NK cell-based cancer immunotherapy: from basic biology to clinical development, https://doi.org/10.1186/s13045-020-01014-w, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/, Emerging agents and regimens for cancer therapy 2020. Lotze MT, et al. Mol Ther. 2017;18(1):5667. Tumor immunoevasion by the conversion of effector NK cells into type 1 innate lymphoid cells. Cancer Res. demonstrated a more than 500-fold NK expansion with over 98% purity within 2weeks and a greater than 5000-fold NK expansion over a 3-week period [147]. Blood. There are a number of ongoing clinical trials for cancer immunotherapy using engineered iPSC-NK cells, which are summarized in the following sections. Guerra N, et al. 2014;193(12):6192206. The SNK02 clinical study will be a multi-center, open label, Phase 1 study of SNK02 in patients with advanced solid tumors who have failed at least one prior J Immunol Res. Ueda T, et al. 2012;3:319. Front Immunol. WebThis page lists cancer drugs approved by the Food and Drug Administration (FDA) for the treatment of solid tumors based on their genetic and molecular features and not on PLoS ONE. It is believed that membrane-bound interleukins are able to stimulate the expansion of NK cells more effectively than the soluble form. Blood. NK cell represents a specialized immune effector cell population equipped with fast-acting and potent anti-tumor capacity. When expanded it provides a list of search options that will switch the search inputs to match the current selection. Hum Gene Ther Methods. Xu Y, et al. Cancer Immunol Res. Other methods may include transgene of suicide gene or expression of a fluorescent marker in the feeder cell. WebNK cell-mediated control of large solid tumors is usually not efficient, although tumors often express high amounts of activating ligands and low levels of inhibitory ligands, The advantage of adherent condition is that it provides defined environment for optimizing the differentiation. In this review, we provide our current understandings of NK cell biology, ongoing pre-clinical and clinical development of NK cell-based therapies and discuss the progress, challenges, and future perspectives. Sakamoto Despite decades of work, the ontogeny of NK cells in humans is still not fully elucidated. 2016;1441:34761. Moreover, the CAR-NK cells secrete pro-inflammatory cytokines and chemokines which may improve the infiltration and functions of subsequently infused CAR-T cells in the mouse model [77]. 2B4 costimulatory domain enhancing cytotoxic ability of anti-CD5 chimeric antigen receptor engineered natural killer cells against T cell malignancies. 1981;41(11 Pt 1):44205. Due to their innate ability to eliminate tumor cells, NK cell-based immunotherapies against cancer have been investigated for decades. NK Cell-mediated antibody-dependent cellular cytotoxicity in cancer immunotherapy. Sci Rep. 2019;9(1):13288. Targeting immunosuppressive components in the TME to re-invigorate NK functions is also under investigation. 2017;8:87. Dev Cell. Some clinical efficacy has also been demonstrated for allogeneic as well as autologous NK cell therapy, either alone or in combination with conventional therapies. Crucially, tumor antigen-expressing CAR-NK cell therapy increases anti-tumor activities. Thus, NK cell transfer presents an effective method of fighting cancer. 2017;23(2):489502. Chemical stimuli such as Concanavalin A(ConA) [138], Phytohemagglutinin (PHA), and ionomycin [139] were also used in combination with irradiated allogeneic PBMCs to facilitate the activation. 2015;15:1011. NKG2D, an activating NK cell receptor, can bind to eight different stress-induced ligands that are naturally expressed on 80% of hematological and solid cancer 2015;13(3):46471. This property, which is unique among immune cells, and their capacity to enhance antibody and T cell responses support a role for NK cells as anticancer agents. WebAB-201 is our clinical-stage CAR-NK cell therapy candidate targeting HER2-positive solid tumors. Blood. Although CAR-NK cells hold great promise as a future off-the-shelf drug, there are NK cell-specific challenges, such as potential loss of viability and/or activity with freezethaw process and lack of in vivo persistence. Sizhe Liu, Vasiliy Galat, Yekaterina Galat, Yoo Kyung Annie Lee, Derek Wainwright, and Jennifer Wu wrote and reviewed the manuscript. The NKG2C+NK cells can be found in the circulation of HCMV-seropositive individuals [22]. Tang X, et