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Archive for category: E-News

E-News

Beckman Coulter launches annual CARES award as part of initiative to help people living with HIV/AIDS

, 26 August 2020/in E-News /by 3wmedia

Beckman Coulter Life Sciences has launched an international HIV/AIDS award at the 2016 conference for the African Society for Laboratory Medicine (ASLM) recently held in Cape Town, South Africa (December 3 to 8).
The annual award is part of the company’s global CARES Initiative dedicated to helping people who are living with HIV/AIDS. Beckman Coulter’s CARES award is designed to recognize individuals who have shown ‘care, dedication and commitment’ in their communities as part of the fight against HIV/AIDS. The winner will receive a $5,000 (€4,700) donation in their name to one of the selected causes, with the three individual stories that receive the most nominations publicized around the world on the CARES Initiative website.
Potential winners can be nurses, healthcare workers, national coordinators, lab scientists and even clinicians; or lay people who are active in community outreach work. This could include a social worker providing AIDS counselling.
CARES supports the UNAIDS 90-90-90 target to ensure that by the year 2020, 90% of people living with HIV will know their status, 90% of those with diagnosed HIV infection will receive sustained antiretroviral therapy, and 90% of all people receiving antiretroviral therapy will have viral suppression.
It focuses on providing innovative solutions for the monitoring of HIV and AIDS treatment. CARES was inspired by the work of Professor Debbie Glencross, a South African laboratory pathologist, who found a different and less expensive way to measure a patient’s CD4 count.
While this is intended as an international award, in its first year, the award  will focus on recognizing the dedication of people in Africa, one of the areas in the world most affected by HIV/AIDS. The 2017 award will be launched at the annual meeting of the African Society for Laboratory Medicine (ASLM), a pan-African professional body aiming to improve laboratory services.  

Recognition for unsung heroes
Samuel Boova, Beckman Coulter’s Director Alliance Development, High Burden HIV Markets,  said: “The award is to give a platform to the work and stories of those we see as the unsung heroes of individual communities. These are people who have shown individual dedication, commitment and courage or who have made a difference in the battle against HIV/AIDS.
“However, it is not just the final winner we want to publicaly recognize. We hope the award will encourage communities to learn about and honour the work of every nominee, so that more people will come forward to help and support those living with HIV/AIDS.”
Nominations must first be made via the CARES website. Once a name has been nominated, the local community will be given the opportunity to vote in support. People with the greatest number of votes will be put forward for the final assessment panel.  Rules of entry and full details are available in full from http://www.beckman.com/cares.
Mr Boova gave the following examples of ordinary people who support their local communities in the field of HIV/AIDS. “We are looking for dedicated and committed individuals like these who work in the community helping others to live with, and manage, the disease,” he added.

Potential Nominees
The first example is how a young HIV positive woman in Uganda was inspired and empowered by a community charity, PINA (People In Need Agency), to rebuild her life and become an advocate herself for young people living with HIV. This was the objective of PINA when it was first set up by a local case worker – to work with young people, helping them overcome the stigma of living with HIV and rebuild their self-esteem.
Mr Boova also pointed out that there are many women in rural Africa who walk miles every day to see patients to ensure they are compliant with their medications. Medication alone does not help without the commitment of these women – and they have to walk many miles between patients each day and every day, whatever the conditions.www.beckman.com/cares

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Blood biopsy reveals unique, targetable genetic alterations in patients with rare cancer

