Geraniol
Geraniol
Geraniol
Reviews
Authors
Yu Lei 1*, Peng Fu 2*, Xie Jun 1, Peng Cheng 1
Affiliations AB STR AC T
1 School of Pharmacy, Chengdu University of Traditional Geraniol is an acyclic isoprenoid monoterpene isolated from
Chinese Medicine, Chengdu, China the essential oils of aromatic plants including Cinnamomum
2 West China School of Pharmacy, Sichuan University, tenuipilum, Valeriana officinalis, and several other plants. The
Chengdu, China limited source of geraniol from plant isolation cannot fulfill
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the great demand from the flavor and fragrance industries,
Key words which require maximizing geraniol production through bio-
geraniol, essential oil, pharmacology, monoterpene technology processes. The diverse activities of geraniol
suggested that geraniol could treat various diseases as a
received August 1, 2018 promising drug candidate. In order to evaluate the potential
revised September 6, 2018 of geraniol applied in a clinical trial, this review aims at provid-
accepted September 18, 2018 ing a comprehensive summary of the pharmacological effects
Bibliography of geraniol. The publications retrieved from PubMed,
DOI https://doi.org/10.1055/a-0750-6907 ScienceDirect, Springer, and Wiley databases were collected
Published online October 11, 2018 | Planta Med 2019; 85: and summarized for the last 6 years. Then, the potential appli-
48–55 © Georg Thieme Verlag KG Stuttgart · New York | cation of geraniol as a drug is discussed based on its pharma-
ISSN 0032‑0943 cological properties, including antitumor, anti-inflammatory,
antioxidative, and antimicrobial activities, and hepatoprotec-
Correspondence tive, cardioprotective, and neuroprotective effects. Hence,
Prof. Peng Cheng this review aims at providing evidence of the pharmacological
School of Pharmacy, Chengdu University of Traditional activities of geraniol in the context of further development as
Chinese Medicine a drug candidate in clinical application.
37 Shierqiao Road, Jinniu District, 611137 Chengdu, China
Phone: + 86 0 28 61 80 00 18, Fax: + 86 0 28 61 80 00 18
[email protected]
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HMGCR 3-hydroxy-3methylglutaryl coenzyme A
reductase
iNOS inducible nitric oxide synthase
LCAT lecithin cholesterol acyl transferase
LDL low-density lipoprotein
LPO lipid peroxidation
MAPK mitogen-activated protein kinase
MetS metabolic syndrome
MPTP 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine ▶ Fig. 2 Criteria in this review for article searches and selection.
mRNA messenger ribonucleic acid
MS metabolic syndrome
NF-κB nuclear factor kappa-B
Nrf2 nuclear factor E2-related factor 2 cancer cell line colo-205 with an IC50 value of 20 µM. DAPI staining
PCNA proliferating cell nuclear antigen indicated that GE induces apoptosis, and a Western blot assay
PD Parkinsonʼs disease confirmed that GE upregulates Bax and downregulates Bcl-2. Bax
PH partial hepatectomy is a pro-apoptosis regulator and Bcl-2 is an anti-apoptosis regula-
PTEN phosphatase and tensin homolog deleted tor. Additionally, GE induces DNA damage and cell cycle arrest in
on chromosome ten colo-205 cells [10]. Endometrial carcinoma is a common cancer
ROS reactive oxygen species among women worldwide [11]. It is worthwhile to search for
SCI spinal cord injury novel drug candidates to treat endometrial carcinoma. Recent
STZ streptozotocin research showed that GE treatment and pretreatment could sup-
TNBS trinitro-benzene-sulfonic acid press endometrial carcinoma by inhibiting oncogenes and activat-
TPA 12-O-tetradecanoylphorbol 13-acetate ing tumor suppressor genes in a female Wistar rat model induced
VEGF vascular endothelial growth factor by N-methyl-N′-nitro-N-nitrosoguanidine at 150 mg/kg. The sup-
VLDL very-low-density lipoprotein pression effect of GE was more effective in the pretreatment
group. Real-time PCR results show that GE inhibits the transcrip-
tion of K‑ras, MAPK, PI3K, and β-catenin, and Western blot results
show that GE increases phosphatase and PTEN, progesterone re-
tially, 1569 research papers were selected from with the above ceptors, and E-cadherin protein expression. MAPKs includes JNK,
search strategy using a ScienceDirect database search. Only 944 p38, and ERKs [12]. K‑ras, MAPK, PI3K, and β-catenin are onco-
English written original articles about pharmacological effects genes, and PTEN, progesterone receptors, and E-cadherin are tu-
and production of GE were included, refined by the Wiley data- mor suppressive genes [13]. The endothelioma cell line eEND2
base. Articles also in the PubMed database or Springer database isolated from hemangiomas easily develops angiogenesis [14].
