2012-02-20 Nano Saliva

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    SALIVASALIVA

    NANOTECHNOLOGYNANOTECHNOLOGY

    Retty RatnawatiRetty Ratnawati

    Physiology Lab.Physiology Lab.

    Faculty of MedicineFaculty of Medicine

    Brawijaya UniversityBrawijaya University

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    ChemicalChemical

    composition andcomposition and

    functions of salivafunctions of saliva

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    33Retty Ratnawati 2009Retty Ratnawati 2009

    Chronology of definingrono ogy o e n ng

    salivary comonents andsalivary comonents and

    functionsfunctionsBeginning in !"#$%sBeginning in !"#$%s whole salivawhole salivaevaluatedevaluated&antimicrobial roerties' role in microbial&antimicrobial roerties' role in microbial

    attachment' minerali(ation' taste' lubrication)attachment' minerali(ation' taste' lubrication)

    *ecretions of*ecretions of major glands

    major glands&arotid and&arotid and

    submandibular+sublingual)submandibular+sublingual)

    ,n !"-$%s,n !"-$%s individual comonentsindividual co

    monentsisolated andisolated and

    biochemically characteri(edbiochemically characteri(ed,n mid!"/$%s beginning to ma,n mid!"/$%s beginning to ma functionalfunctional

    domainsdomains&etide synthesis and recombinant&etide synthesis and recombinant

    aroaches)aroaches)

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    44Retty Ratnawati 2009Retty Ratnawati 2009

    Major salivary comonentsMajor salivary comonents

    Mucin 1 (MG1)Mucin 1 (MG1)

    sIgAsIgAMucin 2 (MG2)Mucin 2 (MG2)

    LactoferrinLactoferrin

    PeroxidasesPeroxidases

    AmylasesAmylasesCarbonic anhydrasesCarbonic anhydrases

    Prolinerich !roteinsProlinerich !roteinsLyso"ymeLyso"yme

    #tatherins#tatherins$istatins$istatins

    11 1010 100100 10001000 1000010000

    Size (kDa)Size (kDa)

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    Current concets regardingCurrent concets regarding

    the functional features ofthe functional features ofsalivary macromoleculessalivary macromolecules

    Recent structure+function studies haveRecent structure+function studies have

    identifiedidentified general rinciles

    general rincilesregardingregarding

    functionfunction

    Based onBased on in vitroin vitrostudies of urifiedstudies of urified

    moleculesmolecules0dditional studies re1uired to evaluate

    0dditional studies re1uired to evaluate

    concetsconcets in situin situ

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    66Retty Ratnawati 2009Retty Ratnawati 2009

    Conformational re1uirementsConformational re1uirements

    Conformation or shae of aConformation or shae of amolecule ismolecule is criticalcriticalfor itsfor itsbiological functionbiological function

    23amles23amles Prolinerich roteins interact withProlinerich roteins interact withA.A.

    viscosusviscosus andand St. gordoniiSt. gordonii only whenonly whenadsorbedadsorbedonto minerali(ed surfaceonto minerali(ed surface

    *tatherins and histatins re1uire*tatherins and histatins re1uire helicalhelicalconformationconformation

    4uman salivary amylase re1uire #4uman salivary amylase re1uire #interchaininterchain disulfide bondsdisulfide bonds

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    MultifunctionalityMultifunctionality

    SalivarySalivary

    FamiliesFamilies

    Anti-Anti-

    BacterialBacterialBufferingBuffering

    DigestionDigestion

    MineralMineral

    i"ationi"ation

    LubricatLubricat

    ion %&iscoion %&isco

    elasticityelasticity

    'issue'issue

    CoatingCoating

    Anti-Anti-

    FungalFungal

    Anti-Anti-

    ViralViral

    Carbonic anhydrases,Carbonic anhydrases,

    HistatinsHistatins

    Amylases,Amylases,

    Mucins, LipaseMucins, Lipase

    Cystatins,Cystatins,

    Histatins, Proline-Histatins, Proline-rich proteins,rich proteins,

    StatherinsStatherins

    Mucins, StatherinsMucins, Statherins

    Amylases,Amylases,

    Cystatins, Mucins,Cystatins, Mucins,

    Proline-rich proteins, StatherinsProline-rich proteins, Statherins

    HistatinsHistatins

    Cystatins,Cystatins,

    MucinsMucins

    Amylases, Cystatins,Amylases, Cystatins,

    Histatins, Mucins,Histatins, Mucins,PeroxidasesPeroxidases

    adapted from M.J. Levine, 1993adapted from M.J. Levine, 1993

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    88Retty Ratnawati 2009Retty Ratnawati 2009

    RedundancyRedundancy

    Saliva has built-inSaliva has built-in redundancyredundancyin regard to itsin regard to itsprotective unctions!protective unctions!

