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1                                              FIXa is a notoriously inefficient enzyme that needs FVII
2                                              FIXa is a serine protease enzyme involved in the intrins
3                                              FIXa(Y225P), a Na+ site mutant, was severely impaired in
4  0.5), FIXa(loop1) (19 +/- 4.0, 27 +/- 5.0), FIXa(loop2) (35 +/- 9.0, 65 +/- 12.0), and FIXa(loop3) (
5 14), FIXa(WT) (0.72 +/- 0.08, 3.8 +/- 0.08), FIXa(loop1) (3.2 +/- 0.72, 14.0 +/- 1.60), FIXa(loop2) (
6                         Importantly, 4 of 10 FIXa-reactive monoclonal aPLs (including the B2 mAb gene
7 (FIX Delta 88-99,inverted Delta FVII91-102), FIXa(loop2) (FIX Delta 95-109,inverted Delta FVII98-112)
8 (FIX Delta 88-99,inverted Delta FVII91-102), FIXa(loop2) (FIX Delta 95-109,inverted Delta FVII98-112)
9 /- 2.90) relative to FIXa(N) (3.9 +/- 0.11), FIXa(WT) (4.6 +/- 0.17), FIXa(loop3) (4.5 +/- 0.20), and
10 FIX Delta 95-109,inverted Delta FVII98-112), FIXa(loop3) (FIX Delta 111-124,inverted Delta FVII114-12
11 FIX Delta 88-124,inverted Delta FVII91-127), FIXa(loop1) (FIX Delta 88-99,inverted Delta FVII91-102),
12 FIX Delta 88-124,inverted Delta FVII91-127), FIXa(loop1) (FIX Delta 88-99,inverted Delta FVII91-102),
13 ly): FIXa(N) (0.46 +/- 0.05, 1.40 +/- 0.14), FIXa(WT) (0.72 +/- 0.08, 3.8 +/- 0.08), FIXa(loop1) (3.2
14 (N) (3.9 +/- 0.11), FIXa(WT) (4.6 +/- 0.17), FIXa(loop3) (4.5 +/- 0.20), and FIXaR94D (2.2 +/- 0.09)
15 vely: FIXa(N) (0.55 +/- 0.06, 2.9 +/- 0.45), FIXa(WT) (0.80 +/- 0.08, 3.5 +/- 0.5), FIXa(loop1) (19 +
16                                           5) FIXa amidolytic activity was measured.
17 .45), FIXa(WT) (0.80 +/- 0.08, 3.5 +/- 0.5), FIXa(loop1) (19 +/- 4.0, 27 +/- 5.0), FIXa(loop2) (35 +/
18 , FIXa(loop1) (3.2 +/- 0.72, 14.0 +/- 1.60), FIXa(loop2) (18.4 +/- 1.60, 26.3 +/- 3.40), and FIXa(loo
19 ncreased for FIXa(FVIIEGF2) (43.3 +/- 2.70), FIXa(loop1)(10.9 +/- 2.8), FIXa(loop2) (70.5 +/- 1.60),
20  (43.3 +/- 2.70), FIXa(loop1)(10.9 +/- 2.8), FIXa(loop2) (70.5 +/- 1.60), and FIXa(loop1)G94R (17.1 +
21 to FVa residues 499-506) are recognized as a FIXa binding sequence.
22                The chimeric mutant cleaved a FIXa-specific chromogenic substrate with normal catalyti
23               4) Activity was monitored in a FIXa-based clotting assay.
24 ibited normal amidolytic activities toward a FIXa-specific chromogenic substrate.
25  Following activation, it was found that all FIXa derivatives cleaved the chromogenic substrate CBS 3
26  of FVIII (FVIIIR336I) possessing an altered FIXa cleavage site, showed similar rates of FXase decay
27 intrinsic pathway, and suggest that altering FIXa inhibition could have therapeutic benefits.
28  chain showed that cleavage at the alternate FIXa site (A3 domain) was not inhibitory to FXase.
29 r reactivity of FIXa with AT, we prepared an FIXa/FXa chimera in which the 39-loop of the protease wa
30 , FIXa(loop2) (35 +/- 9.0, 65 +/- 12.0), and FIXa(loop3) (1.1 +/- 0.09, 5.0 +/- 0.90).
