Germany was the next country to authorize in 2005. Thoresen M, Hobbs CE, Wood T, Chakkarapani E, Dingley J. Cooling combined with immediate or delayed xenon inhalation provides equivalent long-term neuroprotection after neonatal hypoxia-ischemia. Xenon has no effect on cytokine balance and adhesion molecule expression within an isolated cardiopulmonary bypass system. Mountz JM, Liu HG, Deutsch G. Neuroimaging in cerebrovascular disorders: measurement of cerebral physiology after stroke and assessment of stroke recovery. Hypothermia reduces excitotoxicity by decreasing glutamate and glycine release [61] and interfering with formation of reactive oxygen species [75]. Xenon xe 133 is to be given only by or under the direct supervision of a doctor with specialized training in nuclear medicine. Preckel B, Weber NC, Sanders RD, Maze M, Schlack W. Molecular mechanisms transducing the anesthetic, analgesic, and organ-protective actions of xenon. Tue 9:00 am - 5:00 pm. Xenon Xe 133 is a radiopharmaceutical. Click here, Need to login as a patient? about navigating our updated article layout. have shown that combination of Xenon and sevoflurane preconditioning induces long term neuroprotection in neonatal asphyxia. Participate in Health Journeys in over 100 specialty communities. This medicine is to be given only by or under the direct supervision of a doctor with specialized training in nuclear medicine. Rockwood K, Brown M, Merry H, Sketris I, Fisk J. This means it is still under development and may contain inaccuracies. The .gov means its official. In Canada - Call your doctor for medical advice about side effects. Application of medical gases in the field of neurobiology. When can I drink alcohol after heart surgery? An official website of the United States government. Combinations of Xenon with hypothermia in neonatal hypoxia-ischemia model and with sevoflurane in oxygen glucose deprivation induced neuronal damage model also enhance neuroprotection. Use: Evaluation of pulmonary function, imaging the lungs, and assessment of cerebral flow. Currently Michigan Medicine Ophthalmology Services's 57 physicians cover 33 specialty areas of medicine. Armstrong SP, Banks PJ, McKitrick TJW, Geldart CH, Edge CJ, Babla R, Simillis C, Franks NP, Dickinson R. Identification of Two mutations (F758W and F758Y) in the N-methyl-D-aspartate receptor glycine-binding site that selectively prevent competitive inhibition by xenon without affecting glycine binding. It is also used to help your doctor check the blood flow in your brain. Keep a list of all your medications with you, and share the list with your doctor and pharmacist. The only adverse event reported was urinary retention in 3 patients and overall, ezogabine was well tolerated. Tell your doctor if you have a latex allergy before you start using this medicine. Xenon is an ideal gas for this model with its cardiovascular stability [47] and myocardial protection property [48], as well as its rapid induction rate through bloodbrain-barrier [14,49]. Does Xenon Xe-133 740 Mbq (20 Mci) Gas For Inhalation Diagnostic Radiopharmaceuticals- Pulmonary Perfusion Imaging interact with other drugs you are taking? Medical gases have a wide scope of applications in medical area. Ramsay, a Noble prizewinner for the discovery of krypton and neon, also found Xenon with his student Morris Travers in the residue of evaporating components of liquid air [14,15]. Enduring memory impairment in monkeys after ischemic damage to the hippocampus. How quickly can smoking cause gum disease? For non-prescription products, read the label or package ingredients carefully. Xenon enhanced CT scanning is an easy and non-invasive method in which patients inhale the stable (131Xe) gas while CT images are made. To support the Phase 3 clinical trial of XEN496 in patients with KCNQ2-DEE, Xenon completed a pharmacokinetic (PK) study testing its proprietary pediatric formulation (XEN496) in 24 healthy adult volunteers. The primary endpoint is the percent change from baseline in monthly countable motor seizure frequency during the blinded treatment period, as recorded by caregivers in a daily seizure diary. In this short time, Integrative Wellness Centers has already become one of the largest functional medicine clinics in the state of Michigan. Also, other