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Review Article
Faculty of Pharmacy, , Department of Pharmaceutical Chemistry, Jamia Hamdard, New Delhi, India
Cancer, also known as malignant neoplasm, is a dreadful disease which involves abnormal cell growth
having the potential to invade or spread to other parts of the body. Benzimidazole is an organic
compound that is heterocyclic and aromatic in nature. It is a bicyclic compound formed by the fusion
of the benzene and imidazole ring systems. It is an important pharmacophore and a privileged
structure in medicinal chemistry. According to the World Health Organisation (2015 survey), one in
six deaths is due to cancer around the globe, accounting for 8.8 million deaths of which 70% of the
cases were from low- and middle-income countries. In the efforts to develop suitable anticancer
drugs, medicinal chemists have focussed on benzimidazole derivatives. This review article covers the
current development of benzimidazole-based anticancer agents along with the synthetic approaches
and structure–activity relationships (SAR).
which compounds 43 (IC50 ¼ 9.6 mM), 45 (IC50 ¼ 6.6 mM) and They are non-specific in nature. Upon interaction with the
46 (IC50 ¼ 9.2mM) exhibited potent anticancer activity DNA bases, they inhibit DNA replication thus forming the
whereas compound 44 is more potent than UK-1 against basis for the anti-tumour effects [41].
human lung (A-549) and epithelial (HeLa) carcinoma cell Demirayak et al. [42] synthesised some 1-methylene-2,3-
lines (Table 3). diaryl-1,2-dihydropyrazino[1,2-a]benzimidazole and some 1-
(2-arylvinyl)-3-arylpyrazino[1,2-a]benzimidazole derivatives
DNA intercalation and alkylating agents and screened them for anticancer activity (Schemes 8
DNA alkylators also known as cross-linkers are most active and 9). Compound 52o was found to be most potent against
agents for the management of cancer. They have the property leukaemia cell lines using melphalan and cis-diaminodichlor-
of high chemical reactivity; all alkylating agents form covalent oplatinum as standard compounds. He et al. [43] designed,
linkages with macromolecules having nucleophilic centres. prepared and characterised cis-dichloro platinum complexes
containing biologically relevant 2-pyridylbenzimidazole, oxa- Fu et al. [48] synthesised and characterised a new ternary
zole and thiazole derivatives (Schemes 10 and 11) and copper(II) complex 131 (Schemes 26 and 27) with IC50 ¼ 5 mM
screened them against cis-platin sensitive and cis-platin exhibiting desired binding affinity to HSA. Kumar et al. [49]
resistant cells. Compound 60a showed excellent results. reported the synthesis of novel cationic Ru(II), Rh(III) and Ir(III)
LeSann et al. [44] described a new method for the synthesis complexes containing cyclic p-perimeter and 2-aminophenyl
of symmetric bis-benzimidazoles having 2-aryl moieties along benzimidazole ligands and evaluated for anticancer activity
with the synthesis of novel hybrid molecules and their in vitro against cervical cancer (SiHa) cell line (Scheme 28). Compound
activities were tested against five cancer cell lines of which 133(5) was found to be most potent having IC50 value of
compound 83b was found to be most potent against 6.14 mM (Table 4).
chlorambucil as reference drug (Schemes 12–15). Kamal
et al. [45] prepared C-8 linked PBD-benzimidazole conjugates Androgen receptor antagonists
(Schemes 16 and 17) of which compound 98a exhibited Androgen receptor (AR) is a type of nuclear receptor which
potential anticancer activity with LC50 values ranging from gets activated by binding either of the androgenic hormones,
0.01 to 50 mM in comparison to DC-81 as reference drug. Gellis testosterone or dihydrotestosterone, in the cytoplasm. AR
et al. [46] synthesised new benzimidazole-4,7-diones substi- antagonists bind to the receptor with higher affinity thereby
tuted at second position (Schemes 18–24) and evaluated for preventing nuclear translocation and DNA binding, and
cytotoxicity against colon, breast and lung cancer cell lines of induce apoptosis without agonist activity. Androgenic recep-
which dimer 119 possessed excellent cytotoxicity with IC50 tor is in direct regulation of gene transcription. The binding of
¼ 3 1 mM using mitomycin-C as the reference drug. Gowda an androgen to the ARs will result into conformational
et al. [47] carried out the synthesis of novel (1-4-methox- changes in the receptor which in turn causes dissociation of
yphenethyl)-1H-benzimidazole-5-carboxylic acid derivatives heat shock proteins, then transportation from the cytosol into
and their precursors as potential chemotherapeutic agents the cell nucleus and dimerisation [50–53].
