these
18 U.S.C. Section 1734 solely to indicate this fact. factors, and the disorder itself involves specific biological
Departments of *Animal and Dairy Science and Foods and Nutrition, University of
Georgia, Athens, Georgia. factors that regulate energy homeostasis. Recent studies
Address correspondence to Clifton A. Baile, 444 Edgar L. Rhodes Center for Animal and indicate that adipose tissue plays an important role in energy
Dairy Science, University of Georgia, Athens, GA 30602-2771.
E-mail: cbaile@uga.edu
homeostasis, and its function is not limited to a site of
Copyright 2005 NAASO energy storage and mobilization but is extended as an active

982 OBESITY RESEARCH Vol. 13 No. 6 June 2005


EGCG Induces Apoptosis of Adipocytes, Lin, Della-Fera, and Baile

endocrine organ (6). Adipose tissue secretes peptides, such Research Methods and Procedures
as leptin and tumor necrosis factor-, that are involved in 3T3-L1 Cell Culture
food intake and energy expenditure. These cytokines are 3T3-L1 mouse embryo fibroblasts were obtained from
also linked with conditions such as insulin resistance, char- the American Type Culture Collection (Manassas, VA) and
acteristic of type 2 diabetes (7). Adipose mass, at any given were cultured as described previously (20). Briefly, the cells
time, reflects average adipocyte size and total adipocyte were cultured at 37 C in a humidified 5% CO2 atmosphere
number. It was once thought that adipocyte acquisition was and grown in Dulbeccos modified Eagles medium
permanent and that weight gain/loss caused only variation (DMEM) with 10% bovine calf serum added. After induc-
in cell size (8); however, it is now believed that adipose tis- ing confluency for 2 days (Day 0), preadipocytes were
sue undergoes dynamic remodeling throughout adulthood. cultured in DMEM with 10% fetal bovine serum (FBS/
Adipogenesis occurs when extra fat mass is needed for DMEM) medium, supplemented with 167 nM insulin, 0.5
significant caloric gain or for cellular homeostasis (9). In M isobutylmethylxanthine, and 1 M dexamethasone for
obese or overweight individuals, the increased fat mass can 2 days (Day 2). The cells were then maintained in a culture
be a result of either increased cell size (hypertrophy) or medium with 167 nM insulin supplement for another 2 days
increased fat cell number (hyperplasia) or both. Adipose (Day 4), followed by culturing with 10% FBS/DMEM me-
tissue hyperplasia is a result of increased adipogenesis, dium for an additional 4 days, at which time 90% of the
which includes preadipocyte proliferation and adipocyte cells were mature adipocytes and had accumulated fat drop-
differentiation. Thus, potential therapeutic agents, espe- lets. All media contained 100 U/mL penicillin, 100 g/mL
cially from low-toxicity natural products, that have the streptomycin, and 292 g of L-glutamine/mL (Invitrogen,
ability to reduce or inhibit adipogenesis or increase cell Carlsbad, CA).
death by apoptosis could have a profound impact as a All experiments, except where otherwise indicated, were
strategy for treating and preventing obesity and related performed at least in quadruplicate at concentrations of 0
metabolic disorders. [1:1000 dimethyl sulfoxide (DMSO)], 50, 100, or 200 M
Tea is second only to water as one of the most widely EGCG (98.1% purity, purchased from LKT Laboratory,
consumed beverages in the world, and its origins date back Inc., St. Paul, MN, prepared in 200 mM stock with DMSO)
thousands of years. Green tea, which is prepared by drying added to the culture medium for a duration of 3, 6, 12, or 24
fresh tea leaves, contains a number of bioactive compo- hours.
nents, including polyphenols, caffeine, amino acids, and
other trace compounds such as lipids and vitamins. Green MTS Cell Viability Assay
tea polyphenols consist mainly of catechins, including ()- Tests were performed in 96-well plates. For mature adi-
epigallocatechin gallate (EGCG),1 which is the most abun- pocytes, the seeding density was 5000 cells/well, and cells
dant (10) and strongest bioactive chemical. Green tea ex- underwent induction until matured. For preadipocytes, seed-
tracts, specifically those containing a high proportion of ing density of 2500 cells/well was used, and cells were
EGCG, have been shown to increase 24-hour energy expen- cultured overnight before treatment (doubling time approx-
diture and fat oxidation (11) and increase weight loss in imately 18 hours). Cells were incubated with either DMSO
humans (12). In addition, EGCG treatment has been shown (1:1000) or increasing concentrations of EGCG for up to 24
to reduce fat depot weight in mice (13,14). Although in- hours. The medium was then changed and replaced with 100
creased thermogenesis and inhibition of lipase activity have L of fresh 10% FBS and 20 L of MTS solution (Pro-
been suggested to be responsible for EGCG-induced weight mega, Madison, WI). Cells were then returned to the incu-
loss, EGCG has been shown to have antiproliferative effects bator for an additional 2 hours before 25 L of 10% sodium
that may also impact adipose tissue. Consumption of green dodecyl sulfate was added to stop the reaction. The plate
tea has been associated with decreased risk of cancer and was analyzed by spectrometry at a wavelength of 490 nm.
atherosclerosis in humans (1517), and studies indicate that
EGCG inhibits tumor cell growth and induces tumor cell Apoptosis Assay
death through an apoptotic mechanism (18,19). In this Laser Scanning Cytometry (LSC). Mature adipocytes
study, we used 3T3- L1 adipocytes to investigate the direct were incubated with either DMSO (1:1000) or increasing
effects of EGCG on adipogenesis and its potential to induce concentrations of EGCG for 24 hours. Monolayer cells from
adipocyte apoptosis. each treatment were washed twice with cold phosphate-
buffered saline (PBS) and once in binding buffer and then
1
incubated in the dark with gentle agitation for 10 minutes
Nonstandard abbreviations: EGCG, ()-epigallocatechin gallate; DMEM, Dulbeccos
modified Eagles medium; DMSO, dimethyl sulfoxide; FBS, fetal bovine serum; LSC, laser with 5 L of annexin V-fluorescein isothiocyanate (AV)
scanning cytometry; PBS, phosphate-buffered saline; AV, annexin V-fluorescein isothio- and 5 L of propidium iodide (PI) in 450 L of binding
cyanate; PI, propidium iodide; TUNEL, terminal deoxynucleotidyl transferase dUTP nick-
end labeling; GTP, green tea polyphenol; MAP, mitogen-activated protein; ERK, extracel-
buffer (BD Biosciences, San Diego, CA) at ambient tem-
lular signal-regulated kinase. perature. LSC was carried out as previously described (21).

