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Deep Profiling of Mouse Splenic Architecture with CODEX Multiplexed Imaging
Open accessPublished version of a preprint
Abstract
A highly multiplexed cytometric imaging approach, termed co-detection by indexing (CODEX), is used here to create multiplexed datasets of normal and lupus (MRL/lpr) murine spleens. CODEX iteratively visualizes antibody binding events using DNA barcodes, fluorescent dNTP analogs, and an in situ polymerization-based indexing procedure. An algorithmic pipeline for single-cell antigen quantification in tightly packed tissues was developed and used to overlay well-known morphological features with de novo characterization of lymphoid tissue architecture at a single-cell and cellular neighborhood levels. We observed an unexpected, profound impact of the cellular neighborhood on the expression of protein receptors on immune cells. By comparing normal murine spleen to spleens from animals with systemic autoimmune disease (MRL/lpr), extensive and previously uncharacterized splenic cell-interaction dynamics in the healthy versus diseased state was observed. The fidelity of multiplexed spatial cytometry demonstrated here allows for quantitative systemic characterization of tissue architecture in normal and clinically aberrant samples.
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![Figure S1 Benchmarking CODEX, Related to Figures 1 and 2 (A) Experimental scheme for mimicking the tissue with 30 distinct cell types. (B) Montage of a fragment of imaging field of the 15 cycles of CODEX used to render the mix of 30 barcoded spleens – first cycle top left last cycle bottom right. (C) Heatmap (cycles in columns, cells in rows) showing mean fluorescence per cell membrane for each cell per in each of the 15 CODEX cycles performed on cells of 30 barcoded spleens. Odd columns correspond to imaging after labeled base incorporation. Even columns correspond to imaging after inactivation of staining by TCEP. (D) Time-lapse profile of median intensity per cell membrane for individual cells marked by white arrows on (B). (E) Average intensity of CD45 antigen expression in “positive” (blue columns) and “negative” (red columns) cells in 15 CODEX cycles of the experiment. (Similar results were obtained for Cy3-positive populations – data not shown). Linear regression was performed to indicate trends in accumulation of background and signal decline associated with cycle number. (F) Table summarizing CODEX performance stats. Average signal to noise ratio was estimated from ratio of average signal of all positive cells across all cycles to the signal of all “negative” cells across all cycles. Efficiency of fluorophore removal was estimated from average ratio of ([signal after TCEP in cycle N]- [signal after TCEP in cycle (N-1)])/[signal in cycle N] for cells positive in cycle N across all cycles. Average expected signal deterioration was estimated using the trendline equation from (E). Average background accumulation was estimated by fitting linear trendline into the per cycle ratio of average background to average signal (not shown). (G) Image quantification approach used on CODEX data from (A): best focal planes of CODEX stacks were segmented by Cell Profiler. To account for local background the value corresponding to difference between the mean intensity value inside “cell membrane” object (left panel) and the mean intensity inside the external ring object (right panel) was chosen as a representation of the intensity of the antibody signal. In all other experiments custom (see STAR Methods) segmantation developed in this study was used. (H) Sample 500x500 px regions from two samples (BALBc-3 and MRL-4) showing hand-labeled cell centers (yellow crosshairs) and cell outlines detected by the segmentation algorithm (randomly colored). (I) Comparison between the hand-labeled cell identification and algorithm-based algorithm identification, expressed in 3 measures: %Nuclei found (how many of the hand-labeled nuclei centers ended up inside the segmented regions), % Singlets (how many of the cell regions with at least one hand-labeled nuclei center contained exactly one cell center) and %Unlabelled regions (how many segmented regions did not contain a hand-labeled cell center). (J) Summary statistics comparing the segmentation quality between BALBc and MRL/lpr samples. (K) Three step cleanup gating strategy based on 1) stain density (nuclear signal divided by cell size) and profile homogeneity (relative variance of signal from cycle to cycle), 2) removing objects with high background by gating on the signal accrued in “blank”(no stain) cycles 3) constraining the cell size. (L) Percentage of artifactual double-positive cells in CODEX data from sample BALBc-2 (as seen in the upper right quadrant biaxial flow style plots of mutually exclusive lineage markers IgD and CD5) depending on gating and spill compensation.](/paper-figures/e6ec20b71e6b48e59f53159042b711b5/deep-profiling-of-mouse-splenic-architecture-with-codex-multiplexed-imaging-figure-3.jpg)