(Scheme 25). Compound 124a was found to be potent anti- Ng et al. [54] reported the synthesis of 5,6-dichloro-
leukaemic agent (IC50 ¼ 3 mM) against K562 and CEM cell lines. benzimidazole derivatives as selective AR antagonists
(Schemes 29 and 30). Compound 136 with ID50 ¼ agents [56]. Drugs that inhibit PARP-1 cause multiple double
0.15 mg/day emerged out as the most potent compound in strand breaks to form in this way and in tumours with breast
comparison to bicalutamide. Ng et al. [55] prepared novel 2- cancer gene 1 (BRCA1), breast cancer gene 2 (BRCA2) or
(2,2,2)-trifluoroethyl-benzimidazoles scaffold (Schemes partner and localiser of BRCA2 (PALB2) mutations, these
31–33) among which compound 151 showed potent andro- double strands break once been formed cannot be effectively
genic antagonistic activity (ID50 ¼ 0.03–0.11 mg/day) as com- repaired and finally lead to cell death [57, 58].
pared to bicalutamide (Table 5). White et al. [59] synthesised new derivatives of
2-arylbenzimidazole-4-carboxamides and screened for anti-
PARP inhibitors cancer potential and found to be potent inhibitors of
Poly(ADP-ribose) polymerase (PARP) is a nuclear enzyme PARP and able to act as resistance modifying agents
which plays an important role in many cellular processes (Schemes 34–37). Compound 173 was found to be most
including modulation of chromatin structure, transcription, potent with Ki ¼ 6.0 nM as compared to 3-aminobenzamide
replication, recombination and DNA repair. PARP inhibitors (Ki ¼ 3100 nM) as the standard drug. Zhu et al. [60] synthesised
may increase the tumour sensitivity to DNA-damaging a novel series of PARP inhibitors containing a quaternary
methylene-amino substituent at C-2 position of the benz- lines with IC50 values 73.7 4.3 mM, 60.9 6.1 mM,
imidazole (Scheme 38). Two optimised inhibitors 185a and 53.9 2.2 mM and 175.9 4.8 mM (Table 6).
185b showed excellent intrinsic potency against PARP-I as
compared to temozolomide. Tong et al. [61] disclosed distinct Protein tyrosine kinase inhibitors
class of inhibitors possessing unsaturated heterocycles Protein tyrosine kinases (PTKs) are a group of enzymes which
appended to the benzimidazole core (Schemes 39–45). play a main role in various cellular processes. In cancer cells,
Compounds 203 and 222 exhibited good pharmacokinetic some protein kinases are activated and drive tumour growth
properties and potent oral in vivo efficacy in potentiating the and progression. In many proteins, protein kinases catalyse
cytotoxic agent temozolomide (TMZ) in a mouse xenograft the phosphorylation of tyrosine and serine/threonine
model. Pantic et al. [62] prepared three new ruthenium(II)- residues [63]. PTKs are classified as epidermal growth factor
arene halido complexes and evaluated them for cytotoxic receptor (EGFR) or non-receptor kinases. EGFR belongs to
activity against human cancer cell lines (Scheme 46). Complex
225a exhibited highest and selective cytotoxicity towards
cervical carcinoma (HeLa), breast carcinoma (MDA-MB-231),
myelogenous leukaemia (K562) as well as in one normal
human foetal lung fibroblast cell line (MRC-5) tumour cell
phosphate groups from phosphorylated tyrosine residues on cancer cell lines (A549, CH1(PA-1) and SW480) followed by
proteins. They are also involved in the regulation of a number comparing activity of free ligand and of vanadyl acetylacet-
of cellular processes such as cell differentiation, communica- onate and sodium orthovanadate. Complex 253 significantly
tion, etc. [70, 71]. inhibited the PTPs 1B (Table 8).