were collected in advance. Duplicate articles were excluded and A recent study exerted that GE showed an anti-angiogenesis ef-
articles with similar results were also excluded. Only 72 articles fect on the endothelioma cell line eEND2. GE inhibits the migra-
were finally included after reading the titles, abstracts, and whole tory activity of endothelial-like eEND2 cells, along with inhibition
papers (▶ Fig. 2). of PCNA expression. Furthermore, GE can block the transduction
of the VEGF/VEGFR-2 signal. VEGF promotes angiogenesis in can-
cer cells. The effect on angiogenesis was verified in vivo: GE ad-
Cytotoxic and Antitumor Activities ministration to BALB/c mice reduces the number of Ki67-positive
GE exerted cytotoxic and antitumor activities on various types of cells and CD31-positive microvessels through attenuating VEGFR-
cancers (▶ Table 1). Colon cancer ranks as the fourth leading 2 expression [15].
cause of cancer mortality worldwide [9]. A recent study demon- Primary liver cancer is the third leading cause of cancer death
strated that GE could significantly inhibit cell growth in the colon worldwide [16]. Pure compounds isolated from natural products
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exerted a cytotoxic effect on liver cancer cells. In Hep-G2 hepatic Prostate cancer remains the first cause of mortality in the
cells, GE exerts an inhibitory effect by promoting apoptosis. Also, United States [27]. In prostate tumor cells, GE administration in-
GE inhibits HMGCR protein and mRNA expression, leading to a hibits growth and survival by downregulating the expression of
cholesterogenesis decrease [17]. Regarding an effect of GE on transcription factor E2F8. Via the inhibition of this pivotal cell
hepatic cell proliferation, GE significantly inhibits Hep-G2 prolifer- cycle control factor, the gene expression profile of genes involved
ation at a concentration as low as 5 µg/mL [18]. Also, GE shows an in the cell cycle was altered, and the E2F8 inhibition had a sup-
inhibitory effect on diethylnitrosamine-associated hepatocarcino- pressive effect on cell growth via inducing G2/M arrest [28].
genesis after a 12-week treatment, as shown by the reduction of Skin cancer incidences have been increasing in the last decades
AST and ALT levels in serum. Additionally, GE demonstrates a sup- [29]. Hence, it is worthy to identify a novel drug candidate to treat
pressive effect on both PCNA and GST-positive area ratios [19]. skin cancer. Recent reports show that GE significantly inhibits
Lung cancer ranks first as the cause of mortality among men DMBA/TPA-mediated skin tumorigenesis in Swiss albino mice. GE
and third among women worldwide [20]. Oral administration to suppresses the Ras/Raf/ERK1/2 signaling pathway and induces
nude mice of 25, 50, and 75 mmol/kg GE inhibits lung cancer cell apoptosis [30].