, 26 August 2020/in E-News /by 3wmedia

Using fragments of circulating tumour DNA in blood, University of California San Diego School of Medicine researchers were able to identify theoretically targetable genetic alterations in 66 percent of patients with cancer of unknown primary (CUP), a rare disease with seven to 12 cases per 100,000 people each year.
In order to plan treatment for cancer in general, physicians first attempt to pinpoint the primary cancer — where the tumour first developed. In CUP, despite its spread throughout the body, the origin remains unknown, making treatment more difficult. The current standard of care is platinum-based combination chemotherapies with a median survival time of six to eight months.
In a study, researchers report that by sequencing circulating tumour DNA (ctDNA) derived from blood samples in 442 patients with CUP, they were able to identify at least one genetic alteration linked to cancer in 290 — 66 percent — of patients. Researchers used a screening test developed by Guardant Health that evaluates up to 70 genes. Based on known carcinogenic mutations, 99.7 percent of the 290 patients who had detectable tumour DNA in their bloodstream had genomic alterations that could hypothetically be targeted using existing FDA-approved drugs (as off-label use) or with therapies currently under investigation in clinical trials.
“By definition, CUP does not have a definite anatomical diagnosis, but we believe genomics is the diagnosis,” said Razelle Kurzrock, MD, director of the Center for Personalized Cancer Therapy at Moores Cancer Center at UC San Diego Health and senior author. “Cancer is not simple and CUP makes finding the right therapy even more difficult. There are multiple genes and abnormalities involved in different areas of the body. Our research is the first to show that evaluating circulating tumour DNA from a tube of blood is possible in patients with CUP and that most patients harbour unique and targetable alterations.”
“Another advantage of the liquid biopsy is that the location of the cancer does not matter,” said Shumei Kato, MD, assistant professor of medicine at UC San Diego School of Medicine and first author. “With a blood sample, we can analyse the DNA of tumours throughout the body to find targetable alterations. With tissue biopsies, we can only see genomic changes that are in that one site and that may not be the same as what is in different sites not biopsied, such as the lung or bone.”
Moores Cancer Centerhttp://tinyurl.com/y9lffvh3

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Clues about immune resolution identified in blood

, 26 August 2020/in E-News /by 3wmedia

Stopping a wound from bleeding is essential for human health. Blood coagulation – in which blood goes from liquid to gel and forms a clot – can prevent excessive bleeding and infection. But exactly what molecular events transpire when blood coagulates has remained somewhat mysterious. Using a new profiling procedure invented by investigators from Brigham and Women’s Hospital permitted them to elucidate the role of immunoresolvents – molecules that help resolve inflammation and infections –in blood coagulation, identifying a new cluster of these molecules that are produced when blood coagulates.
“We’ve identified factors biosynthesized by human blood coagulation that elicit immune responses that protect the host,” said corresponding author Charles N. Serhan, PhD, DSc. director and principal investigator at the Center for Experimental Therapeutics and Reperfusion Injury at BWH. “Our results uncover a previously uncharacterized connection between the coagulation of blood and innate host defence mechanisms. We’ve demonstrated for the first time how the innate immune response is connected to coagulation via novel pro-resolving mediators.”
The new profiling procedure allowed the team to identify a cluster of immunoresolvents, namely resolvin D1, resolvin D5, resolvin E1, lipoxin B4 and maresin 1. These molecules activate immune cells called phagocytes, which can engulf and kill bacteria in the blood. Treating human blood with the components of this cluster of molecules discovered at BWH enhanced the abilities of phagocytes and helped the immune system attack E. coli, a common source of bacterial infection.
Interestingly, the newly developed profiling technique holds potential for profiling immunoresolvants in many contexts. The current study offers a glimpse of immunoresolvents found in the blood of healthy individuals, but the researchers are also interested in studying blood samples from patients with sepsis to pinpoint differences in immunoresolvents. Beyond blood, the research team also found a distinct profile of immunoresolvents in samples of healthy versus cancerous tissue from the testes – they note that this new profiling technique could potentially be used in the future to help distinguish between cancerous and healthy tissue from the testes or elsewhere in the body.

Brigham and Women’s Hospital
bwhclinicalandresearchnews.org/2017/08/04/whats-new-in-research-august-2017-2/
 

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Inherited, rare skin disease informs treatment of common hair disorders