31 Delta 95-109,inverted Delta FVII98-112), and FIXa(loop3) (FIX Delta 111-124,inverted Delta FVII114-12
32 a(loop2) (18.4 +/- 1.60, 26.3 +/- 3.40), and FIXa(loop3) (0.7 +/- 0.05, 3.0 +/- 0.15).
33 9 +/- 2.8), FIXa(loop2) (70.5 +/- 1.60), and FIXa(loop1)G94R (17.1 +/- 2.90) relative to FIXa(N) (3.9
34 ts from both FVIIIa subunit dissociation and FIXa-catalyzed cleavage, dependent upon the relative con
35 VII114-127), and point mutants (FIXaR94D and FIXa(loop1)G94R).
36 ve different specificity for binding FXa and FIXa while retaining compatibility as substrate for APC.
37 hly selective and potent factor Xa (FXa) and FIXa inhibitors were identified by simple switch of func
38 t both mechanisms of FVIIIa inactivation and FIXa interactions could be leveraged to enhance FVIII fu
39 IXa(FVIIEGF2), FIXa(loop1), FIXa(loop2), and FIXa(loop1)G94R, whereas FIXa(loop3) and FIXaR94D were n
40 performed in the absence of phospholipid and FIXa.
41   In the present study, FVIIIa stability and FIXa binding were evaluated in a FVIII-N1810C variant, a
42 nteraction between the FVIIIa A2 subunit and FIXa and show a contribution of several residues within
43                      In conclusion, IgG anti-FIXa Ab occurred in approximately 30% of APS patients an
44 nal IgG aPLs bound to FIXa and that IgG anti-FIXa Abs in APS patients were significantly higher than
45 st this hypothesis, we searched for IgG anti-FIXa Abs in APS patients.
46  normal controls as the cutoff, the IgG anti-FIXa Abs were present in 11 of 38 (28.9%) APS patients.
47  increase of approximately 20-fold in Kd(app)FIXa and a decrease of approximately 20-fold in Vmax; I9
48 n increase of approximately 5-fold in Kd(app)FIXa and approximately 10-fold decrease in Vmax; and V10
49 n increase of approximately 3-fold in Kd(app)FIXa and approximately 4-fold decrease in Vmax.
50 IIa, compared with native factor IXa (Kd(app)FIXa approximately 1.1 nm, Vmax approximately 12 nm min(
51 A3-C1-C2 subunit and fluorescein-Phe-Phe-Arg-FIXa yielded K(d) values of 52 +/- 10 and 197 +/- 55 nM
52 4, the C-terminal region of A2 thought to be FIXa interactive.
53                                      Because FIXa is an upstream procoagulant factor, impaired AT reg
54 [NaCl], indicating that interactions between FIXa and FVIIIa can increase enzyme affinity when fewer
55 courses were observed for inhibition of both FIXa in the FXase complex and FXa in the prothrombinase
56                  The FVIIIa A2 subunit bound FIXa with high affinity (Kd = 3.9 +/- 1.6 nm) that was s
57 residue 36 is a Glu in both mouse and bovine FIXa and that both proteases are also susceptible to inh
58  and the reciprocal activation of FVII/TF by FIXa(PCGla) was normal; however, both reactions were imp
59                                In all cases, FIXa was inhibited by subphysiologic levels of ZPI.
60                 We prepared several chimeric FIXa proteins using homologous sequences from factor VII
61 rtant residues, we prepared several chimeric FIXa proteins using homologous sequences from FVII: FIXa
62 affinity binding sites for blood coagulation FIXa, FVIIIa, and FX.
63 ng hemophilia B mice have shown that delayed FIXa inhibition has a major impact on reducing the bleed
64 nity for the enzyme-substrate complex, i.e., FIXa/FVIIIa/ Ca2+/phospholipids/FX complex (Ki' = 6.2 nM
65 = 6.2 nM) than for the enzyme complex, i.e., FIXa/FVIIIa/Ca2+/ phospholipids (Ki = 16.5 nM).
66                                Notably, each FIXa or FXa mutant activated FVII and bound to antithrom
67  presence of factor VIIIa increased the EC50,FIXa with an IC50 of 1.5 nM, without affecting the Vmax.
68 nce, whereas there was no effect on the EC50,FIXa.