Habala et al. [72] synthesised four new complexes of group
12 metals along with vanadyl bound to ligand and the Dihydrofolate reductase inhibitors
cytotoxicity of complexes was tested in vivo against three Dihydrofolate reductase (DHFR) is an enzyme that reduces
dihydrofolic acid to tetrahydrofolic acid by the use of
nicotinamide adenine dinucleotide phosphate (NADPH)
as electron donor [73]. Folate is needed for the function
of dihydrofolate reductase. The process of inhibition
is of therapeutic advantage as it can be used as cancer
chemotherapy, preventing cancerous cells from dividing
[74, 75].
Singla et al. [76] synthesised triazine-benzimidazole hybrids
and evaluated their inhibitory activities over 60 human
tumour cell lines (Schemes 52–54). Compound 265 with
Scheme 24. Synthesis of 2-(chloromethyl)5-(2-(chloromethyl)-1- IC50 ¼ 1.05 mM was depicted as the most active member of
methyl-4,7-dioxo-4,5,6,7-tetrahydro-1H-benzo[d]imidazol-5- mammalian dihydrofolate reductase (DHFR) inhibitors
yl)-1-methyl-1H-benzo[d]imidazole-4,7-dione. (Table 9).
showed similar binding mode to that of nocodazole at the against HCT116, A2780 and HepG2 cancer cell lines as
colchicine site of tubulin and inhibits tubulin polymerisa- compared to standard drug CK0106023 with IC50 values of
tion. with IC50 ¼ 3.6 and 2.3 mM. Kamal et al. [82] syn- 1.20, 3.10 and 2.11 mM for 327e and 1.32, 3.50 and 2.34 mM
thesised imidazo[1,5-a]pyridine–benzimidazole hybrids for 327k followed by IC50 values 0.0009 and 1.22 mM and
(Scheme 58) and assayed against 60 cancer cell lines in 0.0010 and 1.37 mM against kinesin spindle protein (KSP)
which compound 307l exhibited significant cytotoxicity and Aurora A kinase for the same compounds. Kamal
with GI50 values ranging from 0.43 to 7.73 mM. Also it et al. [85] synthesised new benzimidazole-linked pyrrolo-
exhibited inhibition of tubulin polymerisation upto benzodiazepine conjugates (Schemes 64–66) among which
71.27% with IC 50 values 1.71 mM against nocodazole compound 341c showed promising in vitro cytotoxicity
(1.75 mM) as the standard drug. Abdullah et al. [83] carried against a number of human cancer cell lines. Stepanov
out the synthesis of new benzimidazole derivatives as et al. [86] synthesised a series of 4(1H-benzo[d]imidazole-
potential dual inhibitors for PARP-1 and dihydroorotate 2-yl]-furazan-3-amines (BIFAs) (Schemes 67 and 68) and
dehydrogenase (DHODH) enzymes (Schemes 59 and 60). evaluated for their anti-proliferative effects in sea urchin
Compounds 318c and 316b showed most potent results embryo model and in cultured human cancer cell lines.
