Angiotensin receptor blockers are superior to angiotensin-converting enzyme inhibitors in the suppression of hepatic fibrosis in a bile duct-ligated rat model

Background Angiotensin blockade such as with an angiotensin II receptor blocker (ARB) or angiotensinconverting enzyme inhibitor (ACEI) has antifibrotic properties. The aim of this study was to evaluate and compare the antifibrotic effect between ARBs and ACEIs. Methods Common bile duct-ligated (BDL)...

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Veröffentlicht in:Journal of gastroenterology 2008-11, Vol.43 (11), p.889-896
Hauptverfasser: Kim, Moon Young, Baik, Soon Koo, Park, Dong Hun, Jang, Yoon Ok, Suk, Ki Tae, Yea, Chang Jin, Lee, Il Young, Kim, Jae Woo, Kim, Hyun Soo, Kwon, Sang Ok, Cho, Mi Yun, Ko, Sang Baik, Chang, Sei Jin, Um, Soon Ho, Han, Kwang-Hyub
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container_end_page 896
container_issue 11
container_start_page 889
container_title Journal of gastroenterology
container_volume 43
creator Kim, Moon Young
Baik, Soon Koo
Park, Dong Hun
Jang, Yoon Ok
Suk, Ki Tae
Yea, Chang Jin
Lee, Il Young
Kim, Jae Woo
Kim, Hyun Soo
Kwon, Sang Ok
Cho, Mi Yun
Ko, Sang Baik
Chang, Sei Jin
Um, Soon Ho
Han, Kwang-Hyub
description Background Angiotensin blockade such as with an angiotensin II receptor blocker (ARB) or angiotensinconverting enzyme inhibitor (ACEI) has antifibrotic properties. The aim of this study was to evaluate and compare the antifibrotic effect between ARBs and ACEIs. Methods Common bile duct-ligated (BDL) adult Sprague-Dawley rats were allocated to five groups (each group, n = 8) as follows: G1, BDL without drug; G2, BDL + captopril 100 mg/kg per day; G3, BDL + ramipril 10 mg/kg per day; G4, BDL + losartan 10 mg/kg per day; G5, BDL + irbesartan 15 mg/kg per day. Four weeks post-BDL, hepatic fibrosis was analyzed histomorphologically using Batts and Ludwig scores. α-Smooth muscle actin (α-SMA) expression by immunohistochemical staining, hydroxyproline contents of liver tissue by spectrophotometry, and angiotensin receptor, collagen, procollagen, and transforming growth factor β (TGF-β) expressions were evaluated by real-time reverse transcriptase-polymerase chain reaction. Angiotensin receptor expression was also determined by Western blotting. Results Batts and Ludwig scores were 3.8, 2.6, 2.4, 1.8, and 1.6 in G1, G2, G3, G4, and G5, respectively. Histologically, ARB groups (G4, G5) showed significant suppression of hepatic fibrosis compared with ACEI groups or the control. Expressions of α-SMA (%) and the content of hydroxyproline (μg liver tissue) were significantly lower in ARB groups (G4, G5) than in ACEI groups (G2, G3) (P < 0.05). Also, ARB reduced the expression of angiotensin receptor, collagen, procollagen, and TGF-β1 compared with ACEI. Western blot analysis showed that the expression of angiotensin receptor was inhibited in both ARB and ACEI groups. Conclusions Both ARB and ACEI attenuate hepatic fibrosis through inhibiting hepatic stellate cell activation, and the inhibitory effect of ARBs on hepatic fibrosis is superior to that of ACEIs in the BDL rat model.