69    We found that selected FIXa variants (eg, FIXa-V16L) have a prolonged activity half-life in the pl
70 id not respond to the presence of excess EGR-FIXa (45 nM) and FX (1.5 microM) with enhanced binding s
71 ts of FX and active site-inhibited FIXa (EGR-FIXa) on the binding of both FVIII and FVIIIa to activat
72                          The presence of EGR-FIXa and FX increases both the number and the affinity o
73                   In additional experiments, FIXa with or without FVIIIa activated FX(WT) and FX(PCEG
74    Intact A1/A3-C1-C2 dimer increased Fl-FFR-FIXa anisotropy and bound factor X in a solid phase assa
75 IIIa-like effect on the anisotropy of Fl-FFR-FIXa.
76 f fluorescein-Phe-Phe-Arg factor IXa (Fl-FFR-FIXa; Kd = 42.4 nM), whereas cleavage of factor VIIIa by
77  activation, it combines with activated FIX (FIXa) on anionic membranes to form the intrinsic Xase en
78 rotein C, plasmin, factor VIIa (FVIIa), FIX, FIXa, and FXII.
79 ease in both Vmax and K(m) of activated FIX-(FIXa)-catalyzed FX activation in the presence of FVIIIa
80 ation of: Factors FXa (via TF/VIIa or FIXa), FIXa (via TF/FVIIa or FXIa), thrombin, fibrin, and FXIa.
81 ytometry analysis indicated that fluorescent FIXa exhibits impaired complex formation with only FVIII
82 with a role of the amino acids 1803-1818 for FIXa or A2 domain binding.
83 oteins had similar functional affinities for FIXa (dissociation constant [K(d)] values approximately
84 isplayed 2- to 4-fold decreased affinity for FIXa as compared with WT bA2.
85 as a decreased apparent binding affinity for FIXa.
86 f FVIII, FVIIIa, functions as a cofactor for FIXa in catalyzing the membrane-dependent activation of
87 h Asp194 in serine proteases, was faster for FIXa(Y225P) and addition of Ca2+ overcame this impairmen
88 the functional affinity of DeltaC2 FVIII for FIXa and rates of thrombin activation.
89 its contribute to the affinity of FVIIIa for FIXa in the membrane-dependent FXase.
90  significantly to the affinity of FVIIIa for FIXa.
91 d on phospholipid vesicles was increased for FIXa(FVIIEGF2) (43.3 +/- 2.70), FIXa(loop1)(10.9 +/- 2.8
92 activation (nm FXa min(-1)) was observed for FIXa(FVIIEGF2), FIXa(loop1), FIXa(loop2), and FIXa(loop1
93 nzothiophene template as a lead scaffold for FIXa inhibiton based on its homology with urokinase plas
94 -Ca2+ is catalytically more active than free FIXa.
95  and (ii) FVIIIa inactivation resulting from FIXa-catalyzed proteolysis of the Al subunit.
96 homologous sequences from factor VII (FVII): FIXa(FVIIEGF2) (FIX Delta 88-124,inverted Delta FVII91-1
97 oteins using homologous sequences from FVII: FIXa(FVIIEGF2) (FIX Delta 88-124,inverted Delta FVII91-1
98 Xa min(-1)) was observed for FIXa(FVIIEGF2), FIXa(loop1), FIXa(loop2), and FIXa(loop1)G94R, whereas F
99 pholipid, with or without saturating FVIIIa, FIXa(Y225P) activated FX with similar K(m) but threefold
100 ly 100-fold greater than the K(d) for FVIIIa-FIXa interaction (4.2 +/- 0.6 nM).
101 icles (K(i) approximately 1.6K(d) for FVIIIa-FIXa).
102 s residue of approximately 10% of the FVIIIa-FIXa binding energy.
103 ine-protease Factor IXa (FIXa) in the FVIIIa-FIXa complex assembled on the activated platelet membran
104 ds understanding the mechanism of the FVIIIa-FIXa complex assembly on the activated platelet surface
105 F-initiated pathway directly yielding FVIIIa-FIXa intrinsic tenase complex may be prohemostatic befor
106  FXa generation via intrinsic tenase (FVIIIa/FIXa) complexes.
107 e extrinsic (TF:FVIIa) and intrinsic (FVIIIa:FIXa) pathways of coagulation.