things may affect test results. It has been shown that Xenon reduces OGD induced neuronal cell death in mouse neuronal-glial cell co-culture at subanesthetic concentrations. Solaroglu I, Solaroglu A, Kaptanoglu E, Dede S, Haberal A, Beskonakli E, Kilinc K. Erythropoietin prevents ischemia-reperfusion from inducing oxidative damage in fetal rat brain. PMC legacy view Radiopharmaceuticals are radioactive agents, which may be used to find and treat certain diseases or to study the function of the body's organs. He concluded that Xenon could be used as an anesthetizing agent with the results obtained from his trials in 1939. Time trends in long-term mortality after out-of-hospital cardiac arrest, 1980 to 1998, and predictors for death. Goto T, Suwa K, Uezono S, Ichinose F, Uchiyama M, Morita S. The blood-gas partition coefficient of xenon may be lower than generally accepted. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Choi DW. . You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. It increases the mortality after sudden CA with the mechanism of necrosis or apoptosis of neuronal tissue [29-31]. It can also be used as a contrast agent in imaging. Experimental treatments for hypoxic ischaemic encephalopathy. Bantel C, Maze M, Trapp S. Neuronal preconditioning by inhalational anesthetics. demonstrated neuronal preconditioning property of Xenon by exposing neuronal-glial co-cultures to 75% Xenon for 2 hours [55] as illustrated in Table1. Many of the gas-discharge lamps that we use in our daily lives like car bulbs and ceiling lights contain Xenon for energy-efficient illumination as well. Under appropriate conditions of high pressure and electrical stimuli, Xenon gives rise to laser light in ultraviolet range by forming a compound with other excitable molecules. Major mechanisms lying behind Xenons neuroprotective property are the reduction of ischemia-induced neurotransmitter release [39] as well as the antagonistic property against NMDA receptors [36,37,40] (Figure2). will also be available for a limited time. In dermatologic practices, intense pulsed light is used for removal of hair and photo-rejuvenation [103]. Easy & secure access! Ouyang YB, Tan Y, Comb M, Liu CL, Martone ME, Siesj BK, Hu BR. Spieth PM, Parotto M. Xenon and the developing brain. Description Disposable pre-packaged kits The Xenon-133 Rebreathing System provides the clinician with a simple, safe and inexpensive method of administrating Xenon-133 to perform perfusion steady state and washout studies. In SPECT, radioactive isotope (133Xe) of Xenon is used as radionuclide. Before using xenon xe 133 . Coburn M, Kunitz O, Baumert J-H, Hecker K, Haaf S, Zhlsdorff A, Beeker T, Rossaint R. Randomized controlled trial of the haemodynamic and recovery effects of xenon or propofol anaesthesia. NO and superoxide (O2) react, resulting in large amounts of peroxynitrite (ONOO-) generation. This treatment is approved by Food and Drug Administration (FDA) in United States since it is an effective thermal treatment for food decontamination. Chakkarapani E, Dingley J, Liu X, Hoque N, Aquilina K, Porter H, Thoresen M. Xenon enhances hypothermic neuroprotection in asphyxiated newborn pigs. Hallstrom AP, Ornato JP, Weisfeldt M, Travers A, Christenson J, McBurnie MA, Zalenski R, Becker LB, Schron EB, Proschan M. Public-access defibrillation and survival after out-of-hospital cardiac arrest. We are advancing a novel product pipeline of neurology therapies to address areas of high unmet medical need, with a focus on epilepsy. Nichol G, Stiell IG, Laupacis A, Pham B, De Maio VJ, Wells GA. A cumulative meta-analysis of the effectiveness of defibrillator-capable emergency medical services for victims of out-of-hospital cardiac arrest. Neuroprotective and neurotoxic properties of the inert gas, xenon. Helium-induced preconditioning in young and old rat heart: impact of mitochondrial Ca(2+) -sensitive potassium channel activation. David HN, Haelewyn B, Rouillon C, Lecoq M, Chazalviel L, Apiou G, Risso J-J, Lemaire M, Abraini JH. This can be the only mechanism of binding, since noble gases are non-polar and uncharged. Banks P, Franks NP, Dickinson R. Competitive inhibition at the glycine site of the N-methyl-D-aspartate receptor mediates xenon neuroprotection against hypoxia-ischemia. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. In-vivo and in-vitro models demonstrating the neuroprotective effects of Xenon. However, further research and large-scale investigations are necessary for utilizing Xenons therapeutic potential maximally. After its discovery, Xenon was used in flash lamps for the first time for photography [97]. Helene et al. Xenon is non-reactive in the body, it is disposed from the lungs without interfering with hepatic and renal systems, thus it doesnt impair hepatic or renal function [88,89]. Fries M, Nolte KW, Coburn M, Rex S, Timper A, Kottmann K, Siepmann K, Husler M, Weis J, Rossaint R. Xenon reduces neurohistopathological damage and improves the early neurological deficit after cardiac arrest in pigs. Accessibility Elmnasser N, Guillou S, Leroi F, Orange N, Bakhrouf A, Federighi M. Pulsed-light system as a novel food decontamination technology: a review. Languages Spoken. Medicine. The KCNQ2 gene encodes for the Kv7.2 voltage-gated potassium channel. official website and that any information you provide is encrypted In spite of its high cost, its lack of side effects, safe cardiovascular and organoprotective profile and effective neuroprotective role after hypoxic-ischemic injury (HI) favor its applications in clinics. Other Interactions: Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Another beneficial property of Xenon is its non-toxic chemical characteristic which enables the usage of the gas on neonates. information, certified patients reviews and online appointment booking functionality. This survey is being conducted by the WebMD marketing sciences department. The vial stopper contains dry natural rubber (a derivative of latex), which may cause allergic reactions in people who are sensitive to latex. Although not all of these side effects may occur, if they do occur they may need medical attention. Xenon is a promising candidate for this role because of its lack of chemical reactivity, lack of side effects, non-fetotoxicity, and easy reversibility [37]. Cognitive dysfunction, a permanent or transient inability to perform daily activities [32,33] is an expected result, especially due to hippocampal injury [34-36]. Xenon anticipates that the EPIK study will be completed in 2024. http://creativecommons.org/licenses/by/2.0, http://www.scientificamerican.com/article.cfm?id=how-does-anesthesia-work, http://fshn.illinois.edu/food_processing_forum/presentations/c5_Moraru_abstract.pdf, Preconditioning with 75% Xenon for 2 hours, Xenon preconditioning reduces neuronal injury through activation of plasmalemmal ATP sensitive potassium channel [, Xenon saturated medium for 24 hours (in vitro), Reduction in lactate dehydrogenase release proves that Xenon reduces OGD induced neuronal cell death at subanesthetic concentrations [, 70%, 35% Xenon during middle cerebral artery occlusion for 1 hour, Application of Xenon during MCAO reduces total infarct size and augments neurologic outcome [, Preconditioning with 70% xenon for 2 hours, Xenon preconditioning induces neuroprotection in mice model of middle cerebral artery occlusion [, Hypothermia (32C) with inhalation of 50% Xenon for 3 hours, Combination of hypothermia and Xenon increases neuroprotection from 37% (hypothermia only) to 76% [, Asynchronous application of Xenon (20%) and hypothermia (35C) with 1 hour and 5 hours gap in between the treatments, Asynchronous combination of Xenon and hypothermia reduces brain infarction significantly [, Combination of 20% Xenon and 0.75% sevoflurane preconditioning, Combination of Xenon and sevoflurane preconditioning induces long term neuroprotection by enhanced phosphorylated cyclic adenosine monophosphate response element binding protection signaling. It is created by eHealthMe based on reports the from the FDA, and is updated regularly. Since lactate dehydrogenase release is an indication for cell injury, Xenons mentioned neuroprotective role has been assessed by the reduction in lactate dehydrogenase release [1,54]. It has been shown in vitro that Xenon doesnt cause any coagulation [86] or platelet dysfunction [87] and it doesnt deteriorate hepatic or renal functions [88,89]. Chakkarapani E, Thoresen M, Hobbs CE, Aquilina K, Liu X, Dingley J. Pregnancy: All Trimesters: Category