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EGCG Induces Apoptosis of Adipocytes, Lin, Della-Fera, and Baile

Figure 1: EGCG effect on preadipocyte (A) and mature adipocyte (B) viability measured by MTS as percentage of controls at different
incubation times from 3 to 24 hours.

Data were analyzed by WinCyte and CompuSort software with hematoxylin. For each dish, three images were taken
for sorting and morphological relocation. Scanning the user- and analyzed for average lipid droplet size, percentage lipid
defined region of interest took 30 minutes to complete or area, and total droplet number with ImagePro Plus 5.0
stopped automatically when 5000 events were collected. software (MediaCybernetics, Silver Spring, MD).
Terminal Deoxynucleotidyl Transferase dUTP Nick-End
Labeling (TUNEL) Image for Apoptosis Detection. Both Data Analysis
preadipocytes and mature adipocytes were incubated with 0 Data are presented as mean SEM and analyzed by
(1:1000 DMSO) or 200 M EGCG for 24 hours. In addi- two-way ANOVA according to the general linear model
tion, cells undergoing diphenylmethane-4,4-diisocyanate procedure. Significance of differences between groups was
induction for adipogenesis were coincubated with 0 or 200 established using Tukeys test; p 0.05 was considered
M EGCG for 6 days before TUNEL assay (Day 6). An significant.
APO-BrdU TUNEL kit was obtained from Molecular
Probes (Eugene, OR). Monolayer cells were fixed with 10%
formalin (PBS buffered) and stored in 70% ethanol at
Results
20 C for 24 hours. Cells were washed twice in the Preadipocyte viability was not affected by any concen-
washing buffer, followed by 1-hour incubation in a humid- tration of EGCG during the 24-hour incubation period (Fig-
ity box at 37 C with gentle agitation in 150 L of DNA- ure 1A). Likewise, viability of mature adipocytes was not
labeling solution (containing 30 L of reaction buffer, 2.25 affected by EGCG, as measured by the MTS assay (Figure
L of terminal deoxynucleotidyl transferase, 24 L of 1B).
BrdUTP, and 93.75 L of dH2O). After a brief wash, the To measure apoptosis, a combination of AV/PI dual
cells were then incubated for 30 minutes with Alexa Fluor staining was used. AV detects externalized cell membrane
488 dye-labeled anti-BrdU antibody (1:20 dilution), fol- phosphatidylserine, which is one characteristic of apoptosis;
lowed by an additional 30 minutes with PI/RNase buffer to and PI, normally impenetrable through the intact cell mem-
stain the nucleus at room temperature in the dark, and brane, is able to stain the nucleus during middle or late stage
viewed with a fluorescent microscope. apoptosis when membrane integrity is lost. By measuring
the AV/PI intensity over time, the LSC system can provide
Oil-Red-O Staining for the Effect of EGCG on progressive information of the relative changes of cell pop-
Adipogenesis ulation on apoptotic changes from early stage to end stage
Three concentrations of EGCG (50, 100, and 200 M) apoptosis, as shown in Figure 3. In this sample scatter
along with 1:1000 DMSO control were added with the graph, based on fluorescent intensity of each channel, the
induction medium from Days 0 to 6 of adipogenesis in cell populations were segmented into three regions: viable
addition to the no-addition normal controls. Medium was (Box 1, low AV and PI intensity), apoptotic (Box 2, high
changed every 2 days. On Day 6, cells were stained with AV with low PI intensity), and dead (Box 3, high PI
Oil-Red-O. In brief, dishes were washed with cold PBS and intensity). Cells within Box 2 were stained primarily with