against veliparib and brequinar as reference inhibitors. El- Compound 406 was found to be the most active molecule
All et al. [84] described the synthesis of anticancer (GI 50 ¼ 0.24 mM) in reference to colchicine and vinblastine
compounds, i.e. thiazole[3,2-a]pyrimidine derivative bear- sulphate as reference drugs. Ahmed Kamal et al. [87]
ing benzimidazole moiety (Schemes 61–63). Compounds worked on a series of benzimidazole-oxindole conjugates
327e and 327k showed potent dual inhibitory activity and evaluated them for their cytotoxic potential against
(Continued)
Table 4. (Continued)
S. no. SAR
3
(Continued)
Table 4. (Continued)
S. no. SAR
human breast cancer cell line (MCF-7) (Scheme 69). et al. [90] reported 2-aryl-1,2,4-oxadiazolo-benzimidazole
Compound 420c with IC50 value 1.12 mM is found to be conjugates (Scheme 72) and evaluated against 60 cancer
most potent against nocodazole as the standard drug. cell lines for anti-proliferative activity. Compounds 437l
Kamal et al. [88] reported the synthesis of arylpyrazole- and 437x showed most potent results with GI50 values in
linked benzimidazole conjugates (Scheme 70) and evalu- the range of 0.79–28.2 mM at five dose concentration assay
ated for their ability to inhibit the growth of cancer cells (0.01, 0.1, 1, 10 and 100 mM). Also these compounds
against HepG2 (liver carcinoma), A549 (lung cancer), MCF- showed 55.6 and 52.1% inhibition of microtubule assem-
7 (breast cancer), HeLa (cervical cancer) and DU-145 bly with IC50 values of 1.5 and 1.8 mM as compared to
(prostate cancer) cancer cell lines against nocodazole nocodazole (1.7 mM). Ashraf et al. [91] synthesised cis-
and CA-4 as standard drugs. Compound 426 is the most restricted benzimidazole derivatives (Scheme 73) and
potent derivative with IC 50 value of 10 mM. Wang evaluated for their antiproliferative activity against
et al. [89] designed and synthesised a series of 1-benzene cancer cell lines. Compounds 442c and 442l demonstrated
acyl-2-(1-methylindol-3-yl)-benzimidazole derivatives an anti-proliferative effect with GI 50 ¼ 0.06 0.001 mM,
(Scheme 71) and evaluated them as tubulin polymerisa- 0.26 0.02 mM, 0.13 0.01 mM and 0.18 0.03 and
tion inhibitors. Compound 432f showed most potent 0.04 0.001 mM, 0.079 0.001 mM, 0.091 0.002 mM and
results with IC50 ¼ 1.5 mM and anti-proliferative activity 0.052 0.001 mM which was found to be comparable
of GI 50 ¼ 2.4, 3.8 and 5.1 mM against A549, HepG2 and and superior to that of combretastatin A-4. Shaik
MCF-7 cell lines as compared to colchicine and CA-4. Kamal et al. [92] synthesised imidazo[2,1-b]thiazole-linked
Scheme 34. Synthesis of 2,3-diamino benzoic acid, methyl 2,3-diaminobenzoate and 2,3-diaminobenzamide derivative.
Scheme 38. Synthesis of PARP inhibitors containing quaternary methylene-amino substitutent at C-2 position.
Scheme 40. Synthesis of PARP inhibitors possessing unsaturated heterocycles appended to the benzimidazole core.
(Continued)
Table 6. (Continued)
S. no. SAR
3
were screened against NCI 60 human cell lines panel of Sivaram et al. [107] synthesised a series of gold(I) and
which compound 508j exhibited significant growth inhi- gold(III) complexes bearing benzimidazole and pyrazole
bition. Rashid et al. [105] synthesised benzimidazoles derivatives (Schemes 88 and 89) and characterised them
derivatives clubbed with other heterocyclic moieties for their anticancer activity against NCI:H1666 non-small
including the oxadiazole nucleus (Schemes 85 and 86). cell lung cancer cell line among which the carbine complex
The title compounds were then screened for their in vitro 524 showed superior activity. Husain et al. [108] reported a
anticancer activity at NCI 60 cell line panel of which novel series of benzimidazole clubbed with fused rings
compound 514l emerged as lead compound. Blaszczak- resulting in hybrid compounds showing promising anti-
Swiatkiewicz et al. [106] synthesised new benzimidazole cancer activities (Schemes 90 and 91). In vitro anticancer