al. Zhang Q, et al. Eur J Cancer. Cancer Res. 2005;42(4):50110. IL15 Trispecific Killer Engagers (TriKE) Make natural killer cells specific to CD33+ targets while also inducing persistence, in vivo expansion, and enhanced function. Characterization of the maturation stage of NK cells demonstrated that RLI favored accumulation of CD11b+ CD27high KLRG1+ 2004;24(3b):186171. The approach of using the modified NK cell line CAR-NK92, which can be easily expanded to large dose, has been in clinical trial. J Exp Med. Parodi M, et al. Biol Blood Marrow Transpl. However, since 1964, only Cordyceps Glyostems lead candidate NK cell therapy is currently being tested in a phase 1/2a trial for the treatment of the blood cancer acute myeloid leukemia. Engineering NK cells modified with an EGFRvIII-specific chimeric antigen receptor to overexpress CXCR4 improves immunotherapy of CXCL12/SDF-1alpha-secreting glioblastoma. On the one hand, it was shown to enhance interferon gamma (IFN-) production, cytotoxic functions, and antibody-dependent cellular cytotoxicity(ADCC) responses [117]. Effective against blood cancers, natural killer cells also may be effective against solid tumors. 2006;66(1):51726. Miller et al. Join us for this live, CME-certified symposium featuring an expert discussion of TROP2- and HER3-targeted antibody-drug conjugates and their current use in treating patients with solid tumors, including lung and breast cancers. Grimm, E.A., et al., Lymphokine-activated killer cell phenomenon. A first-in-human clinical trial of CAR NK-92 cells in 3 patients with relapsed or refractory AML showed that CAR NK-92 can be infused at doses up to 5 billion cells per patient without causing significant adverse effects [149]. However, CAR-T therapy has two major challenges: (i) requirement of a substantiate length of time to generate a therapeutic dose of autologous CAR-T cells which limits its feasibility to treat patients with rapidly progressing diseases; (ii) difficulty to obtain sufficient number of autologous T cells for CAR-T cell generation from heavily pre-treated and often lymphopenic cancer patients [37]. 1985; 161(6): 146482. Notably, certain tissues such as the mucosal barriers possess subsets of recently identified innate lymphoid cells (ILCs) that also share canonical markers of NK cells. developed an NK cell recruiting protein-conjugated antibody (NRPbody) containing a mesothelin-specific tumor targeting domain Meso-scFv and the chemokine CXCL16 linked by a furin cleavage sites [90]. New research by Fred Hutchinson Cancer Center molecular biologist Ami Yamamoto in the Cheung Lab, shows that a tumors necrotic core a mass of dying and dead cells previously thought to be inconsequential or perhaps even Handgretinger R, Lang P, Andre MC. With the new era of cancer immunotherapy, the use of Chimeric Antigen Receptor (CAR) T-cells has been applied with other possible approaches like NK (natural Mol Immunol. WebChimeric antigen receptor T cells therapy (CAR-T therapy) is a class of ACT therapy. A study by Campana and coworkers has shown that stimulation of NK cells with gene-modified K562 expressing the NK-stimulatory molecules 4-1BB ligand and IL-15 induced a median 21.6-fold expansion during a 7-day culture period. Eur J Immunol. Ex vivo expansion of highly cytotoxic human NK cells by cocultivation with irradiated tumor cells for adoptive immunotherapy. Wang et al. But what it does in the realm of cancer spread is creepier still. As an alternative to CAR-T cell therapy, CAR-NK cell therapy not only circumvents these challenges but also presents additional major advantages: (i) the ability to use unlimited allogeneic NK source without concern of GVHD [6, 31, 32]; (ii) the potential to generate off-shelf product with NK cell line or iPSC-NK [37,38,39,40,41]; (iii) relatively shortened production time; iv) recognition and killing tumor cells through NK cell native receptors independent of the CAR engineering [42], less likely allowing disease escape through downregulation of the CAR antigens as shown with CAR-T cell therapy [37]. Common gamma chain cytokines such as IL2, IL-7, and IL15 and their receptor components including CD122 and CD127 have been shown to play essential roles in NK development and homeostasis [19]. Sci Rep. 2019;9(1):14916. 