    "#a$ple - %any salivary $olecules can inhibit"#a$ple - %any salivary $olecules can inhibit

    the precipitation o calciu$ phosphate salts!the precipitation o calciu$ phosphate salts! strong inhibitors such as statherin and acidicstrong inhibitors such as statherin and acidic

    proline-rich proteinsproline-rich proteins

    $oderate inhibitors such as histatins and cystatins$oderate inhibitors such as histatins and cystatins

    wea& inhibitors such as $ucins and a$ylasewea& inhibitors such as $ucins and a$ylase

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    99Retty Ratnawati 2009Retty Ratnawati 2009

    0mhifunctionality0mhifunctionality

    0 molecule may have both rotective and detrimental roerties 0 molecule may have both rotective and detrimental roerties

    55doubleedged sworddoubleedged sword6.6.

    May deend on molecule%sMay deend on molecule%s locationlocationor site of actionor site of action

    0mylases0mylases

    ,n solution' they facilitate clearance of viridans stretococci,n solution' they facilitate clearance of viridans stretococci

    0dsorbed to tooth surface' they can romote adherence of0dsorbed to tooth surface' they can romote adherence ofthese bacteria and digest starch to dietary maltose andthese bacteria and digest starch to dietary maltose and

    roduction of acidroduction of acid

    *tatherin and acidic rolinerich roteins*tatherin and acidic rolinerich roteins

    0t enamel surface' they lay an imortant role in minerali(ation0t enamel surface' they lay an imortant role in minerali(ation

    by inhibiting the formation of rimary and secondary calciumby inhibiting the formation of rimary and secondary calciumhoshate salts. 7hen adsorbed to the enamel surface' theyhoshate salts. 7hen adsorbed to the enamel surface' they

    romote attachment of cariogenic microorganisms.romote attachment of cariogenic microorganisms.

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    '0'0Retty Ratnawati 2009Retty Ratnawati 2009

    Comle3ingComle3ing

    Functional relationshis e3ist between differentFunctional relationshis e3ist between different

    molecules in salivamolecules in saliva

    8wo tyes of comle3ing &covalent and noncovalent)8wo tyes of comle3ing &covalent and noncovalent)

    homotyic &between similar molecules)homotyic &between similar molecules) heterotyic &between different molecules)heterotyic &between different molecules)

    23amle9 Mucins23amle9 Mucins

    homotyic comle3es necessary for lubrication andhomotyic comle3es necessary for lubrication and

    viscoelastic roertiesviscoelastic roerties heterotyic comle3es with s,g0' lyso(yme andheterotyic comle3es with s,g0' lyso(yme and

    cystatins concentrate these antimicrobials at tissuecystatins concentrate these antimicrobials at tissue

    interfacesinterfaces

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    ''''Retty Ratnawati 2009Retty Ratnawati 2009

    *alivary Protein Functions*alivary Protein Functions

    Oral function Problem Protein function

    Acts as an airway Air-born organisms Dehydration

    Anti-bacterialsystems

    Water-retainingglycoproteins

    Speech Need for lubrication Lubrication system

    Taste -- Gustin

    Entry-point for foodmastication,swallowing

    Food-bornorganisms

    Soft and hard tissueabrasion

    Food toxins

    Anti-bacterialsystems

    Lubrication;mucins, statherin

    Toxin-neutralization

    Oral function Problem Protein function

    Acts as an airway Air-born organisms Dehydration

    Anti-bacterialsystems

    Water-retainingglycoproteins

    Speech Need for lubrication Lubrication system

    Taste -- Gustin

    Entry-point for foodmastication,swallowing

    Food-bornorganisms

    Soft and hard tissueabrasion

    Food toxins

    Anti-bacterialsystems

    Lubrication;mucins, statherin

    Toxin-neutralization

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    '2'2Retty Ratnawati 2009Retty Ratnawati 2009

    *alivary Protein Functions*alivary Protein Functions

    &cont%d)&cont%d)

    Oral function Problem Protein function

    Control of in-digenous & in-

    vading bacteria,fungi and viruses

    Colonization &infection

    Controllingpathogens andcommensals

    Adhesion of bac-teria versus their

    detection

    Anti-bacterialsystems

    Immunoglobu-lins, histatins,glycoproteins,lysozyme, sia-loperoxidase,

    lactoferrin Adhesion-modulating pro-teins

    Oral function Problem Protein function

    Control of in-digenous & in-

    vading bacteria,fungi and viruses

    Colonization &infection

    Controllingpathogens andcommensals

    Adhesion of bac-teria versus their

    detection

    Anti-bacterialsystems

    Immunoglobu-lins, histatins,glycoproteins,lysozyme, sia-loperoxidase,

    lactoferrin Adhesion-modulating pro-teins

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    '3'3Retty Ratnawati 2009Retty Ratnawati 2009