growth in vivo via an increase of cell apoptosis. This later study
shows that GE downregulates HMGCR levels and decreases mem-
brane-bound Ras protein amounts, leading to a decrease in cho- Anti-inflammatory and
lesterogenesis. Via the suppressive effect of GE on the mevalonate Antioxidant Activities
pathway, cell proliferation is inhibited, and apoptosis is promoted
in A549 tumors compared with normal cells where GE did not Inhibition of the inflammatory response and oxidative stress pre-
show any inhibitory effect on cell survival [21]. vents organs from damage, especially in the brain. The LPO and
Oral cancers account for 2–3 % of cancers worldwide, but their inflammatory reaction caused by TPA can be significantly de-
survival rate is poor [22]. Thus, it is urgent to search for a novel creased by GE. Further investigation demonstrated that GE pro-
drug candidate to treat oral cancer. In the 4NQO-induced cancer- motes the metabolism of inflammatory cells, increases GSH con-
ous mouse model, GE decreased the incidence of oral cancer as a tent, and stimulates antioxidant enzyme activities. Furthermore,
chemopreventive agent. Via the NF-κB pathway, GE reduces the GE exerts an inhibitory effect on the alteration of p38MAPK activ-
density of immature and mature mast cells and downregulates ity and alleviates the expression change of NF-κB and COX-2
the expression of downstream inflammatory mediators (e.g., caused by TPA [31]. Another study also exerted that GE could in-
TNF-α, IL-1β, COX-2, and iNOS) in this model [23]. Another study hibit inflammation through the inhibition of COX-2 [32]. GE has an
showed the suppressive effect of GE being effective at a concen- inhibitory effect on the pamidronate-induced inflammatory re-
tration of 200 mg/kg administered orally in the 4NQO-induced sponse by stimulating IL-10 production. Also, GE showed no toxin
mouse model, which results in the inhibition of the Nrf2 pathway effect on monocytes and did not impact the production of TNF-α
and drug metabolizing enzymes [24]. [33].
Pancreatic cancer ranks as the fourth leading cause of cancer A study tested biochemical parameters and hepatic oxidative
mortality in Western countries [25]. Accumulating evidence sug- stress after GE treatment on Wistar rats and concluded that GE
gests that natural products exerts a cytotoxic effect on pancreatic could work as an antioxidant during aromatherapy. GE administra-
cancer cells. In BXPC-3 human pancreatic carcinoma cells, GE tion was negatively correlated to the total cholesterol level but
significantly suppresses proliferation and induces apoptosis in a there was no difference in glycemia, triacylglycerol protein, and
dose- and time-dependent manner. Pretreatment with GE for urea levels. The GE-treated rats showed an increase of GSH perox-
24 h before gemcitabine treatment shows a maximal inhibition in idase and superoxide dismutase activity, leading to more peroxide
BXPC-3 cells. This study also reports that GE suppresses prolifera- accumulation in the liver. GE is able to upregulate the activity of
tion of prostate cancer cells by inducing ROS production and ALT by promoting oxidative stress but has no remarkable effect
downregulating phosphorylation of tyrosine kinase [26]. on AST activity [34]. GE was also shown to protect hamsters from
AD-induced abnormalities. AD-induced hamsters treated with
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matory cytokines and the activity of myeloperoxidase in colon tis- [45].
sue. GE downregulated the expression of downstream target
proinflammatory enzymes but upregulated antioxidant mole-
cules: GSH and superoxide dismutase activity were suppressed
Hepatoprotective Effects
and LPO and nitrites increases were prevented [36]. GE could alleviate non-alcoholic steatohepatitis in a methionine-
GE oral administration was deemed to protect liver tissue from choline-deficient diet-induced rat model through 200 mg/kg GE
cancer by abating oxidative stress, inflammation, hyperprolifera- oral supplement. In this model, GE administration showed an in-
tion, and apoptotic tissue damage induced by 2-acetylamino- hibitory effect on histological scores, fibrosis, and apoptosis in
fluorene. Additionally, GE administration restored the damaged the liver. On the molecular level, GE inhibits the activities of ala-
structure of the liver tissue. Regarding molecular mechanisms, nine aminotransferase and aspartate aminotransferase in serum.
