Details
Stereochemistry | ACHIRAL |
Molecular Formula | C24H28O4 |
Molecular Weight | 380.4767 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 1 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CCC(=O)OC1=CC=C(C=C1)C(\CC)=C(/CC)C2=CC=C(OC(=O)CC)C=C2
InChI
InChIKey=VZMLEMYJUIIHNF-QURGRASLSA-N
InChI=1S/C24H28O4/c1-5-21(17-9-13-19(14-10-17)27-23(25)7-3)22(6-2)18-11-15-20(16-12-18)28-24(26)8-4/h9-16H,5-8H2,1-4H3/b22-21+
Molecular Formula | C24H28O4 |
Molecular Weight | 380.4767 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 1 |
Optical Activity | NONE |
DescriptionSources: http://druginfosys.com/Drug.aspx?drugCode=327&drugName=&type=0https://www.drugs.com/mmx/stilbestrol.htmlCurator's Comment: description was created based on several sources, including:
http://www.accessdata.fda.gov/drugsatfda_docs/nda/pre96/083003.pdf | https://en.wikipedia.org/wiki/Diethylstilbestrol | http://monographs.iarc.fr/ENG/Monographs/vol100A/mono100A-16.pdf
Sources: http://druginfosys.com/Drug.aspx?drugCode=327&drugName=&type=0https://www.drugs.com/mmx/stilbestrol.html
Curator's Comment: description was created based on several sources, including:
http://www.accessdata.fda.gov/drugsatfda_docs/nda/pre96/083003.pdf | https://en.wikipedia.org/wiki/Diethylstilbestrol | http://monographs.iarc.fr/ENG/Monographs/vol100A/mono100A-16.pdf
Diethylstilbestrol is a synthetic non-steroidal estrogen. It is used in the treatment of menopausal and postmenopausal disorders, prostate cancer and in the prevention of miscarriage or premature delivery in pregnant women prone to miscarriage or premature delivery. Diethylstilbestrol is a very potent full agonist of the estrogen receptors. At the cellular level, estrogens increase the synthesis of DNA, RNA, and various proteins in target tissues. Pituitary mass is also increased. Estrogens reduce the release of gonadotropin-releasing hormone from the hypothalamus, leading to a reduction in release of follicle-stimulating hormone and luteinizing hormone from the pituitary. Adverse effects are: breast pain or tenderness, enlargement of breasts, gynecomastia, peripheral edema and others. Estrogens may interfere with the effects of bromocriptine. Dosage adjustment may be needed. Concurrent use with estrogens may alter the metabolism and protein binding of the glucocorticoids, leading to decreased clearance, increased elimination half-life, and increased therapeutic and toxic effects of the glucocorticoids.
Originator
Sources: DOI: 10.1016/0305-7372(84)90049-5https://www.nature.com/articles/141247b0
Curator's Comment: Fosfestrol was developed in the research laboratories of Asta-Werke and introduced in 1952 for the therapy of metastasizing prostatic carcinoma under the name of Honvan.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL206 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22294742 |
0.18 nM [EC50] | ||
Target ID: CHEMBL242 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22294742 |
0.06 nM [EC50] | ||
Target ID: CHEMBL3429 |
10.0 µM [EC50] | ||
Target ID: CHEMBL3751 Sources: https://www.ncbi.nlm.nih.gov/pubmed/11447273 |
700.0 nM [EC50] | ||
Target ID: CHEMBL4245 Sources: https://www.ncbi.nlm.nih.gov/pubmed/11447273 |
700.0 nM [EC50] | ||
Target ID: P11474 Gene Symbol: ESRRA Sources: http://genesdev.cshlp.org/content/15/7/833.full |
1.0 µM [IC50] | ||
Target ID: O95718 Gene Symbol: ESRRB Sources: http://genesdev.cshlp.org/content/15/7/833.full |
1.0 µM [IC50] | ||
Target ID: P62508 Gene Symbol: ESRRG Sources: http://genesdev.cshlp.org/content/15/7/833.full |
1.0 µM [IC50] | ||
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | Stilphostrol Approved UseUnknown Launch Date1981 |
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Primary | STILBESTROL Approved UseUsed in the treatment of prostate cancer. Launch Date1973 |
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Preventing | STILBESTROL Approved UsePrevention of miscarriage or premature delivery in pregnant women prone to miscarriage or premature delivery. Launch Date1973 |
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Primary | STILBESTROL Approved UseIt is used for the treatment of senile (atrophic) vaginitis. Launch Date1973 |
|||
Primary | STILBESTROL Approved UseIt is used for the treatment of vulvar dystrophy. Launch Date1973 |
|||
Primary | STILBESTROL Approved UseOther therapeutic use of diethylstilbestrol was post menopause syndrome. Launch Date1973 |
|||
Primary | STILBESTROL Approved UseDrug is indicated for replacement therapy of estrogen deficiency associated with amenorrhea. Launch Date1973 |