, 26 August 2020/in E-News /by 3wmedia

It is almost axiomatic in medicine that the study of rare disorders informs the understanding of more common, widespread ailments. Researchers from the Perelman School of Medicine at the University of Pennsylvania who study an inherited disorder of skin, hair follicles, nails, sweat glands, and teeth called hypohidrotic ectodermal dysplasia (HED) have identified a mechanism that may also be disrupted in male pattern baldness, a more common condition.
About one in 5,000 to 10,000 people are thought to have HED, although this may be an underestimate of its actual prevalence as this condition is not always diagnosed correctly. HED is most frequently caused by mutations in the EDA, EDAR, EDARRAD and WNT10A genes. In addition to its association with HED, mutations in WNT10A are the most common genetic defect observed in people who are born missing one or more teeth, but do not display other characteristics of the disease. These milder WNT10A mutations occur surprisingly frequently, in about 1 to 2 percent of the population. Interestingly, a variant of the WNT10A gene associated with lower levels of its protein’s expression has been linked to a greater likelihood of male pattern baldness, according to a recent genome-wide association study.
“By analysing mice with the WNT10A mutation, as well as tissues from human patients with WNT10A mutations, we found that WNT10A regulates the proliferation, but not the maintenance, of stem cells in hair follicles,” said Sarah Millar, PhD, vice chair for Basic Research in the Department of Dermatology. “Together with a previously published genome-wide association study, our findings suggest that lower levels of WNT10A may contribute to male pattern baldness in some individuals.”
The team made mouse models for WNT10A-associated HED by deleting the Wnt10a gene.  The mutant mice displayed the same symptoms as HED patients with severe loss of function mutations in the WNT10A gene. Long-term absence of WNT10A leads to miniaturization of hair follicle structures and enlargement of the associated sebaceous glands, a phenomenon that is also observed in male pattern baldness.
Millar’s group and her clinical collaborators, including Emily Chu, MD, PhD, an assistant professor of Dermatology and John McGrath, MD, from King’s College, London, also discovered that cracking and scaling of palm and foot sole skin in WNT10A patients is due to decreased expression of a structural protein called Keratin 9, which is specifically expressed in these regions of skin and contributes to its mechanical integrity.
“Our studies took us back and forth between human patients and our mouse model,” said Millar. “Our goal was to find what happened to cellular components affected by the WNT10A mutation to make better treatments.”
Millar’s group showed that decreased proliferation and Keratin 9 expression in the absence of WNT10A resulted from failure of signalling through a well-characterized pathway that stabilizes a protein called beta-catenin, allowing it to enter the cell nucleus and activate gene transcription.
These findings indicate that small molecule drugs that activate the beta-catenin pathway downstream of WNT10A could potentially be used to treat hair thinning and palm and sole skin defects in WNT10A patients. These agents may also be useful for preventing hair loss in a subgroup of people with male pattern baldness.


Penn Medicine
www.pennmedicine.org/news/news-releases/2017/june/inherited-rare-skin-disease-informs-treatment-of-common-hair-disorders

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Viral marker that could predict influenza severity

, 26 August 2020/in E-News /by 3wmedia

Lower levels of defective viral RNA molecules can make influenza viruses that affect humans more dangerous. This finding could help to guide patient treatment and provide important information for the design of influenza prevention strategies.
Flu viruses have defective genetic material that can activate the infected patient’s immune system, and lower levels of these molecules can increase the severity of the virus infection. This is the main conclusion reached by researchers from the Centre for Biomedical Research in Respiratory Diseases Network (CIBERES) and in the laboratory of Dr. Amelia Nieto at the Centro Nacional de Biotecnología of the CSIC (CNB-CSIC), in a study led by Dr. Ana Falcón that has just been published in the journal PLOS Pathogens.
Influenza is particularly dangerous for babies, the elderly, and people with underlying medical conditions, although healthy people can also suffer a serious infection. Of the many flu virus strains that circulate every year, some are more virulent than others. "So far we have found severity markers for specific strains, but not a more general marker like this, which applies to many strains and would be more useful in clinical decision-making and in the design of prevention strategies," explains Falcón.
To identify this marker, scientists from CIBERES and the CNB-CSIC, in collaboration with other health and research institutions, centred on defective viral genomes (DVG). These molecules, which consist of viral RNA fragments with defective genetic information, are found in many influenza virus strains.
Previous studies suggested that DVG activate the immune system in infected animals, and could restrict the severity of influenza infection; in this study, the scientists tested whether these molecules could serve as a general marker of influenza severity.
The validity of the marker was tested in infected mice and in cell cultures of human respiratory tissue with different strains of influenza A H1N1 virus, the subtype responsible for the 2009 influenza pandemic. The results showed that strains with lower DVG accumulation in cell cultures produced a more serious infection in mice.
The team also analysed the genomes of viruses isolated from samples from people who had a severe infection or died from the flu during the 2009 "swine flu" pandemic, or in later flu outbreaks with similar characteristics. They found that H1N1 strains that caused severe symptoms had significantly less DVG accumulation than influenza A strains from people who had only mild symptoms.
Overall, these results suggest that low DVG levels indicate an increased risk of serious illness in patients infected with the influenza A virus. With more research, these findings could help predict flu severity, guide patient treatment, and prompt new flu prevention strategies.