fixed in 10% neutral formalin. After two changes of pro- AV, indicating that cells were undergoing early apoptosis;
pylene glycol, Oil-Red-O was added with agitation for 7 cells within Box 3 that had higher PI intensity combined
minutes, followed by washing in 85% propylene glycol. The with either higher or lower AV intensity were at a later stage
dishes were then rinsed in distilled water and counterstained of apoptosis (secondary necrosis). By calculating the per-

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EGCG Induces Apoptosis of Adipocytes, Lin, Della-Fera, and Baile

Figure 2: Twenty-four hour (A) and time course (B) EGCG effect on apoptosis of mature adipocytes as measured by LSC. Means with
different letters are different, p 0.05.

centage of cells within each box, a relative apoptotic rate Longer incubation with EGCG resulted in a higher pro-
could be determined. The overall effect of 24-hour EGCG portion of dead cells, as shown in Figure 4. Three- or 4-day
treatment on mature adipocyte apoptosis is shown in Figure incubation resulted in 50% dead cells on LSC analysis;
2A. In DMSO-treated adipocytes, total apoptotic rate was however, we did not include this set of data into statistical
low; EGCG markedly increased apoptosis at the 50 and 200 analysis because many of the dead cells were lost during
M concentrations (p 0.05), although the increase with preparation before scanning on the LSC, so we were not
100 M EGCG was not significant. Figure 2B shows the able to determine the actual percentages from each popula-
time course of the apoptotic-inducing effect of EGCG in tion.
mature adipocytes. Apoptosis was significantly increased at The TUNEL staining of EGCG-treated adipocytes was
12 hours of incubation by 100 M EGCG; by 24 hours, the consistent with LSC data. DMSO control did not show any
percentage of total apoptotic cells was significantly in- TUNEL-positive nuclei (Figure 5A), but there was an in-
creased by 50 and 200 M EGCG (p 0.05). crease in TUNEL staining in EGCG-treated cells (Figure
5B). For preadipocytes, 24-hour EGCG treatment did not
result in any TUNEL-positive cells (Figure 5C).
Oil-Red-O staining showed that 6-day incubation of
EGCG during the differentiation period significantly inhib-
ited 3T3-L1 adipogenesis (Figures 6 and 7). We selected
three parameters from ImagePro software to analyze adipo-
genesis: average size of lipid droplet, ratio of lipid area to
total area analyzed (percentage lipid), and total number of
lipid droplets counted. The average size of lipid droplet in
untreated and DMSO controls was 915.19 122 and
1149 267 pixels2, respectively, with no statistical differ-
ence. However, EGCG treatment resulted in a dose-depen-
dent decrease in lipid droplet size, with 200 M EGCG
having the greatest effect (Figure 7): the average lipid
droplet sizes for adipocytes treated with EGCG concentra-
tions of 50, 100, and 200 M were 618.14 62, 539.64
67, and 277.7 39 pixels2, respectively. The percentage
lipid and total lipid droplet number were also reduced
markedly by EGCG treatment. In addition, in EGCG treat-
ment groups, not only was lipogenesis reduced, but total cell
counts were also decreased, especially in cells treated with
Figure 3: Sample scatter graph generated by LSC with three boxes
indicating viable (Box 1), early apoptotic (Box 2), and late apo- 200 M EGCG. TUNEL assay indicated that apoptosis was
ptotic (Box 3) based on fluorescent intensity of AV/PI. occurring with EGCG treatment during these periods (Fig-
ure 5D).