derivatives (Scheme 87) and characterised them for activities of synthesised compounds were screened against
anticancer activity against the reference compound NCI 60 cell lines panel of which compound 537h exhibited
tirapazamine. Compounds 517a, 517c and 518a exhibited significant growth inhibition with GI 50 values ranging
potent properties when tested against cells of human from 0.20 to 2.58 mM. Babu et al. [109] prepared a series of
malignant melanoma WM115 with Trypan blue test. novel 2-(3-methylindolyl)benzimidazole derivatives and
IC50 ¼ 16.22 mg/mL. Koppireddi et al. [111] synthesised a ascites tumour (EAT) bearing mice in which 564d exhibited
series of new 3,6-diphenylimidazo[2,1-b]thiazole deriva- potent results. Gurkan-Alp et al. [114] reported a series of
tives (Scheme 95) and evaluated for anticancer activity novel 2-(4-phenoxyphenyl)-1H-benzimidazole derivatives
against HeLa, MDA-MB-231, A549 and THP1 human cancer (Scheme 98) of which compounds 570, 571 and 574
cell lines. Compound 554j showed significant cytotoxicity exhibited remarkable cytotoxic activity. Varshney
in HeLa cells with IC 50 ¼ 6.5 0.56 mM. Ali et al. [112] et al. [115] carried out the synthesis of novel series of
synthesised a series of novel imidazo[2,1-b]thiazoles hydroxyl and non-hydroxy long chain substituted 1,3,
bearing pyrazole moieties (Scheme 96). Eleven compounds 4-oxadiazole moiety bearing 2-methyl-1H-benzimidazoles
were screened at NCI and their in vitro anticancer (Scheme 99). Compounds 587a,c,d showed excellent
evaluation revealed that compounds 558–560(a) were anticancer activity against Hep3B, MCF7 and HeLa
promising towards CNS SB-75 and renal UO-31 cancer cell cell lines with IC 50 values of 11.10 1.1, 12.40 0.5,
lines when tested against standard drug rapamycin as 11.70 2.9 mM (587a), 14.10 0.8, 12.20 0.7,
standard drug. Roopashree et al. [113] synthesised novel 14.40 1.2 mM (587c) and 13.90 0.8, 11.10 0.7,
bis-benzimidazole derivatives (Scheme 97) and screened 10.60 1.2 mM (587d) against doxorobucin and fluoroura-
them for their anticancer properties of which FDNB act as cil as the standard drugs. Abdel-Aziz et al. [116] reported a
potent anti-proliferative agent (IC 50 > 50 mM) against series of 2-((benzimidazol-2-yl)thio)-1-arylethan-1-ones
HeLa, HCT116 and A549 cells. Also the synthesised and assayed them for anti-proliferative activity against
compounds were additionally evaluated for their in vivo colon HT-29 cancer cell line and inhibition activity towards
anti-tumour and anti-angiogenic properties using Ehrlich cell surface expression of CD133 at 10 mM concentration
(Scheme 100). Compound 592 with IC50 ¼ 18.83 1.37 mM potential bioactive hybrid, purine-benzimidazole deriva-
emerged as the most potent anti-proliferative agent tives and assayed them against 60 human tumour cell lines
which is almost equipotent to fluorouracil with IC50 at one dose concentration level (Scheme 101). Compound
¼ 15.83 1.63 mM inhibition value of 50.11 4.05% on 596 showed most significant results and again tested at
CD133 expression. Sharma et al. [117] synthesised five dose concentration levels against 60 cell line panel
and showed sensitivity towards colon, CNS and ovarian
cancer with GI50 values of 3.16, 2.00 and 1.36 mM at 10 5
concentration. Compound 596 was found to be 1.25-fold
more potent than 5-fluorouracil with GI 50 ¼ 18.12 mM
(MG-MID) and selective towards Aurora-A kinase inhibi-
tion with IC 50 ¼ 0.01 mM. Nayak et al. [118] reported
compounds 597c and 597p which exhibited significant
anti-proliferative activity against MCF-7 cell lines and
induced mitochondrial mediated (intrinsic apoptotic
pathway) apoptosis. Pett et al. [119] reported diamino
polyamide 598a–c with an alkyl amino group at the N1
Scheme 64. Synthesis of benzimidazole derivatives linked to position of the imidazole/pyrrole ring and assayed for
five membered heterocyclic ring. modulation of topo IIa and inhibition of NF-Y binding.