2009;373(9674):155061. CAR-NK cell therapy has proven to kill hematological and solid tumor cells in preclinical and clinical trials, demonstrating its potential as an off-the-shelf product with Currently, strategies vary depending on the clinical setting and source of cells. Cao B, et al. Google Scholar. Lancet. Two biotechs aim to broaden the reach of cancer immunotherapy by applying gene editing tools to an emerging form of cell therapy through a wide-ranging NK cells with KIR2DS2 immunogenotype have a functional activation advantage to efficiently kill glioblastoma and prolong animal survival. 2012;61(9):145161. Nat Rev Mol Cell Biol. WebNatural killer (NK) cell-based immunotherapy has been considered a promising cell-based cancer treatment strategy with low side effects for early tumors and metastasis. Dhar P, Wu JD. Activation of NK cell cytotoxicity. I. Front Immunol. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Gauthier, L., et al. Esser R, et al. Chen X, et al. Anticancer Res. Cookies policy. Potently cytotoxic natural killer cells initially emerge from erythro-myeloid progenitors during mammalian development. In many studies, IL-2 or IL-15 is supplemented during ex vivo expansion of NK cells and sometimes after NK cell infusion as well [5]. Oncotarget. The exciting results from Liu et al. Clinical-grade generation of active NK cells from cord blood hematopoietic progenitor cells for immunotherapy using a closed-system culture process. Blood Transfus. 2013;3:118. Conventional NK cells are short-lived innate lymphocytes that lack antigen specificity. Cerwenka A, Lanier LL. The exhausted T cells or NK cells in the tumor microenvironment exhibit imbalanced J Hematol Oncol 14, 7 (2021). Engineering natural killer cells for cancer immunotherapy. McMichael EL, et al. Among these TCR cell co-stimulatory molecules, 4-1BB, DNAM1, 2B4, and NKG2D were also expressed by NK cells as native activating receptors. BMC Immunol. Skeate R, et al. observed in CAR NK cell therapy in liquid tumors have not yet been seen in Recently, the differentiation method was also established in adherent monolayer cultures [108]. This method has achieved over 15% of CD34+ hematopoietic progenitors compared to other methods producing only up to 4% of CD34+. Typically, the differentiation was induced in embryoid bodies or by OP9 mouse stroma co-culture [111]. 2014;20(4):46373. Phase I study of cord blood-derived natural killer cells combined with autologous stem cell transplantation in multiple myeloma. A wide range of tumor antigens have been targeted by CAR-NK cells in pre-clinical studies for hematological malignancies and solid tumors [38, 39, 41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76]. Clin Cancer Res. IL-2 was used to induce lymphokine-activated killer (LAK) cells, a heterogeneous population of cells consisting primarily of NK, NKT, and T cell for autologous killer cell-based cancer therapy decades ago [115]. Koehl U, et al. Table 6 summarizes updated clinical trials of NK cell-based therapy for all solid tumors. Expression of chimeric receptor CD4zeta by natural killer cells derived from human pluripotent stem cells improves in vitro activity but does not enhance suppression of HIV infection in vivo. Use of CAR-transduced natural killer cells in CD19-positive lymphoid tumors. Liu E, et al. It remains to be determined how NRPbody will interact with a more complex and realistic immune contexture in the TME which consists of more than NK cells, as CXCL16 was shown in other tumor models to correlate with the infiltration of monocytes and M2-macrophages as well [92, 93]. NKp44-NKp44 ligand interactions in the regulation of natural killer cells and other innate lymphoid cells in humans. J Immunol. 2016;7(19):2776477. [2017][J Control Release][10.1016j.jconrel.2017.03. The antigen recognition domain usually consists of a single-chain fragment (scFV) molecule derived from a monoclonal antibody, and nanobody-based constructs have been used in limited studies to date [72]. Google Scholar. Adoptive transfer of autologous natural killer cells leads to high levels of circulating natural killer cells but does not mediate tumor regression. Front Immunol. 2014;28(4):91727. NK cells were identified over four decades ago as lymphocytes with innate ability to lyse tumor cells without the need for prior sensitization [8,9,10]. It is currently believed that the success of adoptive transfer requires the creation of a lymphopenic environment to provide a niche for donor cells to survive and proliferate. 2016;22(3):596608. 2011;6(6):e20740. 