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1Instituto de Biología y Medicina Experimental-Consejo Nacional de Investigaciones Científicas y Técnicas; 2Departamento de Química Biológica, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires; and 3Departamento de Fisiología, Facultad de Medicina, Universidad de Buenos Aires, Buenos Aires, Argentina
Submitted 21 March 2007 ; accepted in final form 12 July 2007
| ABSTRACT |
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orexin 1 and orexin 2 receptor antagonists; ovary
The widespread distribution of mRNAs encoding OX1 and OX2 in the brain suggests that orexins are involved in multiple functional pathways, including their participation in the brain control of the pituitary. Brain orexins have been implicated in the control of gonadotropin-releasing hormone (GnRH) neurons and in the secretion of pituitary gonadotropins, in a variety of in vivo and in vitro experiments, in rodents (8, 18, 23, 32, 47, 49, 51, 53, 54, 57), sheep (22), and humans (33). Also, modifications of the brain orexinergic system have been associated with the estrous cycle, pregnancy, and lactation (5, 7, 19, 27, 46, 53, 60).
Orexins and their receptors have been described outside the central nervous system (CNS). Receptors are expressed in glands such as the pituitary (4, 13, 25, 26, 53), adrenal (25, 29), thyroid (26), and pancreatic islets (41). In human peripheral tissues, immunoreactivity for orexin A was detected in ganglion cells, myenteric plexuses, gastrointestinal endocrine cells, islet cells of the pancreas, placental syncytiotrophoblasts, and decidual cells; mRNA expression for PPO was detected in the kidney, adrenal gland, pancreas, placenta, stomach, and intestinal epithelial cells (39). Immunoreactive orexin A in human plasma was found by radioimmunoassay (RIA) (2). Regarding the gonads, orexin A and B immunoreactivity has been detected in rat testis (3); OX1 and OX2 expression was reported in testis, epididymis, penis, and seminal vesicle, whereas PPO was reported only in the epididymis and penis in the human male reproductive system (28). In a screening study comparing several tissues of male and female rats, a very low amount of OX1 mRNA was found in pooled ovaries (26).
Taking in consideration these data and our recent results (53), we decided to study PPO, OX1, and OX2 expression in ovaries of adult rats at different stages of the estrous cycle and correlated them to hormonal status, dark-light cycle, and food consumption. Furthermore, the effects of two potent and selective antagonists of orexin receptors OX1 and OX2 were evaluated on gonadotropin secretion, ovarian histology and ovulation.
| MATERIALS AND METHODS |
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First set of experiments. Regular cycling female rats were killed by decapitation at 1100, 1500, 1700, 1900, and 2300 in all stages of the estrous cycle. The stage of the cycle was determined by vaginal smears for two consecutive weeks. Regular cycles were defined as the occurrence of three consecutive 4-day cycles. Occurrence of ovulation was evaluated by microscopic examination of the oviduct the morning of estrus.
In all cases trunk blood was collected, and sera were stored at –20°C for hormone determinations by RIA. Day and night food intake was also recorded. For this purpose, during the entire experiments rats were kept in individual cages, and food consumption was determined at 0700 and 1900.
Ovaries were rapidly removed and placed on ice for dissection; tissue samples were immediately homogenized in TRIzol reagent (Invitrogen) and kept at –70°C until used. Levels of expression of mRNAs for PPO, OX1, and OX2 in the ovaries were determined by quantitative real-time RT-PCR.
Second set of experiments. In a group of proestrous rats, ovulation was blocked, as described (53). Briefly, Cetrorelix, a GnRH receptor antagonist (Serono, Buenos Aires, Argentina), 100 µg/100 µl sterile water ip per rat, or pentobarbital sodium (Nembutal), a barbiturate that blocks ovulation, 30 mg/kg body wt ip, diluted in 1:7:2 parts of absolute ethanol, sterile water, and propylene glycol, respectively, or saline as control, was injected at 1400 of proestrus. Animals were decapitated at 1900, and ovaries and sera collected. Ovarian levels of expression of OX1 and OX2 were determined by real-time RT-PCR.