    *alivary Protein Functions*alivary Protein Functions

    &cont%d)&cont%d)

    Oral function Problem Protein function

    Digestion __ Starch & fathydrolysis:

    amylase andlingual lipase Protection &

    repair of softtissues

    Toxins,carcinogens,degradative

    proteases

    Mucin-richprotectivebarrier film

    Proteaseinhibitors,cystatins, tissuegrowth factors

    Oral function Problem Protein function

    Digestion __ Starch & fathydrolysis:amylase andlingual lipase

    Protection &repair of softtissues

    Toxins,carcinogens,degradative

    proteases

    Mucin-richprotectivebarrier film

    Proteaseinhibitors,cystatins, tissuegrowth factors

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    '4'4Retty Ratnawati 2009Retty Ratnawati 2009

    *alivary Protein Functions*alivary Protein Functions

    &cont%d)&cont%d)Oral function Problem Protein function

    Protection & re-pair of hard tis-sues

    Enamel mineralis potentiallysoluble; acid-

    damagedenamel requiresremineralization

    Biologicallycontrolled pro-tective & re-

    pairative inor-ganic environ-ment, stabilizedby statherin,acidic proline-

    rich and pellicleproteins Pellicle forma-

    tion__ __

    Plaque acid

    formation

    Plaque pH con-

    trol

    Basic amino

    acids & peptides

    Oral function Problem Protein function

    Protection & re-pair of hard tis-sues

    Enamel mineralis potentiallysoluble; acid-

    damagedenamel requiresremineralization

    Biologicallycontrolled pro-tective & re-

    pairative inor-ganic environ-ment, stabilizedby statherin,acidic proline-

    rich and pellicleproteins Pellicle forma-

    tion__ __

    Plaque acid

    formation

    Plaque pH con-

    trol

    Basic amino

    acids & peptides

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    '5'5Retty Ratnawati 2009Retty Ratnawati 2009

    MucinsMucins

    (ac& precise olded structure o globular proteins(ac& precise olded structure o globular proteins

    )sy$$etrical $olecules with open* rando$ly)sy$$etrical $olecules with open* rando$ly

    organi+ed structureorgani+ed structure

    ,olypeptide bac&bone apo$ucin. with /1 side-,olypeptide bac&bone apo$ucin. with /1 side-

    chainschainsSide-chains $ay end in negatively charged groups*Side-chains $ay end in negatively charged groups*

    such as sialic acid and bound sulatesuch as sialic acid and bound sulate

    ydrophillic* entraining water resists dehydration.ydrophillic* entraining water resists dehydration.

    niue rheological properties e!g!* high elasticity*niue rheological properties e!g!* high elasticity*adhesiveness* and low solubility.adhesiveness* and low solubility.

    wo $aor $ucins %' and %2.wo $aor $ucins %' and %2.

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    '6'6Retty Ratnawati 2009Retty Ratnawati 2009

    Mucin FunctionsMucin Functions

    issue /oatingissue /oating ,rotective coating about hard and sot tissues,rotective coating about hard and sot tissues

    ,ri$ary role in or$ation o acuired pellicle,ri$ary role in or$ation o acuired pellicle

    /oncentrates anti-$icrobial $olecules at $ucosal/oncentrates anti-$icrobial $olecules at $ucosal

    interaceinterace

    (ubrication(ubrication )lign the$selves with direction o low)lign the$selves with direction o low

    characteristic o asy$$etric $olecules.characteristic o asy$$etric $olecules. 7ncreases lubricating ualities il$ strength.7ncreases lubricating ualities il$ strength.

    il$ strength deter$ines how eectively opposedil$ strength deter$ines how eectively opposed

    $oving suraces are &ept apart$oving suraces are &ept apart

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    ''Retty Ratnawati 2009Retty Ratnawati 2009

    %ucin unctions cont:d.%ucin unctions cont:d.