108               Further, interaction of FVIIIa:FIXa(Y225P) was impaired fourfold.
109             Interestingly, RBC-MVs generated FIXa in a prekallikrein-dependent manner.
110 us formation through contact phase-generated FIXa.
111                           Here, we generated FIXa variants with altered reactivity to plasma inhibito
112 ass spectrometry (HDX-MS) to investigate how FIXa responds to assembly with FVIIIa in the presence of
113 ogether, the reduced stability plus impaired FIXa interaction of FVIIIC2C2 suggest that the C1 domain
114  probe) validating that substrate binding in FIXa is linked positively to Na+ binding.
115 ges indicated that 3 helices are involved in FIXa-FVIIIa assembly.
116 ative homology analysis revealed that Na+ in FIXa coordinates to the carbonyl groups of residues 184A
117  hand, the loop is shorter by one residue in FIXa (residue 37 is missing), and it contains a Lys and
118 trast, the loop is shorter by one residue in FIXa (residue 37 is missing), and it contains a Lys and
119          Similarly, antithrombin inactivated FIXa derivatives with a similar second-order association
120  the effects of FX and active site-inhibited FIXa (EGR-FIXa) on the binding of both FVIII and FVIIIa
121                In new studies, ZPI inhibited FIXa in the FXase complex.
122 oagulation cascade in selectively inhibiting FIXa would leave hemostasis intact via the extrinsic pat
123                 Relative to FXa, AT inhibits FIXa with approximately 40-fold slower rate constant.
124 ntrinsic FX-activating complex that inhibits FIXa bound either to the phospholipid or activated plate
125 n circulation, the biochemical nature of its FIXa cofactor activity, the regulation of activated FVII
126 c domain of activated coagulation factor IX (FIXa) is homologous to those of thrombin and FXa, we hyp
127  assembly of the enzyme-activated factor IX (FIXa) with its cofactor, activated factor VIII (FVIIIa)
128 icated to interact with activated factor IX (FIXa).
129 the homologous protease activated factor IX (FIXa).
130        During blood coagulation, factor IXa (FIXa) activates factor X (FX) requiring Ca2+, phospholip
131 wth factor (EGF2)-like domain of factor IXa (FIXa) are important for assembly of the factor X (FX) ac
132                   Interestingly, factor IXa (FIXa) binding affinity for WT FVIIIa was significantly r
133                     This loop in factor IXa (FIXa) has 3 basic residues (Arg143, Lys147, and Arg150)
134 -cofactor to the serine-protease Factor IXa (FIXa) in the FVIIIa-FIXa complex assembled on the activa
135           A potent and selective Factor IXa (FIXa) inhibitor was subjected to a series of liver micro
136                                  Factor IXa (FIXa) is known to have a binding site for heparin that h
137                                  Factor IXa (FIXa) plays a pivotal role in coagulation by contributin
138 quire occupancy of receptors for factor IXa (FIXa), factor VIII (FVIII), and FX on the activated plat
139 X) activation require binding of factor IXa (FIXa), factor VIII(a) [FVIII(a)], and FX to activated pl
140  interaction of the serpin with factors IXa (FIXa) and Xa (FXa), thereby improving the rate of reacti
141          All of them, including factors IXa (FIXa), FXa/FX, FVa, FVIII, prothrombin, and PS-sensitive
142 as observed for FIXa(FVIIEGF2), FIXa(loop1), FIXa(loop2), and FIXa(loop1)G94R, whereas FIXa(loop3) an
143 etic mechanism is valid in platelet-mediated FIXa-catalyzed FX activation (Ki' = 5.9 nM and Ki = 12.6
144 tropy experiments using fluorescein-modified FIXa confirmed that all FVIII forms interacted with FIXa
145 mmobilized biotinylated active site-modified FIXa, and FVIII and FVIIIa subunits.
146  the 558-565 loop are critical in modulating FIXa enzymatic activity but do not contribute significan
147                                    Thus, Na+-FIXa-Ca2+ is catalytically more active than free FIXa.
148 reactant concentrations (0.5 nm FVIIIa; 5 nm FIXa), FXase decay is governed by the inter-FVIIIa subun
149  residues of the 39-loop (residues 31-41) of FIXa with corresponding residues of FXa renders the FIXa
150 he protease domain increases the affinity of FIXa for FVIIIa approximately 15-fold.