Third set of experiments. Finally, groups of cycling rats were treated at 1400 and 1900 of proestrus with the OX1 and/or OX2 blocking drugs. SB-334867-A, a nonpeptide OX1-selective receptor antagonist (Tocris Bioscience) (55), was injected intraperitoneally at the dose of 10 mg/kg body wt diluted in 50% DMSO and 50% saline. JNJ-10397049, a selective OX2 antagonist consisting of a substituted 4-phenyl-[1,3]dioxane [(9,1-(2,4-dibromo-phenyl)-3-((4S,5S)-2,2dimethyl-4-phenyl-[1,3]dioxan-5-yl)-urea) (37) provided by Johnson and Johnson Pharmaceutical Research and Development, San Diego, CA], was injected intraperitoneally at the dose of 10 mg/kg body wt diluted in 50% DMSO and 50% saline. A third group was injected simultaneously with both blocking drugs: 10 mg/kg of SB-334867-A plus 10 mg/kg of JNJ-10397049. Control ovulating proestrous rats received two injections of vehicle. In addition, two other groups of proestrous rats were injected with Cetrorelix or Nembutal (as in the 2nd set of experiments) at 1400 and with saline at 1900, as controls of nonovulating animals. Blood samples were collected at 1900 from the jugular vein under light ether anesthesia, before the second injection of the blocking drug or saline, according to the respective protocol. Rats were decapitated at 0900 the following morning, and ovaries and sera were collected and kept as above.
Food intake was determined in all groups at 1400 and 1900 of proestrus to evaluate the effectiveness of OX1 and OX2 antagonists.
Ovarian morphology. To evaluate changes in the macro- and microstructure, some ovaries of each group were first examined after laparotomy and then immediately fixed in 5% neutral buffered formaldehyde for histological examination. After embedded in paraffin, ovary sections were stained with hematoxylin-eosin to count the number of preovulatory follicles and corpora lutea under a light microscope as described by Parborell et al. (43) and Peluffo et al. (44).
Total RNA preparation and cDNA synthesis. Total RNA was isolated using the TRIzol reagent method from tissue homogenates. The RNA concentration was determined based on absorbance at 260 nm, and its purity was evaluated by the ratio of absorbance at 260 nm/280 nm (>1.8). RNAs were kept frozen at –70°C until analyzed.
After digestion of genomic DNA by treatment with deoxyribonuclease I (Ambion, Austin, TX), first-strand cDNA was synthesized from 1 µg of total RNA in the presence of 10 mM MgCl2, 50 mM Tris·HCl (pH 8.6), 75 mM KCl, 0.5 mM deoxy-NTPs, 1 mM DTT, 1 U/µl RnaseOUT (Invitrogen), 0.5 µg oligo(dT)15 primer (Biodynamics, Buenos Aires, Argentina), and 20 U MMLV reverse transcriptase (Epicentre, Madison, WI). To validate successful deoxyribonuclease I treatment, the reverse transcriptase was omitted in control reactions. The absence of PCR-amplified DNA fragments in these samples indicated the isolation of RNA free of genomic DNA.
Quantitative real-time PCR. Sense and antisense oligonucleotide primers were designed based on the published cDNA PPO, OX1 and OX2 receptor, and cyclophilin sequences using the PrimerExpress software (Applied Biosystems, Foster City, CA). Oligonucleotides were obtained from Invitrogen. The sequences of the primers were as follows: PPO sense, GCCTCAGACTCCTTGGGTATTTG; PPO antisense, GGCAATCCGGAGAGATGGT; OX1 sense, GCCTGCCAGCCTGTTAGTG; OX1 antisense, CAAGGCATGGCCGAAGAG; OX2 sense, GAAAGAATATGAGTGGGTCCTGATC; OX2 antisense, CAGGACGTTCCCGATGAGA; cyclophilin sense, GTGGCAAGATCGAAGTGG; and cyclophilin antisense, TAAAAATCAGGCCTGTGG.