Centro Nacional de Biotecnología of the CSIC (CNB-CSIC)
www.cnb.csic.es/index.php/en/science-society/news/item/1450-identifican-un-marcador-viral-que-permitiria-predecir-la-gravedad-de-la-gripe-en-pacientes-infectados

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Are stem cells the link between bacteria and cancer?

, 26 August 2020/in E-News /by 3wmedia

Gastric carcinoma is one of the most common causes of cancer-related deaths, primarily because most patients present at an advanced stage of the disease. The main cause of this cancer is the bacterium Helicobacter pylori, which chronically infects around half of all humans. However, unlike tumour viruses, bacteria do not deposit transforming genes in their host cells and how they are able to cause cancer has so far remained a mystery. An interdisciplinary research team at the Max Planck Institute in Berlin in collaboration with researchers in Stanford, California, has now discovered that the bacterium sends stem cell renewal in the stomach into overdrive – and stem cell turnover has been suspected by many scientists to play a role in the development of cancer. By showing that the stomach contains two different stem cell types, which respond differently to the same driver signal, they have uncovered a new mechanism of tissue plasticity. It allows tuning tissue renewal in response to bacterial infection.
While it has long been recognized that certain viruses can cause cancer by inserting oncogenes into the host cell DNA, the fact that some bacteria can also cause cancer has been slower to emerge and much harder to prove. While it is now clear that most cases of stomach cancer are linked to chronic infections with H. pylori, the mechanism remains unknown.
Thomas F. Meyer and his colleagues at the Max Planck Institute for Infection Biology in Berlin have spent many years investigating this bacterium and the changes it induces in the cells of the stomach epithelium. In particular, they were puzzled how malignancy could be induced in an environment in which cells are rapidly replaced. They suspected that the answer might lie in the stem cells found at the bottom of the glands that line the inside of the stomach, which continually replace the remaining cells ‘from the bottom up’ – and which are the only long-lived cells in the stomach. Michael Sigal, a clinical scientist of the Charité – Universitätsmedizin Berlin, who joined the Max Planck team, overturned the established dogma to show that H. pylori not only infects the surface cells, which are about to be sloughed off, but that some of the bacteria manage to invade deep into the glands and reach the stem cell compartment. They have now found that these stem cells do indeed respond to the infection by increasing their division – producing more cells and leading to the characteristic thickening of the mucosa observed in affected patients.
They used different transgenic mice to trace cells expressing particular genes, as well as all their daughter cells. The results indicate that the stomach glands contain two different stem cell populations. Both respond to a signalling molecule called Wnt, which maintains stem cell turnover in many adult tissues. Crucially, they discovered that myofibroblast cells in the connective tissue layer directly underneath the glands produce a second stem cell driver signal, R-spondin, to which the two stem cell populations responded differently. It is this signal, which turned out to control the response to H. pylori: following infection, the signal is ramped up, silencing the more slowly cycling stem cell population and putting the faster cycling stem cell population into overdrive.
These findings substantiate the rising awareness that chronic bacterial infections are strong promoters of cancer.