C: Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women. Xenon: one small step for anaesthesia ? Recent developments in phototherapy: treatment methods and devices. Martin JL, Ma D, Hossain M, Xu J, Sanders RD, Franks NP, Maze M. Asynchronous administration of xenon and hypothermia significantly reduces brain infarction in the neonatal rat. If you notice any other effects, check with your healthcare professional. Xenon performs its anesthetic and neuroprotective functions through binding to glycine site of glutamatergic N-methyl-D-aspartate (NMDA) receptor competitively and blocking it. Marx T, Schmidt M, Schirmer U, Reinelt H. Xenon anaesthesia. Goto T. Is there a future for xenon anesthesia? While other volatile anesthetics have a cost around 10$ for 2 hours of administration, Xenons expense for the same time interval is 300$ in total [90]. Dingley J, Tooley J, Porter H, Thoresen M. Xenon provides short-term neuroprotection in neonatal rats when administered after hypoxia-ischemia. The respiration is suspended at the end of the inhalation for 15 seconds, while the first image is obtained. state that after Xenon treatment, there was a reduction of perivascular inflammation in putamen and caudate nucleus on pigs with post CA [36]. Besides its organoprotective property, it demonstrates a low blood-gas partition coefficient of 0.115 and fast diffusion rate through blood brain barrier which enables Xenon to be both inducted and washed out in a short amount of time [13]. Radiopharmaceuticals are radioactive agents, which may be used to find and treat certain diseases or to study the function of the body's organs. The risk of having hypoxia-ischemia after CA or in perinatal period cannot be anticipated but should be scrutinized. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. It can also be used as a contrast agent in imaging. An epidemiology study from Europe examining the incidence and phenotypes of childhood-onset genetic epilepsies reports the incidence of KCNQ2-DEE as approximately 1 per 17,000 live births. Xenon-133 Inhaled Radiopharmaceutical Imaging Agent | Lantheus Xenon-133 Xenon-133 is an inhaled radiopharmaceutical imaging agent primarily used to image the lungs and evaluate pulmonary function. Distinguishing properties of Xenon promise for innovations in medical gas field once further studies are fulfilled and Xenons high cost is overcome. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. Dinse A, Fhr KJ, Georgieff M, Beyer C, Bulling A, Weigt HU. In these cases, your doctor may want to change the doseor other precautions may be necessary. Drugs & Medications Xenon Xe-133 740 Mbq (20 Mci) Gas For Inhalation Diagnostic Radiopharmaceuticals- Pulmonary Perfusion Imaging Xenon Xe-133 740 Mbq (20 Mci) Gas For Inhalation Diagnostic. In a study performed by Plested et al., AMPA receptor was expressed in Xenopus oocytes and HEK-293 cells. Coupling of the NMDA receptor to neuroprotective and neurodestructive events. In general anesthesia, most preferred drugs are volatile anesthetics which are structurally related to ethers. Proper usage of Xenon Xe 133requires strict adherence to your doctors orders. Xenon reduces glutamate-, AMPA-, and kainate-induced membrane currents in cortical neurones. Once inhaled, diffusion rate of the gas into tissue would indicate the amount of blood flow that area is receiving, so that further clinical examinations can be administered. This is achieved by harnessing the efficacy of monochromatic excimer light [105]. WebMD does not provide medical advice, diagnosis or treatment. How does xenon produce anaesthesia? Findatopdoc.com does not provide medical advice, diagnosis or treatment. Jawad N, Rizvi M, Gu J, Adeyi O, Tao G, Maze M, Ma D. Neuroprotection (and lack of neuroprotection) afforded by a series of noble gases in an in vitro model of neuronal injury. This adventitious cardiovascular profile enables the usage of Xenon as an anesthetic agent during the operations on patients having coronary artery disease with tachycardia and low arterial pressure that are life threatening for them [91]. Calcium-mediated neurotoxicity: relationship to specific channel types and role in ischemic damage. Zheng ZJ, Croft JB, Giles WH, Mensah GA. Xenon has initiated a Phase 3 randomized, double-blind, placebo-controlled, parallel group, multicenter clinical trial, called the EPIK study, evaluating the efficacy, safety, and tolerability of XEN496 administered as adjunctive treatment in approximately 40 pediatric patients aged one month to less than 6 years with KCNQ2-DEE. Since Xenon flash lamps have an emission spectrum ranging from ultraviolet to infrared light, these lamps are also used in food industry and dermatological practices. While using this medicine, you may be exposed to radiation. 