151 e Na+ site further increases the affinity of FIXa for FVIIIa fourfold and k(cat) threefold.
152 VIII and FX increases 5-fold the affinity of FIXa for the surface of activated platelets, and the pre
153   Occupancy by Na+ increased the affinity of FIXa for the synthetic substrate, whereas occupancy by C
154 onsistent with the elevated concentration of FIXa stabilizing the labile subunit structure of the cof
155                    When the concentration of FIXa was increased 10-fold, the initial rate of decay of
156                The serine protease domain of FIXa contains a Ca2+ site and is predicted to contain a
157 crystal structure of the catalytic domain of FIXa indicated that all five basic residues are spatiall
158 epidermal growth factor (EGF)-like domain of FIXa mediates assembly of the FX activating complex.
159 ht basic residues in the catalytic domain of FIXa that can potentially bind to heparin.
160  NP-2 increases the concentrations (EC50) of FIXa, FVIIIa, and phospholipid vesicles required for hal
161  also by murine studies showing formation of FIXa-antithrombin complexes in FXI deficient mice.
162 te FIXa procoagulant function, the impact of FIXa inhibition on thrombin generation and clot formatio
163  and could interfere with AT inactivation of FIXa.
164  I significantly hindered AT inactivation of FIXa.
165 S bind to FIXa and hinder AT inactivation of FIXa.
166 e found to interfere with AT inactivation of FIXa.
167      Unlike inhibition of FXa, inhibition of FIXa did not strictly require protein Z.
168 t whose activity was measured, inhibition of FIXa was investigated five ways.
169 ncreased the efficiency of ZPI inhibition of FIXa; FVIIIa in molar excess was not protective of FIXa
170 (84)-Val(128)) was an effective inhibitor of FIXa binding to platelets in both the presence (K(i) = 0
171 late the cofactor-independent interaction of FIXa with its physiological inhibitor AT and substrate f
172  activated platelets only in the presence of FIXa and FX but does not directly mediate FVIIIa binding
173 ng to activated platelets in the presence of FIXa and FX is closely coupled with rates of F-X activat
174 FVIII variants were activated in presence of FIXa, only FVIII/FV 1811-1818 demonstrated an enhanced d
175 FVIIIa in molar excess was not protective of FIXa unless FIXa/FVIIIa interacted prior to ZPI exposure
176 sulted in a 10-fold reduction in the rate of FIXa-catalyzed proteolysis of FVIIIa.
177  loop contribute to the slower reactivity of FIXa with AT, we prepared an FIXa/FXa chimera in which t
178 olecular basis for the lack of reactivity of FIXa with these plasma inhibitors and discovered that un
179 e results demonstrate that the regulation of FIXa inhibition contributes in a major way to the spatia
180 ocoagulant factor, impaired AT regulation of FIXa might contribute more toward thrombosis than the dy
181 nsights into the physiological regulation of FIXa, enhance our understanding of thrombus formation in
182 g data indicated that five basic residues of FIXa in the following order of importance, Arg(233) > Ar
183  the 39-loop contribute to the resistance of FIXa to inhibition by plasma inhibitors ZPI and TFPI.
184 for restricting the inhibitor specificity of FIXa.
185 e found, we studied the effects of the Ab on FIXa inactivation by AT.
186 t generation of: Factors FXa (via TF/VIIa or FIXa), FIXa (via TF/FVIIa or FXIa), thrombin, fibrin, an
187  template revealed a number of highly potent FIXa inhibitors, though with moderate selectivity agains
188 ies including thrombin generation potential, FIXa binding affinity, Km for FX of FXase complexes, thr
189              Thus, TF synergistically primes FIXa-dependent thrombin generation independently of cofa
190 e substrate FX to FXa by the serine protease FIXa.
191 x (FXase) is comprised of a serine protease, FIXa, and a protein cofactor, FVIIIa, assembled on a pho
192                                        R338A-FIXa and wt-FIXa had equal activity, with or without FVI
193                                        R338A-FIXa's increased catalytic efficiency did not result fro
194                         Interestingly, R338A-FIXa had reduced affinity for heparin.
195 ffect on activity of either wt-FIXa or R338A-FIXa.