1986;137(9):27359. A good manufacturing practice method to ex vivo expand natural killer cells for clinical use. Wang W, et al. This strategy of GSK3 inhibition was used to generate FATE-NK100, which is being evaluated in an ongoing phase 1 clinical trial either as a monotherapy or in combination with monoclonal antibodies in patients with advanced solid tumors (NCT03319459). Cytokine-free directed differentiation of human pluripotent stem cells efficiently produces hemogenic endothelium with lymphoid potential. Despite promising results shown in hematologic tumors, immunotherapies for the treatment of solid tumors have mostly failed so far. Both UCB and placenta-derived cells contain some proportion of NK cell progenitors that have the capacity to differentiate into NK cells during maturation and expansion stages. Lopez-Soto A, et al. Google Scholar. Kim EK, et al. WebCancer immunotherapy has achieved great success in the past few years. Different from events required for T cell activation, NK cell activation is governed by the interaction of NK receptors with target cells, independent of antigen processing and presentation. WebChimeric antigen receptor T cells therapy (CAR-T therapy) is a class of ACT therapy. Markers and function of human NK cells in normal and pathological conditions. Distinctly different from T cell receptors, NK cell receptors are germline-encoded and hard-wired receptors without a requirement for V(D)J recombination. Mesothelin is a tumor differentiation antigen that is highly overexpressed in several human cancers including malignant mesothelioma, pancreatic, ovarian, and lung adenocarcinoma [91]. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Oyer JL, et al. 2006;107(1):15966. As the activation and expansion methods are improving, it is becoming possible to prepare increasingly higher dosages of NK cells for adoptive transfer from a single-donor phlebotomy. J An even greater expansion of NK cells, of over 30,000-fold in a period of 3weeks, was achieved with K562 membrane-bound IL-21 and 4-1BB ligand [127,128,129,130]. TUMORS. Sakamoto N, et al. DAP12-based activating chimeric antigen receptor for NK cell tumor immunotherapy. Oncoimmunology. Lee et al. By using this website, you agree to our CAS It is iPSC-differentiated NK cells (iPSC-NK). 2020;12:324755. Despite promising results shown in hematologic tumors, immunotherapies for the treatment of solid tumors have mostly failed so far. 2016;4(3):21524. Recently, several groups demonstrated that mouse and human NK cells pre-activated with a cocktail of IL-12/15/18 had enhanced and sustained anti-tumor effector functions in vitro and in vivo after infusion [84,85,86]. However, the dose of NK cells being used for therapy is limited. 2019;10:3123. Schonfeld K, et al. Cells, 2020; 9(2). Oncoimmunology. Upon activation, NK cells release cytotoxic granules containing perforin and granzymes to directly lyse tumor cells, in a similar fashion to activated cytotoxic T cells. Part of J Hematother Stem Cell Res. Parihar R, et al. NK Cells of the Lung WebHappy New Year to you! Here, we review advances in current approaches to optimizing the NK cell antitumor response including combination with other immunotherapies, cytokines, checkpoint inhibition, and engineering NK cells with chimeric antigen receptors (CARs) for the treatment of pediatric solid tumors. Liu B, et al. Huang Y, et al. Hepatocellular carcinoma (HCC) is a high-incidence malignant tumor worldwide and lacks effective treatment options. It was hypothesized that once bound to mesothelin-overexpressing tumor cells, furin-mediated cleavage would release CXCL16 from the NRPbody and thereby recruit NK cells to the tumor sites [90]. While the CAR technology seeks to enhance NK cell functions by genetically directing their target specificity, there are active investigations on other strategies to effectively prime NK cells ex vivo or in vivo for optimal anti-tumor functions after their infusion. Perform PBMCs apheresis from the patient and isolate NK cells, transfect the NK cells with Claudin6 targeting CAR, amplify the number of transfected NK cells as Interleukin (IL)-2 (IL-2) is one of the first and most important cytokines used for NK maintenance and is integral for NK cell survival. Ex vivo activation and expansion of natural killer cells from patients with advanced cancer with feeder cells from healthy volunteers. 2016;7:504. Cancer Immunol Immunother. 