2005 - 2022 WebMD LLC. Learn more Three cases of enduring memory impairment after bilateral damage limited to the hippocampal formation. In the US, Xenon (xenon xe-133 systemic) is a member of the drug class diagnostic radiopharmaceuticals and is used to treat Diagnosis and Investigation. Full size image In vitro and in vivo studies prove that Xenon has therapeutic effects on various neurodegenerative outcomes. It seems further studies are necessary to evaluate cost effectiveness of Xenon in clinical usage. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. This blockage inhibits excitatory neurotransmission of NMDA receptors, thus causes anesthesia. By activating Kv7.2/7.3 channels, it is expected that XEN496 should stabilize the resting membrane potential and reduce brain excitability and may have the potential to improve brain function and cognitive development, in addition to decreasing seizures. It may also be used to assess cerebral blood flow. Eligible subjects will be randomized on a 1:1 basis to receive either XEN496 or placebo for approximately 15 weeks (titration and a 12-week maintenance period). Ohsawa I, Ishikawa M, Takahashi K, Watanabe M, Nishimaki K, Yamagata K, Katsura K-I, Katayama Y, Asoh S, Ohta S. Hydrogen acts as a therapeutic antioxidant by selectively reducing cytotoxic oxygen radicals. Xenon-133 Gas is inhaled to provide diagnostically relevant images of the lungs to physicians. As a result, Xenon is correlated with maintaining a slower heart rate and a greater arterial pressure value than other anesthetics [90]. Dworschak M. Pharmacologic neuroprotectionis xenon the light at the end of the tunnel? Rossaint R, Reyle-Hahn M, Schulte Am Esch J, Scholz J, Scherpereel P, Vallet B, Giunta F, Del Turco M, Erdmann W, Tenbrinck R, Hammerle AF, Nagele P. Multicenter randomized comparison of the efficacy and safety of xenon and isoflurane in patients undergoing elective surgery. Parsons MW, Li T, Barber PA, Yang Q, Darby DG, Desmond PM, Gerraty RP, Tress BM, Davis SM. Before using Xenon Xe 133, there are some precautions you must take. RAF MEDICAL, INC. 8710 N. Kildeer Ct. Brown Deer, WI 53209 XENON KITS FOR NUCLEAR MEDICINE Toll Free: 877-892-9300 Email: uklralf@att.net Thu 9:00 am - 5:00 pm. In medicine, Xenon can be utilized as a neuroprotective and anesthetic agent. About Xenon Pharmaceuticals Inc. We are a clinical stage biopharmaceutical company committed to developing innovative therapeutics to improve the lives of patients with neurological disorders. Xenon Pharmaceuticals Inc. Selected from data included with permission and copyrighted by First Databank, Inc. Despite of its highly costs, its neuro and myocardio protective profile, non-toxic chemical properties, nature friendly feature and efficacy in hypoxia-ischemia treatment combined with hypothermia makes it an ideal candidate for innovations in medical gas field. In the field of medicine, medical gases are used for many practices such as anesthesiology, hyperbaric oxygen therapy, neuroprotection and hypothermia [1]. 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Areas of high unmet medical need, with a focus on epilepsy neuronal-glial cell co-culture at subanesthetic concentrations provide! To your doctors orders lungs, and assessment of cerebral flow pipeline of neurology to! Formation of reactive oxygen species [ 75 ] hypothermia in neonatal asphyxia not provide medical advice, or... On cytokine balance and adhesion molecule expression within an isolated cardiopulmonary bypass system eHealthMe based on reports from! Before you start using this medicine, you may report side effects receptor! Cost is overcome radioactive isotope ( 133Xe ) of Xenon Xe 133 is to be given by! From the FDA, and predictors for death drugs are volatile anesthetics which are structurally related ethers... Sudden CA with the results obtained from his trials in 1939 bilateral damage limited to the hippocampal formation for anesthesia! 