Max Planck Societyhttp://tinyurl.com/yaar3gcy

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Largest genome-wide study of lung cancer susceptibility conducted

, 26 August 2020/in E-News /by 3wmedia

A new study conducted by an international team of lung cancer researchers, including Professor John Field from the University of Liverpool, have identified new genetic variants for lung cancer risk.
Lung cancer continues to be the leading cause of cancer mortality worldwide. Although tobacco smoking is the main risk factor, variations in a persons genetic makeup has been estimated to be responsible for approximately 12% of cases. However, the exact details of these variations have been previously unknown.
By gathering genotype data from different studies around the world, through the use of a special research platform called OncoArray, researchers were able to increase the sample size for this study making it the largest one of its type in the world. The Liverpool Lung Project, funded by the Roy Castle Foundation, has made a major contribution to this international project.
Researchers examined the data to identify the genetic variants associated with lung cancer risk.
During the study more than 29,200 lung cancer cases and more than 56,000 samples taken from people without lung cancer (controls) were examined. Researchers identified 18 genetic variations that could make people more susceptible to lung cancer and also 10 new gene variations.
Professor John Field, Clinical Professor of Molecular Oncology and the Chief Investigator of the UK Lung Cancer Screening Trial, said: "This study has identified several new variants for lung cancer risk that will translate into improved understanding of the mechanisms involved in lung cancer risk.
"Samples taken from the major Liverpool Lung Project, funded by the Roy Castle Foundation, was conducted by experts at the University of Liverpool, were used in this study.
"These results will help us to further improve the way we can screen for lung cancer in high risk individuals in the UK. Further studies will help in the targeting of specific genes to influencing lung cancer risk, smoking behaviour and smoking effects on brain biology."
"This study definitely leads to new ideas about mechanisms influencing lung cancer risk."


EurekAlert
www.eurekalert.org/pub_releases/2017-07/uol-lgs071017.php
 

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Thermo Fisher Scientific offers preview of the world’s first fully integrated LC-MS/MS Clinical Analyser

, 26 August 2020/in E-News /by 3wmedia

Following the presentation to the European market at EuroMedLab in Athens and to the US market at AACC 2017 of the Thermo Scientific Cascadion SM Clinical Analyser bringing together the ease of use of clinical analysers with the selectivity and sensitivity of liquid chromatography-tandem mass spectrometry (LC-MS/MS), the company will now seek CE marking  followed by FDA approval.
“This is a marvelous development, and it is really quite outstanding. It will fulfill the needs of many laboratories,” said Professor Brian Keevil, consultant clinical scientist and head of the Clinical Biochemistry Department, University Hospital of South Manchester NHS Foundation Trust, UK, after viewing a demonstration during EuroMedLab 2017.
The Cascadion system was designed and built using Thermo Fisher products and technologies combined with its industry-leading expertise in mass spectrometry.  Featuring turnkey operation, the Cascadion analyser is designed to be used by laboratory staff with no specialized training.
James Nichols, PhD, medical director, Chemistry and Point of Care Testing, Vanderbilt University Medical Center, added, “For much of what we do in terms of chromatography and mass spectrometry, we need very highly skilled and experienced medical technologists. The Cascadion analyser is relatively maintenance-free and because it includes specially designed reagent kits, there is not a lot of interaction required with the technology.”
After previewing the Cascadion analyser, Michael Vogeser, senior physician and professor of laboratory medicine, University Hospital of Munich, stated “About 70% of all physician’s decisions are based on laboratory tests so the impact on laboratory testing is huge and this completely new technological approach is of enormous value to mankind.” www.thermofisher.com/Cascadion

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Precision medicine opens the door to scientific wellness preventive approaches to suicide