    )ggregation o bacterial cells)ggregation o bacterial cells ;acterial adhere to $ucins $ay result in surace;acterial adhere to $ucins $ay result in surace

    attach$ent* orattach$ent* or

    %ucin-coated bacteria $ay be unable to attach to%ucin-coated bacteria $ay be unable to attach to

    suracesurace

    ;acterial adhesion;acterial adhesion

    %ucin oligosaccharides $i$ic those on $ucosal cell%ucin oligosaccharides $i$ic those on $ucosal cellsuracesurace

    React with bacterial adhesins* thereby bloc&ing the$React with bacterial adhesins* thereby bloc&ing the$

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    '8'8Retty Ratnawati 2009Retty Ratnawati 2009

    )$ylases)$ylases

    Calcium metalloen(ymeCalcium metalloen(yme4ydroly(es4ydroly(es &!:) bonds of starches such as&!:) bonds of starches such as

    amylose and amyloectinamylose and amyloectin

    *everal salivary isoen(ymes*everal salivary isoen(ymes

    Maltose is the major endroduct &;$< is glucose)Maltose is the major endroduct &;$< is glucose)550ears6 to have digestive function0ears6 to have digestive function

    7hy is it also resent in tears' serum' bronchial'7hy is it also resent in tears' serum' bronchial'

    and male and female urogenital secretions=and male and female urogenital secretions=

    0 role in modulating bacterial adherence=0 role in modulating bacterial adherence=

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    '9'9Retty Ratnawati 2009Retty Ratnawati 2009

    (ingual (ipase(ingual (ipase

    Secreted by von "bner:s glands o tongueSecreted by von "bner:s glands o tongue

    7nvolved in irst phase o at digestion7nvolved in irst phase o at digestion

    ydroly+es $ediu$- to long-chain triglyceridesydroly+es $ediu$- to long-chain triglycerides7$portant in digestion o $il& at in new-born7$portant in digestion o $il& at in new-born

    nli&e other $a$$alian lipases* it is highlynli&e other $a$$alian lipases* it is highly

    hydrophobic and readily enters at globuleshydrophobic and readily enters at globules

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    *tatherins*tatherins

    Calcium hoshate salts of dental enamel areCalcium hoshate salts of dental enamel aresoluble under tyical conditions of 4 andsoluble under tyical conditions of 4 and

    ionic strengthionic strength

    *uersaturation of calcium hoshates*uersaturation of calcium hoshates

    maintain enamel integritymaintain enamel integrity

    *tatherins revent reciitation or*tatherins revent reciitation or

    crystalli(ation of suersaturated calciumcrystalli(ation of suersaturated calcium

    hoshate in ductal saliva and oral fluidhoshate in ductal saliva and oral fluidProduced by acinar cells in salivary glandsProduced by acinar cells in salivary glands

    0lso an effective lubricant0lso an effective lubricant

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    2'2'Retty Ratnawati 2009Retty Ratnawati 2009

    Prolinerich Proteins &PRPs)Prolinerich Proteins &PRPs)

    Li>e statherin' PRPs are also highlyLi>e statherin' PRPs are also highly

    asymmetricalasymmetrical

    ,nhibitors of calcium hoshate crystal,nhibitors of calcium hoshate crystalgrowthgrowth

    ,nhibition due to first ?$ residues of,nhibition due to first ?$ residues of

    negativelycharged aminoterminal endnegativelycharged aminoterminal endPresent in the initially formed enamelPresent in the initially formed enamel

    ellicle and in 5mature6 elliclesellicle and in 5mature6 ellicles

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    2222Retty Ratnawati 2009Retty Ratnawati 2009

    Role of PRPsRole of PRPs

    in enamel ellicle formationin enamel ellicle formation

    0c1uired enamel ellicle is $.!!.$ @m thic> layer0c1uired enamel ellicle is $.!!.$ @m thic> layer

    of macromolecular material on the dentalof macromolecular material on the dental

    mineral surfacemineral surface

    Pellicle is formed by selective adsortion ofPellicle is formed by selective adsortion of

    hydro3yaatitereactive salivary roteins' serumhydro3yaatitereactive salivary roteins' serum

    roteins and microbial roducts such asroteins and microbial roducts such as

    glucans and glucosyltransferaseglucans and glucosyltransferasePellicle acts as a diffusion barrier' slowing bothPellicle acts as a diffusion barrier' slowing both

    attac>s by bacterial acids and loss of dissolvedattac>s by bacterial acids and loss of dissolved

    calcium and hoshate ionscalcium and hoshate ions

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    2323Retty Ratnawati 2009Retty Ratnawati 2009

    Re$inerali+ation o ena$el andRe$inerali+ation o ena$el and

    calciu$ phosphate inhibitorscalciu$ phosphate inhibitors

    2arly caries are reaired desite resence of2arly caries are reaired desite resence of

    minerali(ation inhibitors in salivaminerali(ation inhibitors in saliva

    *ound surface layer of early carious lesion*ound surface layer of early carious lesion

    forms imermeable barrier to diffusion of highforms imermeable barrier to diffusion of high

    mol.wt. inhibitors.mol.wt. inhibitors.