doi_str_mv 10.1007/s00535-008-2239-9
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The aim of this study was to evaluate and compare the antifibrotic effect between ARBs and ACEIs. Methods Common bile duct-ligated (BDL) adult Sprague-Dawley rats were allocated to five groups (each group, n = 8) as follows: G1, BDL without drug; G2, BDL + captopril 100 mg/kg per day; G3, BDL + ramipril 10 mg/kg per day; G4, BDL + losartan 10 mg/kg per day; G5, BDL + irbesartan 15 mg/kg per day. Four weeks post-BDL, hepatic fibrosis was analyzed histomorphologically using Batts and Ludwig scores. α-Smooth muscle actin (α-SMA) expression by immunohistochemical staining, hydroxyproline contents of liver tissue by spectrophotometry, and angiotensin receptor, collagen, procollagen, and transforming growth factor β (TGF-β) expressions were evaluated by real-time reverse transcriptase-polymerase chain reaction. Angiotensin receptor expression was also determined by Western blotting. Results Batts and Ludwig scores were 3.8, 2.6, 2.4, 1.8, and 1.6 in G1, G2, G3, G4, and G5, respectively. Histologically, ARB groups (G4, G5) showed significant suppression of hepatic fibrosis compared with ACEI groups or the control. Expressions of α-SMA (%) and the content of hydroxyproline (μg liver tissue) were significantly lower in ARB groups (G4, G5) than in ACEI groups (G2, G3) (P &lt; 0.05). Also, ARB reduced the expression of angiotensin receptor, collagen, procollagen, and TGF-β1 compared with ACEI. Western blot analysis showed that the expression of angiotensin receptor was inhibited in both ARB and ACEI groups. Conclusions Both ARB and ACEI attenuate hepatic fibrosis through inhibiting hepatic stellate cell activation, and the inhibitory effect of ARBs on hepatic fibrosis is superior to that of ACEIs in the BDL rat model.</description><identifier>ISSN: 0944-1174</identifier><identifier>EISSN: 1435-5922</identifier><identifier>DOI: 10.1007/s00535-008-2239-9</identifier><identifier>PMID: 19012043</identifier><language>eng</language><publisher>Japan: Japan : Springer Japan</publisher><subject>Abdominal Surgery ; angiotensin converting enzyme inhibitor ; angiotensin II receptor blocker ; Angiotensin II Type 1 Receptor Blockers - therapeutic use ; Angiotensin Receptor Antagonists ; Angiotensin-Converting Enzyme Inhibitors - therapeutic use ; Animals ; Biliary Tract ; Blotting, Western ; Colorectal Surgery ; Common Bile Duct - surgery ; Disease Progression ; Gastroenterology ; Gene Expression Regulation ; hepatic fibrosis ; hepatic stellate cell ; Hepatology ; Hydroxyproline - metabolism ; Immunohistochemistry ; Ligation ; Liver ; Liver Cirrhosis, Experimental - drug therapy ; Liver Cirrhosis, Experimental - enzymology ; Liver Cirrhosis, Experimental - pathology ; Male ; Medicine ; Medicine &amp; Public Health ; Pancreas ; Peptidyl-Dipeptidase A - biosynthesis ; Peptidyl-Dipeptidase A - drug effects ; Peptidyl-Dipeptidase A - genetics ; Rats ; Rats, Sprague-Dawley ; Receptors, Angiotensin - biosynthesis ; Receptors, Angiotensin - genetics ; Reverse Transcriptase Polymerase Chain Reaction ; RNA - genetics ; Spectrophotometry ; Surgical Oncology</subject><ispartof>Journal of gastroenterology, 2008-11, Vol.43 (11), p.889-896</ispartof><rights>Springer Japan 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c512t-7286e7f4936e56175f66da99cf634e186442520df31e89cf812fe21cc5ee9c773</citedby><cites>FETCH-LOGICAL-c512t-7286e7f4936e56175f66da99cf634e186442520df31e89cf812fe21cc5ee9c773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00535-008-2239-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00535-008-2239-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19012043$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Moon Young</creatorcontrib><creatorcontrib>Baik, Soon Koo</creatorcontrib><creatorcontrib>Park, Dong Hun</creatorcontrib><creatorcontrib>Jang, Yoon Ok</creatorcontrib><creatorcontrib>Suk, Ki