![Figure 5 Autoimmune Disease Drives Changes in Splenic Composition and Cell-to-Cell Interactions (A) Post-segmentation diagrams of all objects (cells) colored according to cell types (see color map in Figure 3F) for all normal and MRL/lpr tissue sections imaged in the study. Full-size diagrams are available for every tissue analyzed in this study are available online (see STAR Methods). (B) Stacked bar graphs show dynamics of cell counts across dataset for manually annotated Vortex clusters (cell types on the left) across progression from normal to afflicted spleen. Colored bar sections indicate fraction of the total cells as detected at a particular stage/samples (1–9 annotation on the top). Cell types were split into four types according to the dynamics of counts across dataset as represented by average relative (normalized to 1) count; see line graphs on the right; x axis corresponds to stage/sample id. (C) Two examples of change in cell-to-cell interaction frequency during disease progression between the B cells and dendritic cells in normal and early MRL/lpr spleen and between B220+ DN T cells and CD4 T cells during progression from early MRL/lpr to intermediate. (D) Co-distribution of odds ratio log fold [log(odds ratio in early MRL/lpr) – log(odds ratio in BALBc)] on x axis and change in counts of interactions for early MRL/lpr versus control (BALBc) comparisons (on y axis). (E) Co-distribution of cumulative cell-frequency change [celltype1 freq. change + celltype2 freq. change] on x axis and change in counts of interactions for early MRL/lpr versus control (BALBc) comparisons (on y axis). (F) Bar graph showing chi-square values across conditions computed for odds ratio and direct interaction counts. See also Video S2 and Figure S6.](/paper-figures/f7305dd846f84dafbc6abd6577f5b900/deep-profiling-of-mouse-splenic-architecture-with-codex-multiplexed-imaging-figure-5.jpg)



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“For example, multiplexed antibody-based imaging (mABI) technologies such as imaging mass cytometry (IMC) [31] and codetection by indexing (CODEX) [32] can detect 20–50 selected genes simultaneously in each cell at the protein level, which is a useful complement to transcript-based detection – especially given the potential for poor correlation of transcriptomic and proteomic data sets implicated”
From The heterogeneity of cellular senescence: insights at the single-cell level (2023) · cites this paper as [32]
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“Imaging-based methods, such as co-detection by indexing (CODEX) 44 and multiplexed ion beam imaging (MIBI) 45 , provide high spatial resolution and wide tissue coverage, yet they typically offer limited proteomic depth due to antibody multiplexing constraints.”
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“The most popular open source tools that can be used: ImageJ (Rueden et al., 2017), FIJI, HistoCAT (Schapiro et al., 2017), CODEX toolkit (Goltsev et al., 2018), KNIME (Dietz and Berthold, 2016), Ilastik (Berg et al., 2019), CellPro fi ler (Carpenter et al., 2006) and Cytokit (Czech et al., 2019).”
MethodAlignment, segmentation and neighborhood analysis in cyclic immunohistochemistry data using CASSATT
Brockman, A. A., Khurana, R., Bartkowiak, T., Thomas, P. L., Sivagnanam, S., Betts, C. B., Coussens, L. M., Lovly, C. M., Irish, J. M., & Ihrie, R. A. (2023) · Cytometry Part B Clinical Cytometry · doi:10.1002/cyto.b.22114 · Cited by 4
“Thus, a cell's voronoi neighbors are defined as the collection of cells that are the nearest seed point in the voronoi diagram in every direction from the index cell (Figure 5a,b; Goltsev et al., 2018).”
BackgroundMethodInfluentialSingle-Cell Spatial MIST for Versatile, Scalable Detection of Protein Markers
Meah, A., Vedarethinam, V., Bronstein, R. D., Gujarati, N. A., Jain, T., Mallipattu, S. K., Li, Y., & Wang, J. (2023) · Biosensors · doi:10.3390/bios13090852 · Cited by 5
Optical microscopic imaging, manipulation, and analysis methods for morphogenesis research
Katoh, T. A., Fukai, Y. T., & Ishibashi, T. (2023) · Microscopy · doi:10.1093/jmicro/dfad059 · Cited by 5
“Additionally, highly multiplexed immunostaining can now be achieved through multi-round acquisition [184].”