Quantitative measurements of PPO, OX1 and OX2 receptor, and cyclophilin cDNA were performed by kinetic PCR using SYBR green I as fluorescent dye (Invitrogen). PCR reaction consisted of 100 ng cDNA, 0.4 µM primers, 10 mM Tris·HCl, 50 mM KCl, 3 mM MgCl2, 0.2 mM deoxy-NTPs, and 1.25 U Taq polymerase (Invitrogen) in a final volume of 25 µl. After denaturizing at 95°C for 5 min, the cDNA products were amplified with 40 cycles, each cycle consisting of denaturizing at 95°C for 15 s, annealing at 62°C for 30 s, and extension at 72°C for 30 s. The accumulating DNA products were monitored by the ABI7500 sequence detection system (Applied Biosystems), and data were stored continuously during the reaction. The results were validated based on the quality of dissociation curves, generated at the end of the PCR runs by ramping the temperature of the samples from 60°C to 95°C, meanwhile continuously collecting fluorescence data. Product purity was confirmed by polyacrylamide gel electrophoresis. Each sample was analyzed in duplicate along with specific standards and no-template controls to monitor contaminating DNA.
The calculations of the initial mRNA copy numbers in each sample were made according to the cycle threshold (Ct) method. The Ct for each sample was calculated at a fluorescence threshold (Rn) using the ABI7500 sequence detection system software with an automatic baseline setting. For all designed primer sets, linearity of real-time RT-PCR signaling was determined with wide-range serial dilutions of reference cDNA that covered the amount of target mRNA expected in the experimental samples, and clear linear correlations were found between the amount of cDNA and the Ct for the duration of at least 40 real-time RT-PCR rounds.
For each target gene, the relative gene expression was normalized to that of cyclophilin housekeeping gene by use of the standard curve method, as described by the manufacturer (User Bulletin 2). Results are expressed as arbitrary units (AU) for comparison among samples. AU is defined as the expression level relative to a sample of 1100 of proestrus or saline (calibrator sample).
Membrane preparation and Western blot analysis. Anterior and mediobasal hypothalamus, frontoparietal cortex, and ovaries from rats were rapidly removed and frozen. The membrane fraction was isolated according to the method of Olpe et al. (42). Briefly, tissues were homogenized in 10 volumes of ice-cold 0.32 M sucrose, containing 1 mM MgCl2 and 1 mM K2HPO4. Homogenates were centrifuged at 750 g, the pellet was resuspended, and the centrifugation was repeated. The supernatants were pooled and centrifuged at 18,000 g for 15 min. The pellet was osmotically shocked, centrifuged at 39,000 g, resuspended in 50 mM Tris·HCl, 2.5 mM CaCl2, pH 7.4 (10 vol/g of original tissue), and washed twice. Membranes were frozen at –70°C.
SDS-10% polyacrylamide gel electrophoresis was then carried out on 50 mg of each of the membrane preparations. Proteins were transferred to a nitrocellulose membrane (Amersham Pharmacia Biotech). Blots were incubated with the polyclonal rabbit antibodies (OX1R11-A, Alpha Diagnostics, 1:1,000 or OX2R21-A, Alpha Diagnostics, 1:800) overnight at 4°C followed with a peroxidase-conjugated goat anti-rabbit secondary antibody (Santa Cruz, 1:4,000, 1 h at room temperature).
Immunoreactive bands were detected using the Western blotting chemiluminescence Luminol Reagent (Santa Cruz Biotechnology).
Hormonal determinations. Serum luteinizing hormone (LH), follicle-stimulating hormone (FSH), and prolactin (PRL) were estimated by RIA using kits provided by the National Institute of Diabetes and Digestive and Kidney Diseases. Results were expressed in terms of RP3 rat LH, FSH, and PRL standards. Assay sensitivities were 0.015 ng/ml for LH, 0.1175 ng/ml for FSH, and 1.6 ng/ml for PRL. Intra- and interassay coefficients of variation for LH were 7.2% and 11.4%, respectively; for FSH were 8.0% and 13.2%, respectively; and for PRL were 8.1% and 11.4%, respectively.