    *till ermeable to calcium and hoshate ions*till ermeable to calcium and hoshate ions

    ,nhibitors may encourage minerali(ation by,nhibitors may encourage minerali(ation byreventing crystal growth on the surface ofreventing crystal growth on the surface of

    lesion by >eeing ores oenlesion by >eeing ores oen

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    Calculus formation andCalculus formation and

    calcium hoshate inhibitorscalcium hoshate inhibitors

    Calculus forms in la1ue desite inhibitoryCalculus forms in la1ue desite inhibitory

    action of statherin and PRPs in salivaaction of statherin and PRPs in saliva

    May be due to failure to diffuse intoMay be due to failure to diffuse intocalcifying la1uecalcifying la1ue

    Proteolytic en(ymes of oral bacteria or lysedProteolytic en(ymes of oral bacteria or lysed

    leu>ocytes may destroy inhibitory roteinsleu>ocytes may destroy inhibitory roteins

    Pla1ue bacteria may roduce their ownPla1ue bacteria may roduce their own

    inhibitorsinhibitors

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    Calcium hoshate reciitationCalcium hoshate reciitation

    inhibitors and la1ueinhibitors and la1ue

    *tatherin and PRPs might be e3ected to occur*tatherin and PRPs might be e3ected to occur

    in la1ue' have not been detectedin la1ue' have not been detected

    Pla1ue bacteria roduce calcium hoshatePla1ue bacteria roduce calcium hoshate

    inhibitorsinhibitors

    Might be necessary to revent calcification ofMight be necessary to revent calcification of

    bacteria haens with dead cellsbacteria haens with dead cells

    ,mmobili(ed crystal growth inhibitors can,mmobili(ed crystal growth inhibitors canfunction as nucleators of crystal growthfunction as nucleators of crystal growth

    ,mmobili(ation may occur in la1ue',mmobili(ation may occur in la1ue'

    encouraging calculus formationencouraging calculus formation

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    ,nteraction of oral bacteria with,nteraction of oral bacteria with

    PRPs and other ellicle roteinsPRPs and other ellicle roteins

    *everal*everalsalivary roteins aear to be involved insalivary roteins aear to be involved in

    reventing or romoting bacterial adhesion to oral softreventing or romoting bacterial adhesion to oral soft

    and hard tissuesand hard tissues

    PRPs are strongPRPs are strong romotersromotersof bacterial adhesionof bacterial adhesion

    0mino terminal9 control calcium hoshate chemistry0mino terminal9 control calcium hoshate chemistry

    Carbo3y terminal9 interaction with oral bacteriaCarbo3y terminal9 interaction with oral bacteria

    ,nteractions are highly,nteractions are highly secificsecific

    Aeends on rolineglutamine carbo3yterminalAeends on rolineglutamine carbo3yterminaldietidedietide

    PRPs in solution do not inhibit adhesion of bacteriaPRPs in solution do not inhibit adhesion of bacteria

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    hese anti-$icrobial proteinshese anti-$icrobial proteins

    Secretory 7$$unoglobulinsSecretory 7$$unoglobulins

    (actoerrin(actoerrin

    (yso+y$e(yso+y$eSialopero#idaseSialopero#idase

    /ystatins/ystatins

    istatinsistatins

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    /linical ighlights/linical ighlights

    nderstanding o salivary $echanis$s atnderstanding o salivary $echanis$s at

    unda$ental level a prereuisite orunda$ental level a prereuisite or eective treat$ent o salivary glandeective treat$ent o salivary gland

    dysunctionsdysunctions $odulation o bacterial coloni+ation$odulation o bacterial coloni+ation

    develop$ent o artiicial saliva other

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    (aurent Seugnet et al* 2006(aurent Seugnet et al* 2006

    ,dentification of biomar>er for,dentification of biomar>er for

    slee drive in flies and humanslee drive in flies and human

    $R>)-)$ylase $ening&at pada &eadaan aga$R>)-)$ylase $ening&at pada &eadaan aga

    $ening&atnya sleep-debt. pada lalat$ening&atnya sleep-debt. pada lalat

    ?rosophila $icroarray studies.* identi& dg salah?rosophila $icroarray studies.* identi& dg salah

    satu $R>) species dari 3000 sp. di salivasatu $R>) species dari 3000 sp. di saliva$anusia$anusia

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