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Radioimmunotherapy System Effectively Treats Colorectal Cancer

By MedImaging International staff writers
Posted on 24 Nov 2017

Image: A new study shows theranostic radioimmunotherapy targets colorectal cancer (Photo courtesy of RSNA).

A new study describes a three-step theranostic nuclear medicine strategy that targets and eliminates colorectal cancer without any treatment-related toxic effects.

Developed at the Massachusetts Institute of Technology (MIT, Cambridge, MA, USA) and Memorial Sloan-Kettering Cancer Center (MSKCC; New York, NY, USA), the 1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid pretargeted radioimmunotherapy (DOTA-PRIT) strategy is based on a glycoprotein bispecific antibody and a small-molecule radioactive hapten. In the murine study, the researchers used a fractionated 3-cycle regimen that targeted glycoprotein A33 (GPA33), an antigen found on over 95% of primary and metastatic human colorectal cancers.

In the mice undergoing treatment, serial single-photon emission computed tomography/computed tomography (SPECT/CT) imaging was used to monitor treatment response and calculate radiation-absorbed doses to tumors. The results revealed a 100% cure rate, with all DOTA-PRIT-treated animals tolerated the treatment well. All mice had no trace of cancer remaining upon microscopic examination, and there was no detectable radiation damage to critical organs, including bone marrow and kidneys. The study was published in the November 2017 issue of The Journal of Nuclear Medicine.

“Until now, radioimmunotherapy of solid tumors using antibody-targeted radionuclides has had limited therapeutic success,” concluded lead author Sarah Cheal, PhD, of MSKCC, and colleagues. “The success in murine tumor models comes from the unique quality of the reagents developed by our group, and the reduction to practice methodology, including a theranostic approach that can be readily transferred, we believe, to patients.”

“The system is designed as a 'plug and play' system, which allows for the use of many fine antibodies targeting human tumor antigens and is applicable, in principle, to virtually all solid and liquid tumors in man. If clinically successful, our approach will expand the repertoire of effective treatments for oncologic patients,” said senior author Steven Larson, MD, of MSKCC. “There is a huge unmet need in oncology, especially for the solid tumors, for curative treatments for advanced disease. This includes, colon, breast, pancreas, melanoma, lung, and esophageal, to name a few.”

Theranostics uses specific biological pathways to acquire diagnostic images and deliver a therapeutic dose of radiation. Once a specific diagnostic test shows a particular molecular target on a tumor, the therapy agent can be specifically targeted to that receptor, providing a more targeted and efficient form of pharmacotherapy.

Related Links:
Massachusetts Institute of Technology
Memorial Sloan-Kettering Cancer Center

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68 (33.140182495117): SELECT fid FROM jos_deeppockets WHERE id=294771599 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294771599 AND published='1' LIMIT 1

69 (39.815902709961): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=213 ORDER BY `ordering`

70 (394.82116699219): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294771599 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (240.08750915527): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294771599 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (38.14697265625): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (44.107437133789): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294771599 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (28.848648071289): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294771599 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (31.948089599609): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (85.830688476562): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

105 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

106 (58.889389038086): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294771599 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (47.922134399414): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294771599 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 2548.9330291748): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

109 (63.180923461914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

110 (51.021575927734): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294771599 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (514.03045654297): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294771599 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (620.84197998047): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (407.93418884277): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

115 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

116 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

117 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

118 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

119 (40.769577026367): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

120 (259.8762512207): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 41612.863540649): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (536.91864013672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

123 (182.15179443359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

124 (442.0280456543): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294771599 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294771599 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 1606285.0952148): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (!!!!! 1024971.0083008): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (334.02442932129): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (287.05596923828): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (381.9465637207): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (157.11784362793): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (336.88545227051): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (196.93374633789): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (!!!!! 1534.2235565186): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (727.89192199707): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (715.01731872559): SELECT name FROM jos_deeppockets WHERE id=213

136 (34.093856811523): SELECT name FROM jos_deeppockets WHERE id=213

137 (627.99453735352): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (586.03286743164): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (!!!!! 1145.8396911621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

140 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

141 (!!!!! 14734.029769897): TRUNCATE TABLE jos_trademed_module

142 (!!!!! 1587.1524810791): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294771599 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (863.79051208496): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294771599 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (!!!!! 3395.0805664062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (468.96934509277): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (344.99168395996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

147 (140.90538024902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

148 (!!!!! 1658.9164733887): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (341.89224243164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

150 (411.03363037109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

151 (!!!!! 4511.1179351807): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294771599 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294771599 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (151.15737915039): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

153 (43.869018554688): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

154 (31.948089599609): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (295.87745666504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

156 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771599 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771599 AND published='1' LIMIT 1

157 (38.862228393555): select jos_twitters.link from jos_twitters where cat=10

158 (25.98762512207): select jos_facebook.link from jos_facebook where cat=10

159 (25.98762512207): select jos_google_plus.link from jos_google_plus where cat=10

160 (26.941299438477): select jos_linkedin.link from jos_linkedin where cat=10

161 (!!!!! 1475.0957489014): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 7695.198059082): insert into jos_banners_delta values (14615,'2025-04-30 14:10:57','18.117.82.179','view'),(14202,'2025-04-30 14:10:57','18.117.82.179','view'),(14203,'2025-04-30 14:10:57','18.117.82.179','view')

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