Serum estradiol and progesterone were determined by RIA using specific antisera kindly provided by Dr. G. D. Niswender (Colorado State University, Fort Collins, CO) after ethyl ether extraction. Labeled hormones were purchased from Perkin-Elmer (Wellesley, MA). Assay sensitivities were 11.3 pg for estradiol and 500 pg for progesterone. Intra- and interassay coefficients of variation were 6.8 and 11.7 % for estradiol, respectively, and 7.1 and 12.15% for progesterone, respectively.
Statistics.
Data are presented as means ± SE. Differences between treatment groups were estimated by one-way ANOVA followed by Tukey's post test using the Statistica Software. Frequency distributions were analyzed using the
2 test. P < 0.05 indicated statistically significant differences.
| RESULTS |
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45 kDa also previously reported (30, 48) (Fig. 2B). Effect of blocking gonadotropin release by Cetrorelix or Nembutal on OX1 and OX2 expression in ovary. Cetrorelix or Nembutal administration early on proestrous afternoon significantly reduced the increase in ovarian OX1 and OX2 mRNA expression normally observed in the evening and night of proestrus (Fig. 3). Gonadotropins, PRL, and progesterone evening surges were also blunted by these treatments, while estradiol was unaffected (not shown), as demonstrated in our previous work in these models (53).
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In the group of cycling female rats injected simultaneously with both orexin receptor blocking drugs, SB-334867-A plus JNJ-10397049, at 1400 and 1900 of proestrus, the blocking effect was more efficacious since four of nine rats did not ovulate at all (44%, P < 0.005), and the remaining five rats only ovulated 3.78 ± 1.31 ova/rat (P < 0.001). In this group, FSH and LH were reduced at all studied times (Table 2). A clear reduction in food intake was observed during the day (measured between 1400 and 1900) and at night (Table 3).
In Cetrorelix- and Nembutal-treated rats, used as controls of ovulation inhibition, ovulation was totally blocked, as expected, and serum FSH, LH, and PRL were significantly reduced (Table 2).
Anatomic examination of ovaries revealed profound differences among groups. In situ bloody ovaries were observed after laparotomy, mainly in rats injected with SB-334867-A (Fig. 4). This observation was confirmed by histology, where great abundance of red blood cells can be observed [Fig. 5, top (A–D) and bottom (E–H)]. Rats pretreated with SB-334867-A and/or JNJ-10397049 showed more preovulatory follicles and less corpora lutea than controls (Fig. 6).
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| DISCUSSION |
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Both orexinergic receptors vary along the estrous cycle, with a very marked increased observed in the evening of proestrus (OX1 expression increases 3-fold, while OX2 increases 4-fold). The fact that the increase of both orexin receptors' expression occurred exclusively during the late afternoon and night of proestrus strongly suggests that ovulation is related to this particular hormonal status and probably not related to the sleep-wake cycle or food intake.
To evaluate whether changes in the pituitary control of the gonad modified the expression of orexinergic receptors in the ovary, two of our models were used in proestrous animals (53). As expected, Cetrorelix and Nembutal blocked gonadotropin peaks; and, in addition, they reduced the expression of both receptors OX1 and OX2 in the ovary. The fact that the increase in the expression of OX1 and OX2 was blunted in the ovary in proestrous animals injected with either agent suggests an important role for gonadotropins as regulators of this expression. In effect, in both models in which the action of the FSH and LH was impaired by different mechanisms, i.e., either GnRH was not properly released as in Nembutal-treated animals, or the effect of GnRH at the GnRH receptor was prevented by Cetrorelix, the proestrous ovarian OX1 and OX2 increases were completely abolished. Nevertheless, the participation of other hormones, such as, e.g., PRL or progesterone, in the regulation of ovarian orexin receptor expression cannot be disregarded, as their preovulatory increases were also abolished by Nembutal or Cetrorelix administration in our models (53).
Interestingly enough, no PPO mRNA expression was observed in the ovary, in agreement with data described by Jöhren et al. (26) in pooled ovaries, even when now analyzed throughout all the estrous cycle. Several hypotheses can be formulated to explain the presence of both receptors in the ovary in the absence of PPO; for example, the orexinergic peptide may originate elsewhere or the receptors may be activated by other molecules present in the gonad. The possibility that orexins may originate from outside the ovary and arrive by circulation is in line with the fact that immunoreactive orexin A has been described in human and rat plasma (2, 36). In this regard, PPO has been shown to be localized in discrete neurons in the lateral, perifornical, and dorsomedial hypothalamus (45). In addition, orexin immunoreactivity was reported in the rat median eminence and pituitary (13).