GE decreased tissue LPO but increased enzymatic activities of GE protects the hepatic mitochondrial function through suppres-
catalase, GSH peroxidase, GSH reductase, and superoxide dismu- sion of hepatic mitochondrial ROS, mitochondrial electron trans-
tase. GE inhibited the expression of caspase-3, caspase-9, COX-2, port chain enzyme activity, and mitochondrial DNA content. Fur-
NF-κB, PCNA, iNOS, and VEGF, and disintegration of DNA was re- ther, GE administration attenuates malondialdehyde and 3-nitro-
markably reduced [37]. GE could also decrease MetS-induced in- tyrosine formation, and inhibits the expression of iNOS and cyto-
flammation and free radical injury by suppressing visceral adipos- chrome P450 2E1 in the liver. Moreover, GE shows an inhibitory
ity and decreasing fasting blood glucose and the glycemic excur- effect on inflammation in the liver with the inhibition of TNF-α
sion [38]. and IL-6 expression and myeloperoxidase activity [46]. According
Another study showed that GE could prevent the ecological to hematoxylin and eosin staining and PCR results, GE exhibits a
disturbances associated with colitis and reduce the inflammatory hepatoprotective effect in rats after a 70 % PH, as intraperitoneal
systemic profile in a colitis mouse model induced by DSS, suggest- administration of GE promoted liver tissue regeneration via im-
ing that the clinical symptoms of colitis could be improved by GE. proving the expression levels of TNF-α and IL-6. Also, GE remark-
Further, the study showed that GE attenuated COX-2 expression ably suppressed the ALT level in serum, which regulates the func-
in the gut wall [39]. The SCI rat model was used to study the tion recovery of liver cells [47]. GE is a natural compound remark-
mechanism of anti-inflammatory and antioxidant effects of GE ably stimulating liver regeneration as shown in the rat model with
and showed that GE negatively affected spinal cord water content a PH that was injected with GE 100 mg/kg. Regarding the mecha-
and increased Beattie and Bresnahan scores when rats were treat- nism, GE increases the expression of NF-κB, TNF-α, and IL-6 mRNA
ed for 4 weeks with 250 mg/kg/d GE. Further, the inhibitory effect and protein levels, and inhibits HSP27 and HSP60 protein levels
of GE on inflammation and oxidative stress was mediated by at- [48]. GE could partly restore the oxidative hepatic damage
tenuating the NF‑κB and p38 MAPK pathways [40]. through the administration of a 50 mg/kg GE intraperitoneal in-
jection in a H2O2-induced oxidative stress rat model. The mecha-
nism entails the regulation by GE of malondialdehyde and GSH
Antimicrobial Activity variations caused by H2O2 and a suppressive effect on hepatic
Candida albicans is a human fungal pathogen leading to immuno- catalase activities [49].
compromized patients and a high rate of mortality [41]. A recent
study showed that treatment with GE weakened the activities of
albicans and non-albicans species of Candida. Oral administration
Cardioprotective Effects
of GE showed an inhibitory effect on the biofilm formation of GE could alleviate hyperlipidemia and reduce the incidence of
pathogenic fungi and hyphal morphogenesis. GE destroyed the coronary heart disease in an AD feeding mouse model. GE reduces
cell wall function by downregulating the activity of plasma mem- blood fat via the downregulation of HMGCR and the inhibition of
brane ATPase and reducing ergosterol levels. GE suppressed fun- lipogenesis. GE suppresses LCAT, decreasing cholesterol esters
gal expansion by promoting the sensitivity of a calcineurin signal- levels. At the same time, treatment with GE increases the activity
ing mutant while enhancing drug resistance to the calcineurin of C-reactive protein [50]. GE protects the cardiovascular system
overexpressing strain. Additionally, GE destroyed the mitochon- from body injury caused by high blood lipids. In particular, GE
treatment reduces total cholesterol and total triglyceride pro- damaged area and decreased the activity of caspase-3. Further,
duction in the plasma, and inhibits the biosynthesis of hepatic the study demonstrated that GE treatment in SCI rats decreased
fatty acids, total lipids, and non-saponifiable lipids. GE increases malondialdehyde and 3-nitrotyrosine levels, promoted the pro-
the uptake of serum LDL by increasing LDL mRNA and VLDL recep- tein expression of nuclear factor erythroid 2-related factor 2 and
tor mRNA. Finally, GE suppresses triglyceride synthesis with a de- heme oxygenase 1, and decreased the expression of iNOS. In sum-
crease of fatty acid synthesis [51]. Over the years, attention has mary, GE exerts a positive effect on SCI recovery and alleviates
shifted toward GE as a candidate for the treatment of endothelial neuropathic pain. Hence, GE represents a candidate drug for SCI
cell function disorder resulting from a high-fat diet. In addition, treatment [59].