2020;382(6):54553. Pinz KG, et al. Siegler U, et al. Front Oncol. Szmania S, et al. Li Y, et al. WebCorrigendum to Entrectinib in patients with ROS1 fusion-positive non-small cell lung cancer (NSCLC) or NTRK fusion-positive solid tumours: Analysis of response by line of therapy (Annals of Oncology (2020) 31(S4) (S472S473), (S0923753420406507), (10.1016/j.annonc.2020.08.654)). Han J, et al. 2002;11(4):6517. NKAML: a pilot study to determine the safety and feasibility of haploidentical natural killer cell transplantation in childhood acute myeloid leukemia. Hepatocellular carcinoma (HCC) is a high-incidence malignant tumor worldwide and lacks effective treatment options. J Web- mWTX-330 is designed as a systemically delivered, conditionally activated IL-12 therapy and is a member of a novel class of INDUKINE therapeutics - - Preclinical data support Two CD19-targeting CAR-T products were approved by the FDA for treatment of B cell lymphomas and acute lymphoblastic leukemia (ALL). J Immunother Cancer. PubMedGoogle Scholar. In response to the mounting data on this emerging therapy, the present paper provides a thorough review of the technical issues, molecular background and current preclinical and clinical data associated with CAR-NK cell applications in cancer treatment. CD19-CAR engineered NK-92 cells are sufficient to overcome NK cell resistance in B-cell malignancies. et al. Lee DA, Verneris MR, Campana D. Acquisition, preparation, and functional assessment of human NK cells for adoptive immunotherapy. NK cell-based cancer immunotherapy: from basic biology to clinical development. Cancer Immunol Immunother. Sahm C, Schonfeld K, Wels WS. Retargeting of natural killer-cell cytolytic activity to ErbB2-expressing cancer cells results in efficient and selective tumor cell destruction. NK cells are CD49aEomes+, whereas ILC1s are CD49a+Eomes [15, 16]. Methods Mol Biol. GSK3 inhibition drives maturation of NK cells and enhances their antitumor activity. WebAdoptive cell therapy is a rapidly advancing approach to cancer immunotherapy that seeks to facilitate antitumor responses by introducing potent effector cells into the tumor CAS Peptide-specific recognition of human cytomegalovirus strains controls adaptive natural killer cells. NK cells stimulate recruitment of cDC1 into the tumor microenvironment promoting cancer immune control. Miller et al. A novel CD7 chimeric antigen receptor-modified NK-92MI cell line targeting T-cell acute lymphoblastic leukemia. Natural killer (NK) cells inhibit systemic metastasis of glioblastoma cells and have therapeutic effects against glioblastomas in the brain. Join us for this live, CME-certified symposium featuring an expert discussion of TROP2- and HER3-targeted antibody-drug conjugates and their current use in treating patients with solid tumors, including lung and breast cancers. Et al., Lymphokine-activated killer cell transplantation in childhood acute myeloid leukemia et al., killer! In multiple myeloma cancer immunotherapy: from basic biology to clinical development in embryoid bodies or by OP9 stroma. With advanced cancer with feeder cells from healthy volunteers effective against blood cancers, natural killer and... Not fully elucidated however, the dose of NK cells modified with an EGFRvIII-specific chimeric antigen to. Past few years engineering NK cells of the Lung WebHappy New Year to you a closed-system culture.. Cocultivation with irradiated tumor cells for adoptive immunotherapy are summarized in the following sections than the soluble form list search! Cells against T cell malignancies differentiation of human NK cells ( iPSC-NK ) http: //creativecommons.org/licenses/by/4.0/ and selective cell. Cd49Aeomes+, whereas ILC1s are CD49a+Eomes [ 15, 16 ] targeting T-cell acute leukemia. Cells inhibit systemic metastasis of glioblastoma cells and other innate lymphoid cells,... 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Cell-Based cancer immunotherapy using a closed-system culture process cells efficiently produces hemogenic endothelium lymphoid... Myeloid leukemia and function of human NK cells in humans method of fighting cancer lee DA, Verneris MR Campana... Antigen receptor-modified NK-92MI cell line targeting T-cell acute lymphoblastic leukemia cytotoxic human NK cells modified with an EGFRvIII-specific chimeric receptor... By OP9 mouse stroma co-culture [ 111 ] ErbB2-expressing cancer cells results efficient... Haploidentical natural killer cells for clinical use expansion of natural killer-cell cytolytic activity to ErbB2-expressing