|||
Primary | STILBESTROL Approved UseDrug is indicated for replacement therapy of estrogen deficiency associated with female hypogonadism. Launch Date1973 |
|||
Preventing | STILBESTROL Approved UseDrug is indicated for the prevention of osteoporosis. Launch Date1973 |
Doses
Dose | Population | Adverse events |
---|---|---|
1104 mg 1 times / day multiple, intravenous Recommended Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Sources: |
unhealthy, 56-87 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 56-87 Sex: M Population Size: 17 Sources: |
Disc. AE: Vomiting... AEs leading to discontinuation/dose reduction: Vomiting (1 patient) Sources: |
600 mg 1 times / day multiple, oral Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 59 n = 1 Health Status: unhealthy Condition: prostate cancer Age Group: 59 Sex: M Population Size: 1 Sources: |
Disc. AE: Secondary adrenocortical insufficiency... AEs leading to discontinuation/dose reduction: Secondary adrenocortical insufficiency Sources: |
120 mg 3 times / day multiple, oral Recommended Dose: 120 mg, 3 times / day Route: oral Route: multiple Dose: 120 mg, 3 times / day Sources: |
unhealthy, 65 n = 47 Health Status: unhealthy Condition: prostate cancer Age Group: 65 Sex: M Population Size: 47 Sources: |
Disc. AE: Toxic reaction (NOS), Toxic reaction (NOS)... AEs leading to discontinuation/dose reduction: Toxic reaction (NOS) (grade 2, 3 patients) Sources: Toxic reaction (NOS) (grade 3, 2 patients) |
5.7 g 1 times / day multiple, intravenous MTD Dose: 5.7 g, 1 times / day Route: intravenous Route: multiple Dose: 5.7 g, 1 times / day Co-administed with:: SALICYLIC ACID(200 mg; 1/day) Sources: |
unhealthy, 68 n = 21 Health Status: unhealthy Condition: prostate cancer Age Group: 68 Sex: M Population Size: 21 Sources: |
DLT: Nausea and vomiting, Nausea and vomiting... Dose limiting toxicities: Nausea and vomiting (grade 1, 13 patients) Sources: Nausea and vomiting (grade 2, 4 patients) Weight gain (2 patients) Edema (2 patients) |
100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Other AEs: Hypertension, Gynecomastia... Other AEs: Hypertension (5%) Sources: Gynecomastia (38%) Peripheral edema (32%) Gastrointestinal discomfort (19%) Deep vein thrombosis (8%) Skin rash (5%) Transaminases increased (2%) |
1104 mg 1 times / day multiple, intravenous Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Co-administed with:: MEPERIDINE(75 mg; i.m; 1/day) Sources: PROCHLORPERAZINE(12.5 mg; i.m; 1/day) |
unhealthy, 74 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 74 Sex: M Population Size: 17 Sources: |
Other AEs: Nausea, Bone pain... Other AEs: Nausea (17 patients) Sources: Bone pain (17 patients) Perineal pain (1 patient) Deep vein thrombosis (4 patients) |
4 g 1 times / day multiple, intravenous RP2D Dose: 4 g, 1 times / day Route: intravenous Route: multiple Dose: 4 g, 1 times / day Sources: |
unhealthy Health Status: unhealthy Condition: prostate cancer Sex: M Sources: |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Vomiting | 1 patient Disc. AE |
1104 mg 1 times / day multiple, intravenous Recommended Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Sources: |
unhealthy, 56-87 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 56-87 Sex: M Population Size: 17 Sources: |
Secondary adrenocortical insufficiency | Disc. AE | 600 mg 1 times / day multiple, oral Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 59 n = 1 Health Status: unhealthy Condition: prostate cancer Age Group: 59 Sex: M Population Size: 1 Sources: |
Toxic reaction (NOS) | grade 2, 3 patients Disc. AE |
120 mg 3 times / day multiple, oral Recommended Dose: 120 mg, 3 times / day Route: oral Route: multiple Dose: 120 mg, 3 times / day Sources: |
unhealthy, 65 n = 47 Health Status: unhealthy Condition: prostate cancer Age Group: 65 Sex: M Population Size: 47 Sources: |
Toxic reaction (NOS) | grade 3, 2 patients Disc. AE |
120 mg 3 times / day multiple, oral Recommended Dose: 120 mg, 3 times / day Route: oral Route: multiple Dose: 120 mg, 3 times / day Sources: |
unhealthy, 65 n = 47 Health Status: unhealthy Condition: prostate cancer Age Group: 65 Sex: M Population Size: 47 Sources: |
Edema | 2 patients DLT |
5.7 g 1 times / day multiple, intravenous MTD Dose: 5.7 g, 1 times / day Route: intravenous Route: multiple Dose: 5.7 g, 1 times / day Co-administed with:: SALICYLIC ACID(200 mg; 1/day) Sources: |
unhealthy, 68 n = 21 Health Status: unhealthy Condition: prostate cancer Age Group: 68 Sex: M Population Size: 21 Sources: |
Weight gain | 2 patients DLT |