GE downregulates serum thiobarbituric acid reactive substances
and aortic ROS production. A GE supplement could protect high-
fat diet-induced vascular endothelial dysfunction by inhibiting
Antidiabetic Effects
NOX-2 expression in the aorta [52]. GE inhibits ROS levels and re- Diabetes is a metabolic disorder presenting with high blood sugar
duces the injury during myocardial ischemia-reperfusion, and levels and potentially leading to various complications. In an STZ-
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promotes the function and viability of myocardial cells. GE admin- induced diabetic rat model, GE could be used to treat diabetes, as
istration in neonatal rat ventricular cardiomyocytes decreased the GE administration for 45 days decreased plasma glucose and
endogenous production of ROS and exerted a positive modulation hemoglobin HbA1C and could restore the insulin response. The
of pAMPK levels while attenuating pERK1/2 levels (pAMPK and activities of many enzymes involved in glucose production and
pERK1/2 are key factors regulating cell survival). Hence, GE utilization were restored, leading to an amelioration in carbohy-
showed a protective effect on myocardial cells [53]. GE exerted a drate metabolism and the restoration of glucose homeostasis
cardioprotective effect against cardiac dysfunction induced by [60]. Another study in an STZ-induced diabetic rat model showed
diabetes by inhibiting oxidative stress and increasing the marker that GE treatment has a protective effect on diabetic neuropathy
of oxidative stress 8-isoprostane [54]. and improved the sensory and motor functions by decreasing
enzyme activities (i.e., complexes I–III, succinate dehydrogenase,
and citrate synthase) in the sciatic nerve cytosol and selected re-
Neuroprotective Effects gions of the brain. GE could alleviate cytosolic calcium levels and
In the Drosophila model of ACR-induced nerve injury, GE shows a acetylcholinesterase activity. Meanwhile, GE could inhibit the pro-
neuroprotective effect, as mortality caused by ACR is decreased tein of carbonyls and nitrites [61]. GE attenuates another diabetic
significantly. GE supplementation can attenuate ACR-induced induced complication, i.e., diabetes-induced cardiac functional
oxidative stress, mitochondrial dysfunction, and neurotoxicity. disorder, by inhibiting oxidative stress and decreasing hyperglyce-
The mechanism involves the recovery of GSH and total thiol levels mia. The treatment with GE could increase the cardiac systolic
with an increase of detoxifying enzymes activities. In addition, co- function and recover the diastolic function injured by hyperglyce-
administration of GE with curcumin showed a negative effect on mia. In addition, GE inhibited dramatic oxidative stress by pre-
cholinergic function with a decrease of acetylcholinesterase activ- venting 8-isoprostane increases [62]. GE could attenuate the
ity [55]. PD refers to a long-term degenerative disorder of the vascular responsiveness damage of mice with diabetes or MS.
central nervous system affecting the motor system. GE pretreat- Namely, GE administration improved the excessive vasoconstric-
ment had a protective effect on the nervous system damage tion induced by diabetes or MS exposed to methylglyoxal in a
caused by PD in a MPTP-induced PD mouse model. GE oral admin- dose-dependent manner. The study further demonstrated that
istration ameliorated the neuromuscular disorder via the increase preincubation with GE ameliorates vasoconstriction. In addition,
of tyrosine hydroxylase immunoreactive expression and the GE had a suppressive effect on vasoconstriction induced by volt-
decrease of α-synuclein expression [56]. GE could reduce the age-dependent and receptor-mediated calcium channels. GE re-
motor behavior and neurotrophic factors inadequacy in an MPTP- duces the reaction of the damaged vessels by blocking these
induced PD mouse model [57]. Another study demonstrated that types of calcium channels [63].