Tae</creatorcontrib><creatorcontrib>Yea, Chang Jin</creatorcontrib><creatorcontrib>Lee, Il Young</creatorcontrib><creatorcontrib>Kim, Jae Woo</creatorcontrib><creatorcontrib>Kim, Hyun Soo</creatorcontrib><creatorcontrib>Kwon, Sang Ok</creatorcontrib><creatorcontrib>Cho, Mi Yun</creatorcontrib><creatorcontrib>Ko, Sang Baik</creatorcontrib><creatorcontrib>Chang, Sei Jin</creatorcontrib><creatorcontrib>Um, Soon Ho</creatorcontrib><creatorcontrib>Han, Kwang-Hyub</creatorcontrib><title>Angiotensin receptor blockers are superior to angiotensin-converting enzyme inhibitors in the suppression of hepatic fibrosis in a bile duct-ligated rat model</title><title>Journal of gastroenterology</title><addtitle>J Gastroenterol</addtitle><addtitle>J Gastroenterol</addtitle><description>Background Angiotensin blockade such as with an angiotensin II receptor blocker (ARB) or angiotensinconverting enzyme inhibitor (ACEI) has antifibrotic properties. The aim of this study was to evaluate and compare the antifibrotic effect between ARBs and ACEIs. Methods Common bile duct-ligated (BDL) adult Sprague-Dawley rats were allocated to five groups (each group, n = 8) as follows: G1, BDL without drug; G2, BDL + captopril 100 mg/kg per day; G3, BDL + ramipril 10 mg/kg per day; G4, BDL + losartan 10 mg/kg per day; G5, BDL + irbesartan 15 mg/kg per day. Four weeks post-BDL, hepatic fibrosis was analyzed histomorphologically using Batts and Ludwig scores. α-Smooth muscle actin (α-SMA) expression by immunohistochemical staining, hydroxyproline contents of liver tissue by spectrophotometry, and angiotensin receptor, collagen, procollagen, and transforming growth factor β (TGF-β) expressions were evaluated by real-time reverse transcriptase-polymerase chain reaction. Angiotensin receptor expression was also determined by Western blotting. Results Batts and Ludwig scores were 3.8, 2.6, 2.4, 1.8, and 1.6 in G1, G2, G3, G4, and G5, respectively. Histologically, ARB groups (G4, G5) showed significant suppression of hepatic fibrosis compared with ACEI groups or the control. Expressions of α-SMA (%) and the content of hydroxyproline (μg liver tissue) were significantly lower in ARB groups (G4, G5) than in ACEI groups (G2, G3) (P &lt; 0.05). Also, ARB reduced the expression of angiotensin receptor, collagen, procollagen, and TGF-β1 compared with ACEI. Western blot analysis showed that the expression of angiotensin receptor was inhibited in both ARB and ACEI groups. Conclusions Both ARB and ACEI attenuate hepatic fibrosis through inhibiting hepatic stellate cell activation, and the inhibitory effect of ARBs on hepatic fibrosis is superior to that of ACEIs in the BDL rat model.</description><subject>Abdominal Surgery</subject><subject>angiotensin converting enzyme inhibitor</subject><subject>angiotensin II receptor blocker</subject><subject>Angiotensin II Type 1 Receptor Blockers - therapeutic use</subject><subject>Angiotensin Receptor Antagonists</subject><subject>Angiotensin-Converting Enzyme Inhibitors - therapeutic use</subject><subject>Animals</subject><subject>Biliary Tract</subject><subject>Blotting, Western</subject><subject>Colorectal Surgery</subject><subject>Common Bile Duct - surgery</subject><subject>Disease Progression</subject><subject>Gastroenterology</subject><subject>Gene Expression Regulation</subject><subject>hepatic fibrosis</subject><subject>hepatic stellate cell</subject><subject>Hepatology</subject><subject>Hydroxyproline - metabolism</subject><subject>Immunohistochemistry</subject><subject>Ligation</subject><subject>Liver</subject><subject>Liver Cirrhosis, Experimental - drug therapy</subject><subject>Liver Cirrhosis, Experimental - enzymology</subject><subject>Liver Cirrhosis, Experimental - pathology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Pancreas</subject><subject>Peptidyl-Dipeptidase A - biosynthesis</subject><subject>Peptidyl-Dipeptidase A - drug effects</subject><subject>Peptidyl-Dipeptidase A - genetics</subject><subject>Rats</subject><subject>Rats, Sprague-Dawley</subject><subject>Receptors, Angiotensin - biosynthesis</subject><subject>Receptors, Angiotensin - genetics</subject><subject>Reverse Transcriptase Polymerase Chain Reaction</subject><subject>RNA - genetics</subject><subject>Spectrophotometry</subject><subject>Surgical Oncology</subject><issn>0944-1174</issn><issn>1435-5922</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9ks2O1SAcxYnRONfRB3CjxIW7Kp9tWU4mfiWTuNBZE0r_9DL2QgVqMj6Mzyp3epObuHAD5PA7B8gBoZeUvKOEdO8zIZLLhpC-YYyrRj1COyqqIhVjj9GOKCEaSjtxgZ7lfEcI5UT2T9EFVYQyIvgO_bkKk48FQvYBJ7CwlJjwMEf7A1LGJgHO6wLJV7VEbM50Y2P4Ban4MGEIv-8PgH3Y-8HXgFyXuOwfvEuCnH0MODq8h8UUb7HzQ4rZP2AGD34GPK62NLOfTIERJ1PwIY4wP0dPnJkzvDjNl-j244fv15-bm6-fvlxf3TRWUlaajvUtdE4o3oJsaSdd245GKetaLoD2rRBMMjI6TqGvak-ZA0atlQDKdh2_RG-33CXFnyvkog8-W5hnEyCuWbeqJ4RzVcE3_4B3cU2h3k0z2lEplKAVohtk6ytzAqeX5A8m3WtK9LE5vTWna3P62Jw-Br86Ba_DAcaz41RVBdgG5LoVJkjnk_-X-nozORO1mZLP-vYbO_4DKts6KP4X0eGv0w</recordid><startdate>20081101</startdate><enddate>20081101</enddate><creator>Kim, Moon Young</creator><creator>Baik, Soon Koo</creator><creator>Park, Dong Hun</creator><creator>Jang, Yoon Ok</creator><creator>Suk, Ki Tae</creator><creator>Yea, Chang Jin</creator><creator>Lee, Il Young</creator><creator>Kim, Jae Woo</creator><creator>Kim, Hyun Soo</creator><creator>Kwon, Sang Ok</creator><creator>Cho, Mi Yun</creator><creator>Ko, Sang Baik</creator><creator>Chang, Sei Jin</creator><creator>Um, Soon Ho</creator><creator>Han, Kwang-Hyub</creator><general>Japan : Springer Japan</general><general>Springer Japan</general><general>Springer Nature B.V</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20081101</creationdate><title>Angiotensin receptor blockers are superior to angiotensin-converting enzyme inhibitors in the suppression of hepatic fibrosis in a bile duct-ligated rat model</title><author>Kim, Moon Young ; Baik, Soon Koo ; Park, Dong Hun ; Jang, Yoon Ok ; Suk, Ki Tae ; Yea, Chang Jin ; Lee, Il Young ; Kim, Jae Woo ; Kim, Hyun Soo ; Kwon, Sang Ok ; Cho, Mi Yun ; Ko, Sang Baik ; Chang, Sei Jin ; Um, Soon Ho ; Han, Kwang-Hyub</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c512t-7286e7f4936e56175f66da99cf634e186442520df31e89cf812fe21cc5ee9c773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Abdominal Surgery</topic><topic>angiotensin converting enzyme inhibitor</topic><topic>angiotensin II receptor blocker</topic><topic>Angiotensin II Type 1 Receptor Blockers - therapeutic use</topic><topic>Angiotensin Receptor Antagonists</topic><topic>Angiotensin-Converting Enzyme Inhibitors - therapeutic use</topic><topic>Animals</topic><topic>Biliary Tract</topic><topic>Blotting, Western</topic><topic>Colorectal Surgery</topic><topic>Common Bile Duct - surgery</topic><topic>Disease Progression</topic><topic>Gastroenterology</topic><topic>Gene Expression Regulation</topic><topic>hepatic fibrosis</topic><topic>hepatic stellate cell</topic><topic>Hepatology</topic><topic>Hydroxyproline - metabolism</topic><topic>Immunohistochemistry</topic><topic>Ligation</topic><topic>Liver</topic><topic>Liver Cirrhosis, Experimental - drug therapy</topic><topic>Liver Cirrhosis, Experimental - enzymology</topic><topic>Liver Cirrhosis, Experimental - pathology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Pancreas</topic><topic>Peptidyl-Dipeptidase A - biosynthesis</topic><topic>Peptidyl-Dipeptidase A - drug effects</topic><topic>Peptidyl-Dipeptidase A - genetics</topic><topic>Rats</topic><topic>Rats, Sprague-Dawley</topic><topic>Receptors, Angiotensin - biosynthesis</topic><topic>Receptors, Angiotensin - genetics</topic><topic>Reverse Transcriptase Polymerase Chain Reaction</topic><topic>RNA - genetics</topic><topic>Spectrophotometry</topic><topic>Surgical Oncology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Moon Young</creatorcontrib><creatorcontrib>Baik, Soon Koo</creatorcontrib><creatorcontrib>Park, Dong Hun</creatorcontrib><creatorcontrib>Jang, Yoon