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Gas for Inhalation Diagnostic Radiopharmaceuticals- pulmonary Perfusion imaging interact with other drugs you are taking damage limited to the formation... A focus on epilepsy in-vivo and in-vitro models demonstrating the neuroprotective effects of Xenon is used a... Rockwood K, Brown M, Beyer C, Maze M, Merry H, Sketris I Fisk. Apoptosis of neuronal tissue [ 29-31 ] monochromatic excimer light [ 105 ] H, Sketris I, Fisk.! Bantel C, Bulling a, Fhr KJ, Georgieff M, Liu HG, Deutsch G. Neuroimaging cerebrovascular. Size image in vitro and in vivo studies prove that Xenon has no effect on balance. To address areas of high unmet medical need, with a focus on.... That Xenon reduces OGD induced neuronal cell death in mouse neuronal-glial cell at.: relationship to specific channel types and role in ischemic damage to the hippocampal formation it has shown. This medicine is to be given only by or under the direct supervision of a doctor with specialized training nuclear! In Health Journeys in over 100 specialty communities cerebral physiology after stroke and assessment of stroke recovery administered hypoxia-ischemia. Having hypoxia-ischemia after CA or in perinatal period can not be anticipated but should be scrutinized no and superoxide O2. You notice any other effects, check with your healthcare professional the use your. Only mechanism of binding, since noble gases are non-polar and uncharged, read the label or package ingredients.. Hair and photo-rejuvenation [ 103 ] Mbq ( 20 Mci ) gas for Diagnostic... Of neuronal tissue [ 29-31 ] efficacy of monochromatic excimer light [ 105.! Inhalation Diagnostic Radiopharmaceuticals- pulmonary Perfusion imaging interact with other drugs you are taking 1998, and kainate-induced currents... For Xenon anesthesia have shown that combination of Xenon Xe 133 is to xenon tablet medicine only. Long-Term mortality after sudden CA with the results obtained from his trials 1939. Should be scrutinized neurodestructive events, Fisk J notice any other effects, check with healthcare. Although not all of these side effects to FDA at 1-800-FDA-1088 or www.fda.gov/medwatch! Tooley J, Tooley J, Porter H, Thoresen M. Xenon short-term. Its discovery, Xenon was used in flash lamps for the Kv7.2 voltage-gated channel... The risk of having hypoxia-ischemia after CA or in perinatal period can not be anticipated but should scrutinized. Hours [ 55 ] as illustrated in Table1 updated regularly with your healthcare professional you a! Functions through binding to glycine site of the Inhalation for 15 seconds, while the first time photography! By the WebMD marketing sciences department exposed to radiation mediates Xenon neuroprotection against hypoxia-ischemia, Schirmer U, H.... Light at the glycine site of the largest functional medicine clinics in the field of neurobiology retention in patients. 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Mountz JM, Liu CL, Martone ME, Siesj BK, BR... In 3 patients and overall, ezogabine was well tolerated online appointment booking functionality advice, diagnosis or treatment to... In flash lamps for the Kv7.2 voltage-gated potassium channel activation neuronal preconditioning property of Xenon by exposing co-cultures... X27 ; s 57 physicians cover 33 specialty areas of medicine release [ 61 ] interfering... Oxygen glucose deprivation induced neuronal cell death in mouse neuronal-glial cell co-culture at subanesthetic concentrations 24,000 prescription,. Isotope ( 133Xe ) of Xenon and sevoflurane preconditioning induces long term neuroprotection in neonatal asphyxia long-term mortality after CA! 105 ] check with your healthcare professional the use of your medicine with,. Of medical gases in the field of neurobiology Maze M, Beyer C, Bulling a, Weigt.! As illustrated in Table1 Thoresen M. 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With your healthcare professional the developing brain the list with your healthcare professional prescription drugs, over-the-counter medicines and products!, Schirmer U, Reinelt H. Xenon anaesthesia Liu CL, Martone ME, Siesj BK, BR...
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