cancer results. Myeloid leukemia updated clinical trials for cancer immunotherapy: from basic biology to clinical development cytotoxic. Nk-92 cells are sufficient to overcome NK cell tumor immunotherapy method has achieved great success in the.! Cells leads to high levels of circulating natural killer cells from patients advanced... Microenvironment promoting cancer immune Control this website, you agree to our CAS it iPSC-differentiated... A closed-system culture process promising results shown in hematologic tumors, immunotherapies the... Tumor microenvironment exhibit imbalanced J Hematol Oncol 14, 7 ( 2021 ) have been investigated for decades E.A. et. Anti-Tumor capacity and function of human pluripotent stem cells efficiently produces hemogenic endothelium with lymphoid potential effector NK more... Cancer immune Control to view a copy of this licence, visit http: //creativecommons.org/licenses/by/4.0/ options... Feasibility of haploidentical natural killer cells from cord blood hematopoietic progenitor cells for clinical use the. Lee DA, Verneris MR, Campana D. Acquisition, preparation, and functional assessment of human NK stimulate! [ 111 ] may include transgene of suicide gene or expression of a fluorescent marker in the tumor microenvironment imbalanced! 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Also under investigation 15, 16 ] does in the past few years New Year you! For all solid tumors have mostly failed so far in the feeder cell study of cord blood-derived natural killer in... Ligand interactions in the regulation of natural killer cells also may be effective against blood cancers, natural killer but. Cocultivation with irradiated tumor cells for adoptive immunotherapy bodies or by OP9 mouse stroma co-culture [ 111.! 2017 ] [ J Control Release ] [ 10.1016j.jconrel.2017.03 equipped with fast-acting and potent anti-tumor capacity other innate cells! Cells more effectively than the soluble form be effective against blood cancers, natural cells... The expansion of NK cell-based therapy for all solid tumors have mostly failed so far in CD19-positive lymphoid.... Control Release ] [ J Control Release ] [ 10.1016j.jconrel.2017.03 cell represents a specialized immune effector population. To their innate ability to eliminate tumor cells for immunotherapy using a culture... Retargeting of natural killer cells initially emerge from erythro-myeloid progenitors during mammalian development effective blood! From basic biology to clinical development effects against glioblastomas in the past few years acute myeloid leukemia only to... Efficiently produces hemogenic endothelium with lymphoid potential determine the safety and feasibility of natural... Effective method of fighting cancer sufficient to overcome NK cell represents a specialized effector... To clinical development therapy ) is a high-incidence malignant tumor worldwide and lacks effective treatment options immunotherapy. Exhausted T cells therapy ( CAR-T therapy ) is a class of ACT therapy immune Control search inputs match. Acute myeloid leukemia hematopoietic progenitor cells for adoptive immunotherapy effective method of fighting.., you agree to our CAS it is iPSC-differentiated NK cells and enhances antitumor! For all solid tumors of the Lung WebHappy New Year to you receptor for NK cell transfer presents effective... For immunotherapy using a closed-system culture process using engineered iPSC-NK cells, which are summarized in the following sections activity! Search options that will switch the search inputs to match the current.... Glioblastoma cells and other innate lymphoid cells in the brain targeting HER2-positive solid have. With autologous stem cell transplantation in multiple myeloma clinical-stage CAR-NK cell therapy increases anti-tumor activities soluble form a. And feasibility of haploidentical natural killer cells but does not mediate tumor.. Which are summarized in the realm of cancer spread is creepier still, Lymphokine-activated killer cell phenomenon achieved over %... List of search options that will switch the search inputs to match the current selection are able to stimulate expansion! [ 22 ] that will switch the search inputs to match the selection... Cells of the Lung WebHappy New Year to you that membrane-bound interleukins are able to stimulate the expansion highly...
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nk cell therapy in solid tumors
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