BackgroundRodríguez-Bejarano, O. H., Roa, L., Vargas-Hernández, G., Botero-Espinosa, L., Parra-López, C., & Patarroyo, M. A. (2023) · Biochimica et Biophysica Acta (BBA) - Reviews on Cancer · doi:10.1016/j.bbcan.2023.189064 · Cited by 4
Exploring the intricate cross-talk between clonal expansion and the bone marrow niche
Ngo, S. D., Papazoglou, D., Encabo, H. H., & Bonnet, D. A. (2024) · Frontiers in Hematology · doi:10.3389/frhem.2024.1334807 · Cited by 4
Ram, S., Mojtahedzadeh, S., Aguilar, J.-K., Coskran, T., Powell, E. L., & O’Neil, S. P. (2024) · Scientific Reports · doi:10.1038/s41598-024-58372-5 · Cited by 5
Metabolic nanoscopy enhanced by experimental and computational approaches
Jang, H., Wu, S., Li, Y., Li, Z., & Shi, L. (2024) · npj Imaging · doi:10.1038/s44303-024-00062-y · Cited by 5
Stromal KITL/SCF Maintains Pancreas Tissue Homeostasis and Restrains Tumor Progression
Oñate, M. K., Oon, C. H., Bhattacharyya, S., Low, V., Chen, C., Zhao, X., Arnold, F., Yan, Z., Pramod, S., Hang, Y., et al. (2025) · Cancer Discovery · doi:10.1158/2159-8290.cd-24-1079 · Cited by 4
“Based on our transcriptional profiling results, we compared tissue microenvironments in Rosa26 mTmG/ + ;Kitl flox/flox ;Fabp4-Cre mice compared with Rosa26 mTmG/ + ;Fabp4-Cre controls using co-detection by indexing (CODEX), a barcode-based, multiplexed imaging approach (34).”
Chou, M.-Y., & Yang, M. (2025) · Translational Oncology · doi:10.1016/j.tranon.2025.102353 · Cited by 4
“Spatial proteomics, achieved through techniques like imaging mass cytometry [166], multiplexed ion beam imaging [167], and CODEX [168], offers unprecedented resolution of TIME heterogeneity.”
CellTune: an integrative software for accurate cell classification in spatial proteomics
Bussi, Y., Shainshein, D., Eli, O., Posner, S., Azulay, N., Maimon, N., Haran, T. K., Ben-Uri, R., Brown, C., Schuldiner, N., et al. (2026) · Nature Methods · doi:10.1038/s41592-026-03162-2 · Cited by 5
“For example, cycling cells will be positive for Ki67 and apoptotic cells will express cleaved caspase 3.”
Casella, G., Torcasso, M. S., Ai, J., Cao, T., Hara, S., Andrade, M. S., Ghosh, D., Shao, D., Chang, A., Ko, K., et al. (2025) · Journal of Clinical Investigation · doi:10.1172/jci192669 · Cited by 4
“Briefly, the mean pixel intensities for 26 cardinal markers were organized into decision trees (DTs) for cell class annotation (47, 55) (Supplemental Figure 3).”
Highly Multiplexed, Quantitative Tissue Imaging at Cellular Resolution
McCarthy, M. E., & Birtwistle, M. R. (2019) · Current Pathobiology Reports · doi:10.1007/s40139-019-00203-8 · Cited by 4
Pugh, M., Akarka, A. U., Hunter, K. J., Dojcinov, S. D., & Marafioti, T. (2020) · Diagnostic histopathology · doi:10.1016/j.mpdhp.2020.07.002 · Cited by 4
Draper, M., Willems, M., Malahe, R. S. R. K., Hamilton, A., & Tarasov, A. I. (2021) · Journal of Imaging · doi:10.3390/jimaging7010009 · Cited by 4
“Deep phenotypical profiling of living cells, arranged into an intact tissue, is done via high-content microscopy [13,14], which also characterizes specific proteins expressed on the plasma membrane.”
BackgroundCell–cell communication networks in tissue: Toward quantitatively linking structure with function
Luthria, G., Lauffenburger, D. A., & Miller, M. A. (2021) · Current Opinion in Systems Biology · doi:10.1016/j.coisb.2021.05.002 · Cited by 4
Microscopic image-based covariation network analysis for actin scaffold-modified insulin signaling
Noguchi, Y., Kano, F., Maiya, N., Iwamoto, C., Yamasaki, S., Otsubo, Y., Nakatsu, D., Kunishige, R., & Murata, M. (2021) · iScience · doi:10.1016/j.isci.2021.102724 · Cited by 4
“, 2015, 2018), and modified DNA barcoding approaches (Goltsev et al., 2018; Schürch et al., 2020), are applicable for the data production process in our PLOMCON analysis system, illustrating both the flexibility of the system and the broad scope of its potential use.”
MethodIn situ functional cell phenotyping reveals microdomain networks in colorectal cancer recurrence
Furman, S. A., Stern, A. M., Uttam, S., Taylor, D. L., Pullara, F., & Chennubhotla, S. C. (2021) · Cell Reports Methods · doi:10.1016/j.crmeth.2021.100072 · Cited by 6
“, 2017) or performed in a batch before imaging (Goltsev et al., 2018).”