, 26 August 2020/in E-News /by 3wmedia

Researchers have developed a more precise way of diagnosing suicide risk, by developing blood tests that work in everybody, as well as more personalized blood tests for different subtypes of suicidality that they have newly identified, and for different psychiatric high-risk groups.
The research team, led by scientists at Indiana University School of Medicine, also showed how two apps, one based on a suicide risk checklist and the other on a scale for measuring feelings of anxiety and depression, work along with the blood tests to enhance the precision of tests and to suggest lifestyle, psychotherapeutic and other interventions. Lastly, they identified a series of medications and natural substances that could be developed for preventing suicide.
"Our work provides a basis for precision medicine and scientific wellness preventive approaches," said Alexander B. Niculescu III, MD, PhD, professor of psychiatry and medical neuroscience at IU School of Medicine and attending psychiatrist and research and development investigator at the Richard L. Roudebush Veterans Affairs Medical Center.
The research builds on earlier studies from the Niculescu group.
"Suicide strikes people in all walks of life. We believe such tragedies can be averted. This landmark larger study breaks new ground, as well as reproduces in larger numbers of individuals some of our earlier findings,” said Dr. Niculescu.
There were multiple steps to the research, starting with serial blood tests taken from 66 people who had been diagnosed with psychiatric disorders, followed over time, and who had at least one instance in which they reported a significant change in their level of suicidal thinking from one testing visit to the next. The candidate gene expression biomarkers that best tracked suicidality in each individual and across individuals were then prioritized using the Niculescu group’s Convergent Functional Genomics approach, based on all the prior evidence in the field.
Next, working with the Marion County (Indianapolis, Ind.) Coroner’s Office, the researchers tested the validity of the biomarkers using blood samples drawn from 45 people who had committed suicide.
The biomarkers were then tested in another larger, completely independent group of individuals to determine how well they could predict which of them would report intense suicidal thoughts or would be hospitalized for suicide attempts.
The biomarkers identified by the research are RNA molecules whose levels in the blood changed in concert with changes in the levels of suicidal thoughts experienced by the patients. Among the findings reported in the current paper were:

  • An algorithm that combines biomarkers with the apps that was 90 percent accurate in predicting high levels of suicidal thinking and 77 percent accurate in predicting future suicide-related hospitalizations in everybody, irrespective of gender and diagnosis.
  • A refined set of biomarkers that apply universally in predicting risk of suicide among both male and female patients with a variety of psychiatric illnesses, including new biomarkers never before linked to suicidal thoughts and behavior.
  • Four new subtypes of suicidality were identified (depressed, anxious, combined, and non-affective/psychotic), with different biomarkers being more effective in each subtype.
  • Biomarkers that were associated with specific diagnoses and genders, such as one, known as LHFP, that appears to be a very strong predictor for depressed men.
  • Two of the biomarkers, APOE and IL6, have broad evidence for involvement in suicidality and potential clinical utility as targets for drug therapies, as well as suggest a neurodegenerative and inflammatory component to the predisposition to suicide. APOE is responsible for proteins involved with managing cholesterol and fats, and some forms of the gene have been strongly implicated as risks for Alzheimer’s disease. IL6 expresses proteins involved in the body’s inflammation response.

Indiana University School of Medicine
news.medicine.iu.edu/releases/2017/08/precision-medicine-opens-door-scientific-wellness-preventive-approaches-suicide.shtml

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Seven new DNA regions linked to kidney cancer risk

, 26 August 2020/in E-News /by 3wmedia

Researchers have found seven new single-letter changes to DNA that are linked to an increased chance of developing renal cell carcinoma.  People with these variants are more likely to develop renal cell carcinoma, through the effect they have on nearby genes.
The study team, including researchers from The Institute of Cancer Research, London, have recently published their results.  As well as finding the seven new single-letter changes, they confirmed another six that had previously been put forward as risk factors for the disease.
Kidney cancer is the seventh most commonly diagnosed cancer in the UK, and renal cell carcinoma makes up 90 per cent of cases.
While much of the risk comes from lifestyle factors, genetics also plays a part. In total, the 13 genetic variants account for around 10 per cent of the inherited risk of renal cell carcinoma.
By comparing the DNA of 10,784 people with the disease and 20,406 people without, the team found that the seven new single-letter changes – as well as the six previously reported ones – were more likely to occur in people who developed renal cell carcinoma.
Further analysis allowed the team to suggest how these variants might be increasing risk of the disease.
For example, a single-letter change on chromosome 14 seems to affect the way that the instructions in a gene called DPF3 are carried out. That gene is involved in the production of proteins that affect the packaging of DNA – and errors in these proteins are often found in tumours.
Professor Richard Houlston, Professor of Molecular and Population Genetics at the ICR, was one of the study’s lead authors. He said: “Our analysis provides further evidence that a person’s susceptibility to renal cell carcinoma is linked to the combined effect of multiple genetic mutations.

Institute of Cancer Research
www.icr.ac.uk/news-archive/seven-new-dna-regions-linked-to-kidney-cancer-risk?via=carousel0024

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