GE administration in the MPTP-induced PD mouse model regulat-
ed the Bcl-2/Bax ratio and inhibited the expression of cytochrome
c and caspase-9, resulting in alleviating the neurodegeneration
Other Effects
and disordered movements. Cytochrome c binds to cardiolipin to GE shows an antiarrhythmic effect on ouabain-induced arrhyth-
release it out of the mitochondria and initiate apoptosis. Caspase- mias in mammalian models. GE alleviates ouabain-induced ar-
9 is an enzyme initiating the apoptotic pathway [41]. GE adminis- rhythmias through the downregulation of the contractile force of
tration exerts an inhibitory effect on the PD clinical symptoms of the heart. GE administration blocks the transient outward potassi-
transgenic PD model Drosophila. GE regulates oxidative stress um (K+) current (59.7 %), the non-inactivation K+ current (39.2 %),
through a decrease of GSH content and an increase of protein car- and the inward rectifier K+ current (33.7 %), leading to an action
bonyl content, LPO, and GST activity. GE significantly inhibits α- potential duration, which increased by 50 %. GE also decreased left
synuclein expression, leading to the attenuation of the PD clinical ventricular pressure (83 %) and the heart rate (16.5 %). GE also
symptoms in flies [58]. In rats with SCI, GE could attenuate the prolonged the onset of ouabain-induced arrhythmias by 128 %
neuropathic pain and functional impairment through GE adminis- and decreased the resting tension by 30 % [64].
tration. Moreover, GE had a positive effect on NeuN-positive cells, GE shows excellent anti-ulcerogenic activity on gastric and
but inhibited the expression of glial fibrillary acidic protein in the duodenal mucosa. After GE oral administration to rats, a dose of
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could prevent the levels of nitric oxide and lipid peroxide from ris- medicines for the treatment of various diseases. Generally, single
ing, and restored antioxidant activity in the colitis rat model. On compounds could target DNA, mRNA, protein, and even micro-
the molecular level, GE inhibits apoptosis and inflammatory cell RNA. Accumulating evidence in last the decades has indicated
infiltration by reducing the levels of caspase-3, intercellular adhe- that GE is a pure botanical compound without adverse effects,
sion molecule-1, and myeloperoxidase. Intercellular adhesion exerting diverse activities by mainly regulating protein expres-
molecule-1 is a transmembrane protein, and could stabilize cell- sion, suggesting that GE could become a novel drug candidate to
cell interactions and facilitate leukocyte endothelial transmigra- treat various diseases. The cytotoxic effect of GE on cancer cells
tion. Myeloperoxidase oxidation reduces inhibition of apoptosis indicates that GE could treat cancer and reduce the mortality of
and inflammation. Conversely, the anti-inflammatory effect of cancer patients. The anti-inflammatory and oxidative effects of
GE was related to the downregulation of the colon contents of GE indicates that GE could protect organ damage and treat ulcer-
prostaglandin E2 and IL-1β [66]. ative colitis. The antifungal activity of GE indicates that GE could
GE oral administration for 3 weeks showed an antidepressant- protect patients from fungal infection. The antidiabetic effect of
like effect on CUMS in rat models and greatly shortened the GE indicates that GE could treat diabetes. The antinociceptive ac-
immobile time in tail suspension tests. More specially, GE de- tivity of GE indicates that GE could be used as an analgesic in clin-
creased CUMS-induced proinflammatory IL-1β levels, resulting in ical trials. However, anticancer effects of GE should be clarified in
the amelioration of the depressive behavior. GE treatment vivo in more animal models, and later in human patients, to con-
showed a suppressive effect on NF-κB pathway activation. Fur- firm the inhibitory effect of GE on malignancy. Also, it is worth-
thermore, GE adjusted nucleotide binding and the expression of while to explore the molecular basis underlying pharmacological
oligomerization domain-like receptor family pyrin domain-con- actions (e.g., antimicrobial and antiarrhythmic activities). The lack
taining 3 inflammasomes [67]. Treatment with GE (100 mg/kg b. of information about definitive targets of GE would be a reason
w) attenuates atherosclerosis-induced tissue fibrosis by hindering against the application of GE in clinical trials.
tissue remodeling via the suppression of transcription factor NF-
κB. The weak expression of NF-κB alleviates oxidative stress and in- Acknowledgements
flammatory response, showing a protective effect on tissue fibers
[68]. This work was supported by the National Natural Science Foundation of
GE could treat Trichomonas vaginalis by killing the parasite. GE China NO. 81630101.
destroyed the nuclear membrane and nuclei, leading to chroma-
tin accumulation and a large number of vacuoles appearing in the Conflict of Interest
cytoplasm. Also, ribosomes were reduced, organelles were disin-
tegrated, and the cell membrane was even damaged. Interesting- The authors declare no conflict of interest.
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