Chojnacka et al. [120] synthesized benzimidazole Sharma et al. [123] synthesised (E)-benzo[d]imidazol-2-yl)
and benzotriazole derivatives containing (Scheme 102) methylene)indolin-2-one derivatives and assayed for cyto-
tetrazole moiety through N-alkylation of 5-aryltetrazole toxic activity against prostate (PC-3 and DU-145), breast (BT-
with 4,5,6,7-tetrabromo-1-(3-chloropropyl)-1H-benzimid- 549, MDA-MB-231, MCF-7, 4T1), non-small lung (A549) and
azole and 4,5,6,7-tetrabromo-2-(3-chloropropyl)-2H-benzo- gastric cancer cells (HGC) (Scheme 104). Compound 625
triazole in which compounds 601 and 603 showed most showed most potent cytotoxic activity with IC50 > 50 mM,
potent anticancer results against CCRF-CEM and MCF-7 cell 39.55 2.28 mM, >50 mM, >50 mM, >50 mM, >50 mM,
lines. Nayak et al. [121] reported 2-aryl benzimidazole 41.23 3.82 mM and >50 mM against cancer cell lines using
conjugates and assayed them against MCF-7 cell lines for sunitinib as a reference standard. Perin et al. [124] reported
anticancer activity. Compound 604 (2-(2-ethoxyphenyl)-6- the anti-proliferative and DNA binding properties of a series
methyl-1H-benzo[d]imidazole) emerged as the most potent of 2-amino, 5-amino and 2,5-diamino-substituted
anticancer agent which arrested cell cycle at G2/M phase benzimidazo[1,2-a]quinolones and assessed for anti-prolif-
(26.94 and 45.93% cell accumulation) and inhibited/down- erative activity against colon, lung and breast carcinoma cell
regulated Topo-II activity which finally leads to cell death lines (Scheme 105). Compounds 630a,b were found to be
(apoptosis). Sharma et al. [122] reported benzimidazole- most potent with IC50 ¼ 0.6 0.3 mM, 2 1 mM, 1 0.8 mM
thiazolidinedione hybrids and evaluated their cytotoxic and 0.3 0.08 mM, 0.6 0.2 mM and 0.5 0.04 mM using
property against prostate (PC-3 and DU-145), breast (MDA- doxorubicin and etoposide as the standard drugs. Singla
MB-231) and lung (A549) cancer cell lines (Scheme 103). et al. [125] reported novel triazine-benzimidazole analogs
Compound 618 exhibited promising cytotoxic potential with and assayed them on 60 human cancer cell lines for
IC50 values of 39.87 3.16, 31.41 1.52, 29.18 0.93 and anticancer activity (Scheme 106). Compound 634 was the
11.46 1.46 mM against 5-fluorouracil as the standard drug. most potent derivative with mean growth of 83.19% at one
dose level (10 mM). When assayed at five dose level (0.01– and HepG2 cell lines for growth inhibition assay
100 mM) it showed GI50 value of 31 nM against leukaemia (Scheme 107). Compound 637 was the most potent derivative
cancer cell line and 222 nM against renal cancer cell line against HCT116, MCF7 and HepG2 cell lines with IC50 ¼ 0.062
RXF393. Wu et al. [126] designed and synthesised novel 1.45, 3.64 0.39 and 0.34 0.68 mM as compared to
benzimidazole-2-subsituted phenyl or pyridine propyl ke- 5-fluorouracil (IC50 ¼ 56.96, 222.6 and 174.5 mM) and pacli-
tene derivatives and evaluated them against HCT116, MCF-7 taxel (IC50 ¼ 0.06727, 0.02581 and 0.02171 mM). Singla
(Continued)
(Continued)
(Continued)
10
11
12
(Continued)
13
14
Scheme 85. Synthesis of benzimidazole derivative clubbed with other heterocyclic moieties including oxadiazole nucleus.
Scheme 88. Synthesis of a series of Gold(I) and gold(II) complexes bearing benzimidazole and pyrazole derivatives.
Scheme 90. Synthesis of novel series of benzimidazole clubbed with fused rings.
Scheme 93. Synthesis of new series of heterocyclic compounds bearing pyrazole nucleus linked to benzimidazole nucleus.
Scheme 94. Synthesis of heterocyclic derivatives linked to Scheme 95. Synthesis of newer 3,6-diphenylimidazo[2,1-b]
benzimidazole core. thiazole derivatives.
Scheme 99. Synthesis of novel series of hydroxyl and non hydroxyl long chain substituted 1,3,4-oxadiazole moiety bearing 2-methyl-
1H-benzimidazole derivatives.
Scheme 107. Synthesis of novel benzimidazole-2-substituted phenyl or pyridine propyl ketene derivatives.
(Continued)
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(Continued)
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11
(Continued)
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14
(Continued)
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17
(Continued)
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20
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(Continued)
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