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EGCG Induces Apoptosis of Adipocytes, Lin, Della-Fera, and Baile

Figure 4: LSC scatter graph set of AV/PI intensity from mature adipocytes treated for 3 or 4 days with 0, 50, 100, or 200 M EGCG. The
high proportion of dead cells with these prolonged incubation periods prevented collection of accurate quantitative data.

Discussion Green tea polyphenols (GTPs) constitute a large part of


In our study, the green tea compound EGCG inhibited green tea leaf (up to 20%) (10) or 36% of the dry weight
3T3-L1 adipogenesis and resulted in adipocyte apoptosis. composition (22). Most GTPs are catechins that belong to
Average size of lipid droplets and total lipid droplet number the family of flavonoids, which are comprised of two aro-
were decreased dose-dependently by EGCG treatment. Few matic rings with a C6-C3-C6 carbon structure. Five main
mature adipocytes with normal morphology could be found catechins that compose 90% of GTP are ()-gallocat-
with 200 M EGCG treatment (Figures 6 and 7). echin, ()-epigallocatechin, ()-epicatechin, ()-EGCG,

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EGCG Induces Apoptosis of Adipocytes, Lin, Della-Fera, and Baile

Figure 5: TUNEL images. (A) Control (DMSO) treatment showing no TUNEL signal but only PI staining for normal intact nuclei. (B)
EGCG treatment (200 M) for 6 days during adipogenesis showing bright condensed nuclei, as indicated by arrows for apoptotic cells. (C)
Preadipocytes treated for 24 hours with 200 M EGCG showing no TUNEL-positive staining; PI staining for intact nuclei only. (D) Mature
adipocytes treated with 200 M EGCG for 24 hours; arrows indicate apoptotic cells (400).

and ()-epicatechin gallate. EGCG, which is an esterified and mast cell lines (30,31); recently, Hung et al. (32)
or galloyl catechin, is the most abundant, accounting for showed that EGCG reduced phospho-ERK1 and phospho-
54% to 59% of total green tea catechins (10). Although tea ERK2 levels in 3T3-L1 preadipocytes. Thus, EGCG may
is consumed worldwide and has been used in traditional act to inhibit the ERK signaling pathway in adipocytes,
Chinese medicine (10), its health benefits are receiving resulting in inhibition of lipogenesis.
renewed attention. EGCG has been shown to have antioxi- In addition to the inhibitory effect on differentiation,
dative and radical scavenging actions (23,24) and anticar- apoptosis was also enhanced by incubation with EGCG
cinogenic or cancer-preventing actions (17,25). EGCG during differentiation, suggesting that EGCG can reduce
treatment has been shown to induce cancer cell apoptosis adipose tissue mass both by inhibiting maturation and by
(26). EGCG treatment also has been shown to suppress increasing cell death. Because cells were treated with
high-fat diet-induced increase of plasma lipids (27) and to EGCG for 6 days during preadipocyte differentiation, apo-
reduce food intake and decrease fat deposition in rats (13). ptotic cells were more apparent. In mature adipocytes incu-
Possible mechanisms of action for EGCG-induced inhi- bated for 24 hours, TUNEL staining showed positive apo-
bition of adipogenesis could involve mitogen-activated pro- ptotic cells, which was consistent with the LSC assay.
tein (MAP) kinase, especially the extracellular signal-regu- However, we did not find TUNEL-positive cells in preadi-
lated kinases (ERKs) that are stimulated by growth-related pocytes after 24-hour EGCG incubation, suggesting that the
signals. Although contradictory reports exist (28), Prusty et sensitivity to EGCG-induced apoptosis develops as cells
al. (29) recently showed that ERK1/2 phosphorylation pro- mature.
moted CCAAT/enhancer binding protein- and peroxisome Although EGCG has been shown to be growth inhibitory
proliferator-activated receptor- expression, both key me- in several tumor cell lines, we did not detect a change in cell
diators of adipogenesis, in 3T3-L1 cells, and inhibition of viability within 24 hours of EGCG incubation using the
ERK1/2 significantly attenuated expression of CCAAT/en- MTS method. This cell viability assay is based on the
hancer binding protein- and peroxisome proliferator-acti- reduction of the tetrazolium salt, MTS, to a colored
vated receptor-. EGCG has been shown to inhibit the formazan compound in viable cells, even in early apoptot-
phosphorylation of ERK1/2 and AKT kinases in epidermal ing cells (33); thus, extended incubation time may be