InfluentialThree-dimensional tumour microenvironment reconstruction and tumour-immune interactions' analysis
Barmpoutis, P., Kayhanian, H., Waddingham, W., Alexander, D. C., & Jansen, M. (2021) · International Conference on Digital Image Computing: Techniques and Applications (DICTA) · doi:10.1109/dicta52665.2021.9647283 · Cited by 4
Zhu, W., Cai, E., Li, H., Wang, P., Shen, A., Popp, J., & Hu, J. (2021) · Angewandte Chemie · doi:10.1002/ange.202106136 · Cited by 4
Reddy, R., Yang, L., Liu, J., Liu, Z., & Wang, J. (2022) · Analytical Chemistry · doi:10.1021/acs.analchem.1c04970 · Cited by 4
Su, T., Wang, S., Huang, S., Cai, H., McKinley, E. T., Beeghly-Fadiel, A. C., Zheng, W., Shu, X., & Cai, Q. (2022) · Cancer Biomarkers · doi:10.3233/cbm-220071 · Cited by 4
A flexible open-source processing workflow for multiplexed fluorescence imaging based on cycles
Potier, G., Doméné, A., & Paul‐Gilloteaux, P. (2022) · F1000Research · doi:10.12688/f1000research.124990.1 · Cited by 4
Immunotyping and Quantification of Melanoma Tumor–Infiltrating Lymphocytes
Meneveau, M. O., Sahli, Z. T., Lynch, K., Mauldin, I. S., & Slingluff, C. L. (2021) · Methods in molecular biology · doi:10.1007/978-1-0716-1205-7_36 · Cited by 4
Cereceda, K., Jorquera, R., & Villarroel‐Espíndola, F. (2021) · Advances in Laboratory Medicine / Avances en Medicina de Laboratorio · doi:10.1515/almed-2021-0075 · Cited by 4
Spatial and temporal tools for building a human cell atlas
Cool, J., Conroy, R., Hanlon, S. E., Hughes, S. K., & Roy, A. L. (2019) · Molecular Biology of the Cell · doi:10.1091/mbc.e18-10-0667 · Cited by 4
Ion beam subcellular tomographyPreprint
Coskun, A. F., Han, G., Chen, S.-Y., Clavé, X. R., Jiang, S., Schürch, C. M., Bai, Y., Hitzman, C., & Nolan, G. P. (2019) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/557728 · Cited by 4
“3,4 Multiplexed ion beam imaging (MIBI) can be employed to spatially visualize multiple (6-50) protein parameters in histology sections,5,6.”
BackgroundMultiplex tissue imaging: An introduction to the scope and challenges
Bellamy, C. O. C., & Prost, S. (2019) · American Journal of Transplantation · doi:10.1111/ajt.15767 · Cited by 4
Novel Human Kidney Cell Subsets Identified by Mux-SeqPreprint
Schroeder, A., Sur, S., Rashmi, P., Damm, I., Zarinsefat, A., Kretzler, M., Hodgin, J., Hartoularos, G. C., Sigdel, T. K., Ye, J. C., et al. (2020) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2020.03.02.973925 · Cited by 4
Divergent cancer etiologies drive distinct B cell signatures and tertiary lymphoid structuresPreprint
Ruffin, A. T., Cillo, A. R., Tabib, T., Liu, A., Onkar, S., Kunning, S. R., Lampenfeld, C., Abécassis, I., Qi, Z., Soose, R. J., et al. (2020) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2020.05.29.123265 · Cited by 4
Virus-Dependent Immune Conditioning of Tissue MicroenvironmentsPreprint
Jiang, S., Chan, C. N., Clavé, X. R., Chen, H. M., Bai, Y., Zhu, B., McCaffrey, E., Greenwald, N. F., Liu, C. C., Barlow, G. L., et al. (2021) · SSRN Electronic Journal · doi:10.2139/ssrn.3860320 · Cited by 4
Dhainaut, M., Rose, S. A., Aktürk, G., Wroblewska, A., Park, E. S., Nielsen, S. R., Buckup, M., Roudko, V., Pia, L., Bérichel, J. L., et al. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.07.13.451021 · Cited by 4
“As there are multiplex imaging techniques and instruments that can detect as many as 60 proteins on a single tissue section, much more extensive detection of cell types and cell states is possible (Goltsev et al., 2018; Jackson et al., 2020; Lin et al., 2018).”