196             Therefore, we propose that R338A-FIXa's increased activity is not due to an allosteric ef
197  functional assays, we determined that R338A-FIXa's Kd for factor VIIIa (FVIIIa) was similar to that
198       HDX-MS was also applied to recombinant FIXa variants that are associated with severe hemophilia
199 old), whereas the anti-C2 antibodies reduced FIXa binding affinity of FVIIIC2C2 variant (~4-fold).
200 er plasma inhibitors are thought to regulate FIXa procoagulant function, the impact of FIXa inhibitio
201 esence and absence of FVIIIa, respectively): FIXa(N) (0.46 +/- 0.05, 1.40 +/- 0.14), FIXa(WT) (0.72 +
202 resence and absence of FVIIIa, respectively: FIXa(N) (0.55 +/- 0.06, 2.9 +/- 0.45), FIXa(WT) (0.80 +/
203                       We found that selected FIXa variants (eg, FIXa-V16L) have a prolonged activity
204 Ia-R336Q and FVIIIa-R562Q) demonstrated that FIXa and FX can protect FVIIIa from APC cleavage at Arg5
205                                We found that FIXa binding to FVIIIa stabilized the A2 domain and incr
206 ber of residues that potentially contact the FIXa protease domain.
207 s homologous to FVIIIa, the cofactor for the FIXa protease, in the FX-activating complex, and FVIIIa
208           Thus, the inactivation rate of the FIXa chimera by ZPI in the presence of protein Z (PZ), n
209      We conclude that residues 88-109 of the FIXa EGF2 domain mediate binding to platelets and assemb
210 es were aimed at delineating the role of the FIXa Na+ site in macromolecular catalysis.
211                               For all of the FIXa proteins, K(m)((app)) values were normal as were EC
212 th corresponding residues of FXa renders the FIXa chimera susceptible to inactivation by both ZPI and
213 ctivity to plasma inhibitors that target the FIXa active site but maintain procoagulant function when
214            Further studies revealed that the FIXa mutant activates factor X with approximately 4-fold
215 ioritized by their binding affinities to the FIXa protein.
216 ns of the benzothiophene template within the FIXa active site by X-ray crystallography and molecular
217 e hypothesized that some aPLs in APS bind to FIXa and hinder AT inactivation of FIXa.
218 an effective competitor of FVIIIa binding to FIXa as judged by inhibition of FXa generation performed
219 patient-derived monoclonal IgG aPLs bound to FIXa and that IgG anti-FIXa Abs in APS patients were sig
220  Phe-1816 of region 1811-1818 contributes to FIXa binding.
221  phospholipid, and FVIIIa, binding of Na+ to FIXa increases its biologic activity by approximately 12
222  the C1 domain resides in close proximity to FIXa in the FXase complex and contributes a critical rol
223  FIXa(loop1)G94R (17.1 +/- 2.90) relative to FIXa(N) (3.9 +/- 0.11), FIXa(WT) (4.6 +/- 0.17), FIXa(lo
224 lar excess was not protective of FIXa unless FIXa/FVIIIa interacted prior to ZPI exposure.
225  were then submitted directly to an in vitro FIXa enzymatic assay.
226 ), FIXa(loop2), and FIXa(loop1)G94R, whereas FIXa(loop3) and FIXaR94D were normal.
227  VIIIa subunits to cofactor association with FIXa were evaluated.
228 or (F) VIIIa forms a number of contacts with FIXa in assembling the FXase enzyme complex.
229                 Reconstitution of FVIII with FIXa-cleaved light chain showed that cleavage at the alt
230 nfirmed that all FVIII forms interacted with FIXa.
231  that the mutations altered interaction with FIXa.
232 Phe-1816 contributes to the interaction with FIXa.
233 e about how FVIIIa binding interactions with FIXa and FX affect FVIIIa inactivation in vivo.
234 ctor (F) VIIIa forms a direct interface with FIXa.
235 d A2 subunit of FVIIIa interacts weakly with FIXa, and recent modeling studies have implicated a numb
236                            R338A-FIXa and wt-FIXa had equal activity, with or without FVIIIa, toward
237 udin, had no effect on activity of either wt-FIXa or R338A-FIXa.
238 tor VIIIa (FVIIIa) was similar to that of wt-FIXa.
239 nts revealed binding and dissociation of ZPI/FIXa with Kd (app) of 9-12 nm, similar to the concentrat

 
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