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EGCG Induces Apoptosis of Adipocytes, Lin, Della-Fera, and Baile

Figure 6: Oil-Red-O staining. Images were obtained at Day 6 of differentiation with EGCG treatment. (A) DMSO-treated control. (B) 50
M EGCG. (C) 100M EGCG. (D) 200 M EGCG (400).

needed to observe an EGCG-reduction of cell viability phosphatidylserine is, thus, accessible for AV detection. PI,
using the MTS assay. Hung et al. (32) recently reported that a fluorescent dye that binds to DNA, is not able to permeate
concentrations of 100 M EGCG and higher reduced via- normal live cells with intact cell membranes. Thus, it is
bility of 3T3-L1 preadipocytes, as determined by trypan used to distinguish dead cells from normal viable cells in
blue dye exclusion. They also found that the sensitivity of live cell culture. We have used this procedure success-
preadipocytes depended on the growth phase during which fully to demonstrate apoptotic changes induced by tumor
they were tested, as well as the dose and length of the necrosis factor- in adipocytes (21). By applying LSC in
incubation period. conjunction with AV/PI, we observed that apoptotic cells
LSC is a microscope-based cytofluorometer capable of increased with EGCG treatment. In our study, both AV
measuring stoichiometric quantitative and morphological and PI intensity were low in DMSO-treated controls, but
features of cells. Threshold and contour feature are set by EGCG incubation in mature adipocytes resulted in in-
the user, and cell population information based on fluores- creased AV intensity and late increase in PI staining inten-
cence intensity can be sorted, visualized, and stored for later sity over time, indicating that an increased number of cells
visualization after scanning. Thus, LSC allows the analysis were undergoing apoptosis. Increased PI intensity alone
of a cell population both quantitatively and with morpho- does not differentiate apoptotic from necrotic cells; how-
logical evidence, which is an advantage over flow cytoflu- ever, together with the temporal shift and the early increase
orometry. The AV/PI method is widely used in flow cyt- in AV intensity, it was clear that apoptosis, followed by
ofluorometry to detect apoptosis. Annexin V is a Ca2- secondary necrosis, was involved in the death process trig-
dependent phospholipid binding protein that has a high gered by EGCG.
affinity for phosphatidylserine, a membrane phospholipid The mechanism of EGCG in inducing apoptosis seems to
that is distributed toward the intracellular leaflet of the cell be complicated. Weinreb et al. (34) reported that treatment
membrane in normal cells but translocated to the outer of 50 M EGCG in a neuroblastoma cell line increased
leaflet of the membrane during apoptosis. The exposed mRNA expression of Bax and Bad, members of the pro-

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EGCG Induces Apoptosis of Adipocytes, Lin, Della-Fera, and Baile

ptosis in preadipocytes, if these changes also occur in ma-


ture adipocytes, they may be part of the mechanism
involved in induction of apoptosis. In fact, Gupta et al. (39)
showed that up-regulation of p21 and p27, along with down-
regulation of Cdk2 and cyclin D1, led to cell cycle arrest
and apoptotic cell death in prostate cancer cells.
Our study clearly identified the inhibitory effect of
EGCG on differentiation and the induction of apoptosis in
adipocytes in vitro. Thus, EGCG may prove to be a valuable
natural product in the treatment of obesity.

Acknowledgment
This work was supported, in part, by the Georgia Re-
search Alliance Eminent Scholar endowment (to C.A.B.).

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