Furthermore, fluctuations of both orexins in hypothalamus during the estrous cycle were reported (49). Hypothalamic orexin A and B concentrations were reported to be higher in proestrus than in diestrus in young cycling animals (46), and the greatest orexin A release from hypothalamus was suggested to occur on proestrus (46, 49). The possibility that orexins via general circulation reach the ovary and, alone or in combination with gonadotropins or other factors, may regulate OX1 and OX2 expression is an interesting hypothesis that should be the matter of further research.
Our next objective was to determine whether orexinergic blocking drugs modified serum gonadotropins, the expression of both receptors in the gonad and, as an end point, the occurrence of ovulation. Blocking OX1 and/or OX2 signaling inhibited gonadotropin secretion with particular effects for either agent. A single dose of SB-334867-A administered at 1400 reduced FSH release, without affecting LH, both measured at 1900 of proestrus; in contrast, a single dose of JNJ-10397049 at 1400 significantly diminished LH levels without modifying FSH. Evidently a single dose of one compound was not enough to drastically reduce both hormones. However, the combined effects of both agents decreased FSH and LH at 1900, suggesting that both receptors are involved in the control of gonadotropin release and pointing to a participation of the hypothalamic orexinergic system in facilitating proestrous gonadotropin surges.
The lack of effect of both orexinergic antagonists on plasma PRL was an interesting finding that contrasts with the well-known blocking effect of Cetrorelix and Nembutal on the preovulatory peaks of the three hormones (53) and suggests that actions of SB-334867-A and JNJ-10397049 are more restricted to the GnRH-gonadotropin axis.
It is interesting to mention that a second injection of either blocking agent, SB-334867-A or JNJ-10397049, at 1900 of proestrus significantly reduced serum FSH in the morning of estrus. This second FSH peak has been reported to be independent of GnRH and due to a decrease in the secretion of ovarian inhibin, a well-known gonadal peptide able to inhibit FSH (11). In the present case, a drug-induced significant decrease in ovulation was observed (see below) that probably left preovulatory follicles secreting inhibin, reducing FSH levels in consequence.
These results using the new OX1 and OX2 blocking agents clarify previous results analyzing the effects of the orexinergic system on gonadotropin secretion. Some works explored the actions of orexins on GnRH and gonadotropin secretions in rodents. GnRH neurons express OX1 receptor immunoreactivity and receive contacts from orexinergic axons (8). In vivo, intracerebroventricular injection of orexin A or orexin B rapidly stimulated LH secretion in a dose- and time-related fashion in estradiol benzoate- and progesterone-pretreated ovariectomized rats but inhibited LH release in unprimed rats, suggesting a modulation by estrogen of the response of the gonadotropins to orexins (18, 23, 47). Furthermore, orexins injected into the third ventricle suppressed LH pulsatile secretion in ovariectomized rats (57) and an anti-orexin A antiserum suppressed preovulatory LH and PRL surges in the rat (32). In vitro, orexin A stimulated the release of GnRH in hypothalamic explants harvested from male rats and from females at proestrus, with no effect at estrus or metestrus; furthermore, orexin A inhibited GnRH-stimulated LH release in dispersed pituitaries from proestrous females (49). Orexin A also induces GnRH gene expression and secretion from GT1–7 neurons (51). In addition, a stimulatory effect of orexin A on LH release may involve direct actions on GnRH neurons (54). In sheep hypothalamus, immunohistochemistry indicated that orexin-containing neurons provide direct input to GnRH neurons (22). In humans, pulsatile LH release is diminished in orexin-deficient narcoleptic men (33). Therefore, our results blocking the orexin receptors in the afternoon of proestrus, together with all the previous data, clearly demonstrate the participation of the orexinergic system in the control of gonadotropin proestrous release. On the other hand, the reverse effect, i.e., the effects of the hormonal milieu on the orexinergic system, has also been studied, and changes in the orexinergic system have been associated with the estrous cycle, pregnancy, and lactation (5, 7, 19, 27, 46, 60). Recently, we described the effect of the proestrous environment on the expression of PPO and orexin receptors and in rat hypothalamus and pituitary (53).