BackgroundZhu, B., Bai, Y., Yeo, Y. Y., Lu, X., Clavé, X. R., Chen, H. M., Yeung, J., Gerber, G. K., Angelo, M., Shalek, A. K., et al. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.03.04.583400 · Cited by 4
Scalable Condition-relevant Cell Niche Analysis of Spatial Omics Data with TaichiPreprint
Cui, Y., & Yuan, Z. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.05.30.596656 · Cited by 4
Spatial proteomics with 100+ markers with Highly Multiplexed MALDI-IHCPreprint
Zhang, M., Abbey, J. A., Bost, P., Usui, G., Haefliger, S., Muenst, S. E., Lim, M. J., Yagnik, G. B., de Souza, N., Rothschild, K. J., et al. (2025) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2025.04.18.649415 · Cited by 4
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“Compared to other multiplexed imaging modalities like CODEX [34], which typically have three times higher resolution, this relatively low resolution along the Z-axis leads to more considerable shifts in cell shape between 2D cells belonging to the same 3D cell in adjacent slices (and thus requires…”
Single-cell spatial proteomics.
Liyanage, S. H., & Guo, J. (2025) · PubMed · doi:10.14670/hh-18-861 · Cited by 3
Spatial Single‐Cell Technologies for Exploring Gastrointestinal Tissue Transcriptome
Kang, H. M., & Lee, J. H. (2023) · Comprehensive physiology · doi:10.1002/cphy.c210053 · Cited by 5
“…and in situ imaging technique is specifically amenable for the multiplexed detection of proteins, which has been recently implemented through the Co-Detection by Indexing (CODEX) platform (33), iterative indirect immunofluorescence imaging (4i) platform (34, 83), or Nanostring CosMx platform (37).”
Olivas, A. D., Ngai, P., Schahrer, E., Xing, J., Ghadiri, M., Olortegui, K. S., Cursio, J., Akiyama, S., Chang, E. B., Shen, L., et al. (2025) · Cellular and Molecular Gastroenterology and Hepatology · doi:10.1016/j.jcmgh.2025.101563 · Cited by 3
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Roadmap for spatial transcriptomics of HIV in tissues
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Dynamic remodeling of the pancreas immune landscape in obesity
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Spatial multi-omics technologies and applications in cancer
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“These approaches, particularly when combined with complementary antibody-based platforms such as mass cytometry or CODEX imaging, may allow for more comprehensive profiling of PTM heterogeneity at the single-cell level[121].”
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Opportunities and Challenges in Precision Neurotherapeutics
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Multimodal DNA Nanostructure Barcodes for Single-Cell Protein Profiling and Tumor Subtyping
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Unraveling the tapestry: Lessons from multi-omics and spatial biology in hepatocellular cancer
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Multiplexed optical barcoding and sequencing for spatial omics
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Metadata
- Authors
- Goltsev, Y., Samusik, N., Kennedy-Darling, J., Bhate, S., Hale, M., Vazquez, G., Black, S., & Nolan, G. P.
- Affiliations
- Stanford Medicine (US)
- Corresponding author
- Nolan, Garry P.
- Venue
- Cell
- Publisher
- Elsevier BV
- Published
- 2018-08
- Volume
- 174
- Issue
- 4
- Pages
- 968-981.e15
- ISSN
- 0092-8674 (ISSN-L)
- PMC
- PMC6086938
- OpenAlex
- W2949238013
- Cited by
- 1,501
- References
- 20
- Citations by year
- 2026: 231 · 2025: 244 · 2024: 232 · 2023: 198 · 2022: 194 · 2021: 194 · 2020: 125 · 2019: 72 · 2018: 9
- FWCI
- 35.39
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Cell (publishedVersion, cc-by)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- US NIH (U19AI057229, 1U19AI100627, R01CA184968, 1R33CA183654-01, R33CA183692, 1R01GM10983601, 1R21CA183660, 1R01NS08953301, 5UH2AR067676, 1R01CA19665701, R01HL120724, R01HL128173)
- Bill and Melinda Gates foundation (OPP1113682)
- Department of Defense (W81XWH-14-1-0180)
- Northrop-Grumman Corporation (7500108142)
- NIH (U54-CA209971)
- Rachford & Carlotta A. Harris Endowed Chair
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Single-cell and spatial transcriptomics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biophysics › Cell Image Analysis Techniques
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biophysics › Advanced Fluorescence Microscopy Techniques
- Keywords
- codices, splenic architecture, MRL/lpr mice, systemic lupus erythematosus, cell-cell interactions, autoimmune disease
- MeSH terms
- Animals, Antibodies, Disease Models, Animal, Female, Image Processing, Computer-Assisted, Lupus Erythematosus, Systemic, Male, Mass Spectrometry, Spleen, Oligonucleotide Probes, Mice, Inbred MRL lpr, Mice
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