Ok</creatorcontrib><creatorcontrib>Suk, Ki Tae</creatorcontrib><creatorcontrib>Yea, Chang Jin</creatorcontrib><creatorcontrib>Lee, Il Young</creatorcontrib><creatorcontrib>Kim, Jae Woo</creatorcontrib><creatorcontrib>Kim, Hyun Soo</creatorcontrib><creatorcontrib>Kwon, Sang Ok</creatorcontrib><creatorcontrib>Cho, Mi Yun</creatorcontrib><creatorcontrib>Ko, Sang Baik</creatorcontrib><creatorcontrib>Chang, Sei Jin</creatorcontrib><creatorcontrib>Um, Soon Ho</creatorcontrib><creatorcontrib>Han, Kwang-Hyub</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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The aim of this study was to evaluate and compare the antifibrotic effect between ARBs and ACEIs. Methods Common bile duct-ligated (BDL) adult Sprague-Dawley rats were allocated to five groups (each group, n = 8) as follows: G1, BDL without drug; G2, BDL + captopril 100 mg/kg per day; G3, BDL + ramipril 10 mg/kg per day; G4, BDL + losartan 10 mg/kg per day; G5, BDL + irbesartan 15 mg/kg per day. Four weeks post-BDL, hepatic fibrosis was analyzed histomorphologically using Batts and Ludwig scores. α-Smooth muscle actin (α-SMA) expression by immunohistochemical staining, hydroxyproline contents of liver tissue by spectrophotometry, and angiotensin receptor, collagen, procollagen, and transforming growth factor β (TGF-β) expressions were evaluated by real-time reverse transcriptase-polymerase chain reaction. Angiotensin receptor expression was also determined by Western blotting. Results Batts and Ludwig scores were 3.8, 2.6, 2.4, 1.8, and 1.6 in G1, G2, G3, G4, and G5, respectively. Histologically, ARB groups (G4, G5) showed significant suppression of hepatic fibrosis compared with ACEI groups or the control. Expressions of α-SMA (%) and the content of hydroxyproline (μg liver tissue) were significantly lower in ARB groups (G4, G5) than in ACEI groups (G2, G3) (P &lt; 0.05). Also, ARB reduced the expression of angiotensin receptor, collagen, procollagen, and TGF-β1 compared with ACEI. Western blot analysis showed that the expression of angiotensin receptor was inhibited in both ARB and ACEI groups. Conclusions Both ARB and ACEI attenuate hepatic fibrosis through inhibiting hepatic stellate cell activation, and the inhibitory effect of ARBs on hepatic fibrosis is superior to that of ACEIs in the BDL rat model.</abstract><cop>Japan</cop><pub>Japan : Springer Japan</pub><pmid>19012043</pmid><doi>10.1007/s00535-008-2239-9</doi><tpages>8</tpages></addata></record>
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identifier ISSN: 0944-1174
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issn 0944-1174
1435-5922
language eng
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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Abdominal Surgery
angiotensin converting enzyme inhibitor
angiotensin II receptor blocker
Angiotensin II Type 1 Receptor Blockers - therapeutic use
Angiotensin Receptor Antagonists
Angiotensin-Converting Enzyme Inhibitors - therapeutic use
Animals
Biliary Tract
Blotting, Western
Colorectal Surgery
Common Bile Duct - surgery
Disease Progression
Gastroenterology
Gene Expression Regulation
hepatic fibrosis
hepatic stellate cell
Hepatology
Hydroxyproline - metabolism
Immunohistochemistry
Ligation
Liver
Liver Cirrhosis, Experimental - drug therapy
Liver Cirrhosis, Experimental - enzymology
Liver Cirrhosis, Experimental - pathology
Male
Medicine
Medicine & Public Health
Pancreas
Peptidyl-Dipeptidase A - biosynthesis
Peptidyl-Dipeptidase A - drug effects
Peptidyl-Dipeptidase A - genetics
Rats
Rats, Sprague-Dawley
Receptors, Angiotensin - biosynthesis
Receptors, Angiotensin - genetics
Reverse Transcriptase Polymerase Chain Reaction
RNA - genetics
Spectrophotometry
Surgical Oncology
title Angiotensin receptor blockers are superior to angiotensin-converting enzyme inhibitors in the suppression of hepatic fibrosis in a bile duct-ligated rat model
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