5.7 g 1 times / day multiple, intravenous MTD Dose: 5.7 g, 1 times / day Route: intravenous Route: multiple Dose: 5.7 g, 1 times / day Co-administed with:: SALICYLIC ACID(200 mg; 1/day) Sources: |
unhealthy, 68 n = 21 Health Status: unhealthy Condition: prostate cancer Age Group: 68 Sex: M Population Size: 21 Sources: |
Nausea and vomiting | grade 1, 13 patients DLT |
5.7 g 1 times / day multiple, intravenous MTD Dose: 5.7 g, 1 times / day Route: intravenous Route: multiple Dose: 5.7 g, 1 times / day Co-administed with:: SALICYLIC ACID(200 mg; 1/day) Sources: |
unhealthy, 68 n = 21 Health Status: unhealthy Condition: prostate cancer Age Group: 68 Sex: M Population Size: 21 Sources: |
Nausea and vomiting | grade 2, 4 patients DLT |
5.7 g 1 times / day multiple, intravenous MTD Dose: 5.7 g, 1 times / day Route: intravenous Route: multiple Dose: 5.7 g, 1 times / day Co-administed with:: SALICYLIC ACID(200 mg; 1/day) Sources: |
unhealthy, 68 n = 21 Health Status: unhealthy Condition: prostate cancer Age Group: 68 Sex: M Population Size: 21 Sources: |
Gastrointestinal discomfort | 19% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Transaminases increased | 2% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Peripheral edema | 32% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Gynecomastia | 38% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Hypertension | 5% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Skin rash | 5% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Deep vein thrombosis | 8% | 100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 70 n = 38 Health Status: unhealthy Condition: prostate cancer Age Group: 70 Sex: M Population Size: 38 Sources: |
Perineal pain | 1 patient | 1104 mg 1 times / day multiple, intravenous Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Co-administed with:: MEPERIDINE(75 mg; i.m; 1/day) Sources: PROCHLORPERAZINE(12.5 mg; i.m; 1/day) |
unhealthy, 74 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 74 Sex: M Population Size: 17 Sources: |
Bone pain | 17 patients | 1104 mg 1 times / day multiple, intravenous Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Co-administed with:: MEPERIDINE(75 mg; i.m; 1/day) Sources: PROCHLORPERAZINE(12.5 mg; i.m; 1/day) |
unhealthy, 74 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 74 Sex: M Population Size: 17 Sources: |
Nausea | 17 patients | 1104 mg 1 times / day multiple, intravenous Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Co-administed with:: MEPERIDINE(75 mg; i.m; 1/day) Sources: PROCHLORPERAZINE(12.5 mg; i.m; 1/day) |
unhealthy, 74 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 74 Sex: M Population Size: 17 Sources: |
Deep vein thrombosis | 4 patients | 1104 mg 1 times / day multiple, intravenous Dose: 1104 mg, 1 times / day Route: intravenous Route: multiple Dose: 1104 mg, 1 times / day Co-administed with:: MEPERIDINE(75 mg; i.m; 1/day) Sources: PROCHLORPERAZINE(12.5 mg; i.m; 1/day) |
unhealthy, 74 n = 17 Health Status: unhealthy Condition: prostate cancer Age Group: 74 Sex: M Population Size: 17 Sources: |
PubMed
Title | Date | PubMed |
---|---|---|
Porphyria cutanea tarda induced by estrogens. | 1965 Sep |
|
Squamous neoplasia of vagina related to DES syndrome. | 1975 May |
|
Exposure of newborn male and female rats to environmental estrogens: delayed and sustained hyperprolactinemia and alterations in estrogen receptor expression. | 2000 Dec |
|
Pubertal development and reproductive functions of Crl:CD BR Sprague-Dawley rats exposed to bisphenol A during prenatal and postnatal development. | 2000 Jun |
|
Assaying estrogenicity by quantitating the expression levels of endogenous estrogen-regulated genes. | 2000 May |
|
Differential estrogen receptor binding of estrogenic substances: a species comparison. | 2000 Nov 15 |
|
Estrogen and xenoestrogens upregulate the brain aromatase isoform (P450aromB) and perturb markers of early development in zebrafish (Danio rerio). | 2001 Jun |
|
Metabolism of bisphenol A in isolated rat hepatocytes and oestrogenic activity of a hydroxylated metabolite in MCF-7 human breast cancer cells. | 2001 Mar |
|
Effects of prenatal exposure to low doses of diethylstilbestrol, o,p'DDT, and methoxychlor on postnatal growth and neurobehavioral development in male and female mice. | 2001 Sep |
|
Transcriptional regulation of the estrogen-inducible pS2 breast cancer marker gene by the ERR family of orphan nuclear receptors. | 2001 Sep 15 |
|
Uterine responsiveness to estradiol and DNA methylation are altered by fetal exposure to diethylstilbestrol and methoxychlor in CD-1 mice: effects of low versus high doses. | 2002 Aug 15 |