Blocking orexin receptors early on proestrous afternoon had dramatic effects in the ovary. A significant decrease in the expected late proestrus increase of ovarian OX1 and OX2 expression was observed. Ovulation was markedly affected by these treatments: SB-334867-A administration induced a 25% reduction while the combination of both drugs induced a 44% reduction. In addition, treatments with either drug significantly decreased the number of ova released by the ovary, with the combined treatment being the most effective one. Furthermore, rats pretreated with SB-334867-A or JNJ-10397049 showed more preovulatory follicles and less corpora lutea than controls, in agreement with the decrease in the number of ova in the oviduct, pointing to an impediment in the ovulation process. Whether these effects respond to blockage of local receptors (direct effect) or whether they are due to inhibition of pituitary gonadotropins and/or hypothalamic orexins release (indirect effects), or a combination of both mechanisms, remains to be established.
Macro- and microexamination of ovaries on the morning of estrus revealed bloody ovaries, mainly in rats injected with SB-334867-A or a combination of both antagonists. This observation was confirmed by histology where the presence of large amounts of red blood cells could be observed. The effects of the OX1 antagonist on the ovary were striking, possibly involving an effect on blood vessels. The link between orexins and the control of circulation has been suggested mostly at central levels, interacting with the autonomic system (9, 52) and affecting some local circuits as in the skeletal muscle (63), kidney (58), and brown adipose tissue (61), but the mechanism of action of this antagonist on ovarian rat vasculature and whether these erythrocytes are inside or outside the vasculature should be the matter of further research.
This surprising effect of SB-334867-A and the fact that 25% of rats treated with this drug did not ovulate at all may be indicative of different activities of each compound. Orexin A is a more selective ligand for OX1 while OX2 binds both orexins A and B. Both receptor genes are widely expressed within the rat brain, but with some differences in distribution, and differential roles for OX1 and OX2 receptors have been suggested (1, 10, 59). Differential distribution of orexin A and orexin B immunoreactivity in the rat CNS has been described (12). Also, orexin A and B may be differentially released or cleared, as demonstrated in hypothalami of lactating rats (7), and orexin A but not orexin B rapidly enters brain from blood (31). Another aspect to take into consideration regarding the differential effects of both orexin receptor antagonists would be the specificity of the compounds. The OX2 antagonist JNJ-10397049 has in vitro
600-fold selectivity for OX2 over OX1 (37); to our knowledge this is the first in vivo study published using JNJ-10397049. Although data seem to suggest that the effect on ovarian vessels is not OX2 dependent and is either the result of OX1 modulation by SB-334867-A or a consequence of the specificity of SB-334867-A, new studies remain to be done to indicate whether the differences observed between these new compounds depend on the pharmacology of them or to a differential function for each orexin and for each receptor in the ovary.
The feeding data clearly indicate no relationship between food intake and ovarian orexinergic receptors expression. The fact that food consumption was significantly lower in estrus than diestrus 2 is in agreement with previous results in several species, indicating lower intake around the time of ovulation (6, 16). Interestingly, SB-334867-A significantly reduced feeding during the day and night, while JNJ-10397049 significantly reduced feeding during the day, and night feeding was not significantly different from controls, suggesting the lack of feeding rebound; the combination of both drugs appeared to be significantly more efficacious than either given alone.
In summary, here we demonstrate for the first time the presence of both OX1 and OX2 mRNA in the ovary, their increased expression during the proestrous afternoon, and the dependence of this expression on the gonadotropins' peaks. Furthermore, two new synthetic compounds, SB-334867-A and JNJ-10397049, that selectively block OX1 or OX2, respectively, were tested. Both decreased gonadotropin release and ovulation, with profound macro- and microanatomic changes in the gonad.
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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