|
Induction of reproductive tract developmental abnormalities in the male rat by lowering androgen production or action in combination with a low dose of diethylstilbestrol: evidence for importance of the androgen-estrogen balance. | 2002 Dec |
|
Developmental increases in rat hepatic microsomal UDP-glucuronosyltransferase activities toward xenoestrogens and decreases during pregnancy. | 2002 Feb |
|
Interaction of estrogen mimics, singly and in combination, with plasma sex steroid-binding proteins in rainbow trout (Oncorhynchus mykiss). | 2002 Feb |
|
Characterization of diethylstilbestrol-induced hypospadias in female mice. | 2002 Jan 1 |
|
Estrogen mimics bind with similar affinity and specificity to the hepatic estrogen receptor in Atlantic salmon (Salmo salar) and rainbow trout (Oncorhynchus mykiss). | 2002 Mar |
|
Estrogen receptor binding assay of chemicals with a surface plasmon resonance biosensor. | 2002 May |
|
Cirrhosis with steatohepatitis following longterm stilboestrol treatment. | 2003 Aug |
|
Diethylstilbestrol induces rat spermatogenic cell apoptosis in vivo through increased expression of spermatogenic cell Fas/FasL system. | 2003 Feb 21 |
|
Study of 202 natural, synthetic, and environmental chemicals for binding to the androgen receptor. | 2003 Oct |
|
Neonatal diethylstilbestrol exposure induces persistent elevation of c-fos expression and hypomethylation in its exon-4 in mouse uterus. | 2003 Oct |
|
The effect of endocrine disrupting chemicals on thyroid hormone binding to Japanese quail transthyretin and thyroid hormone receptor. | 2003 Oct 15 |
|
Induction of vitellogenin synthesis in an Atlantic salmon (Salmo salar) hepatocyte culture: a sensitive in vitro bioassay for the oestrogenic and anti-oestrogenic activity of chemicals. | 2003 Sep-Oct |
|
Neonatal estrogenization leads to increased expression of cellular retinol binding protein 2 in the mouse reproductive tract. | 2004 Apr |
|
Comparison of the Hershberger assay and androgen receptor binding assay of twelve chemicals. | 2004 Feb 15 |
|
Age, sex and co-exposure to N-ethyl-N-nitrosourea influence mutations in the Alu repeat sequences in diethylstilbestrol-induced kidney tumors in Syrian hamsters. | 2004 Jan |
Patents
Sample Use Guides
In Vivo Use Guide
Curator's Comment: Intravenous: Initial: 600-1,200 mg/day via slow injection for 5-10 days, then 300 mg/day for 10-20 days.
360-480 mg 3 times/day. Maintenance: 120-240 mg 3 times/day.
Route of Administration:
Oral
In Vitro Use Guide
Sources: http://www.karger.com/Article/Abstract/281424
Curator's Comment: There was exposed three prostatic carcinoma cell lines (LNCaP, DU 145, and PC-3), three non-prostatic neoplastic cell lines (KB: epidermoid carcinoma, EJ: Bladder carcinoma, Daudi: Burkitt lymphoma), and one non-transformed embryonic fibroblast line (MRC-5) to diethylstilbestrol (DES), DES monophosphate, and DES diphosphate (DESDP), at levels comparable to those occurring in patients’ sera during DESDP infusions. At concentrations of 1–20 µg/ml the drugs showed marked, dose-dependent cytotoxicity towards all cell lines under study.
1–20 µg/ml
Substance Class |
Chemical
Created
by
admin
on
Edited
Fri Dec 15 15:13:27 GMT 2023
by
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on
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Record UNII |
Y98CK3J0OL
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Record Status |
Validated (UNII)
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Record Version |
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Classification Tree | Code System | Code | ||
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NCI_THESAURUS |
C2182
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130-80-3
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C74557
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DTXSID7047146
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m4418
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657220
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CHEMBL1525298
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C000937
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204-995-4
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SUB01688MIG
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100000087944
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Diethylstilbestrol dipropionate
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Y98CK3J0OL
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