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J. Biol. Chem., Vol. 278, Issue 40, 38167-38173, October 3, 2003
Characterization of Streptococcus agalactiae CAMP Factor as a Pore-forming Toxin*![]() From the Department of Chemistry, University of Waterloo, Waterloo, Ontario N2L 3G1, Canada
Received for publication, April 4, 2003 , and in revised form, June 23, 2003.
A recombinant form of CAMP factor of Streptococcus agalactiae has been expressed as glutathione S-transferase-CAMP fusion protein in Escherichia coli. After thrombin cleavage of the fusion protein, the recombinant CAMP factor exhibited hemolytic activity comparable with that of the native form. Osmotic protection experiments with polyethylene glycols show that CAMP factor forms discrete transmembrane pores with a diameter upward of 1.6 nm on susceptible membranes; electron microscopy reveals circular membrane lesions of heterogeneous size, up to 1215 nm in diameter. Liposome permeabilization studies show that pore formation is a highly cooperative process, which suggests that it involves the oligomerization of CAMP factor. Chemical cross-linking experiments also support an oligomeric mode of action.
The CAMP reaction consists of a distinct zone of hemolysis on blood agar plates produced by Streptococcus agalactiae when grown near the colonies of Staphylococcus aureus (1). It has been used in diagnostic microbiology to identify the S. agalactiae strains ever since its discovery in 1944 by Christie et al. (1). The proteins responsible for the CAMP reaction are sphingomyelinase from S. aureus and CAMP factor, a protein secreted by S. agalactiae that has a molecular weight of 25 kDa and a pI of 8.9 (2). Sphingomyelinase initially hydrolyzes sphingomyelin to ceramide, which renders the erythrocytes susceptible to the lytic activity of CAMP factor. Erythrocytes from different mammalian species support the CAMP reaction to different extents depending on the sphingomyelin content in their cell membranes (3). Sheep red blood cells are the most susceptible, in keeping with their sphingomyelin content as high as 51% (by moles) (4). Human red blood cells and rabbit red blood cells, with 26 and 19% mol of sphingomyelin, respectively (4, 5), were reportedly not sensitive to CAMP factor after sphingomyelinase treatment (3). The latter, however, were rendered susceptible to the CAMP factor after phospholipase C treatment, which converted the glycerophospholipids to diacylglycerol (6), indicating that ceramide is not specifically required for CAMP activity. Previous work with liposomes also suggested that the fraction of cholesterol in the membrane influences the activity of CAMP factor (6, 7). CAMP factor has long been known as a pathogenic determinant that exerted lethal effects when administered to rabbits and mice (8). Apart from its membrane damaging activity, CAMP factor was found to bind to the Fc fragments of immunoglobulins, and it was therefore designated as protein B in analogy to protein A of S. aureus (9). The CAMP factor genes of S. agalactiae (10), Streptococcus uberis (11), and Streptococcus pyogenes (12) have been cloned in Escherichia coli, and their sequences were found to be highly homologous with each other (12). Co-hemolytic phenomena have also been reported with various other bacterial genera, but the proteins responsible for those, although sometimes referred to by the name "CAMP factor" as well, are not closely related to streptococcal CAMP factor. In this study, we expressed the CAMP factor as a glutathione S-transferase fusion protein in E. coli. The fusion protein was purified to homogeneity and cleaved by thrombin to yield the recombinant CAMP factor, which exhibited hemolytic activity similar to the native protein. We show that CAMP factor forms pores of finite yet heterogeneous size in the membranes of susceptible cells. Additional studies with liposomes show that the process of CAMP factor pore formation is highly cooperative, supporting an oligomeric nature of the membrane lesion.
Cloning, Plasmids, and Bacterial StrainspGEX-KG (13) was a generous gift from Jingya Li (National Center for Drug Screening, Shanghai, China). The coding sequence of CAMP factor mature peptide was amplified from S. agalactiae genomic DNA. The following primers were used: forward, 5'-TTT GCC GAT CAA GTG ACA ACT CCA C-3'; reverse, 5'-CAA TCA TGG TAG TAC AAA ATC ACG A-3'. The amplified DNA was cloned into the pET-30a+ plasmid. The insert was then digested with NcoI and XhoI and ligated into NcoI-XhoI-digested pGEX-KG vector. The insert from pET-30a+ was sequenced and matched the published mature peptide sequence for CAMP factor (14).
Expression and Purification of CAMP FactorThe protein was expressed in BL21(DE3) cells. A starter culture (20 ml of Luria Bertani broth containing 100 µg/ml ampicillin) of transformed cells was grown at 37 °C overnight. This overnight culture was then inoculated into 1 liter of Luria Bertani broth containing 100 µg/ml ampicillin. The culture was shaken vigorously at 30 °C until the A600 reached 0.8. Isopropyl-1-thio- Purification of Glutathione S-Transferase-CAMP Fusion Protein The GST1-CAMP protein (15) bound to the glutathione agarose beads was eluted three times with 2 ml of 50 mM Tris-HCl, 10 mM glutathione (pH 7.5).
Circular DichroismCD spectra were measured using a Jasco J-715 circular dichroism spectrometer (Jasco, Tokyo, Japan) with a 1-mm path length cuvette. The protein (0.08 mg/ml, 3 µM) was in 8 mM potassium phosphate buffer, pH 7.2. The samples were scanned 10 times from 180 to 250 nm with an 0.5-nm interval. CD spectra were corrected for background and analyzed for protein secondary structure using the CONTIN, CDSSTR and SELCON programs with the 43-protein reference set (cryst.bbk.ac.uk/cdweb/) (1618). The secondary structure was also analyzed with the prediction program GOR IV (npsa-pbil.ibcp.fr). Lysis of Sheep Red Blood CellsSheep red blood cells (Cedarlane, Hornby, Ontario, Canada) were washed five times in hemolysis buffer (10 mM Tris-HCl, 150 mM NaCl, pH 7.4) by centrifugation. The erythrocytes were then resuspended in hemolysis buffer to 0.5% (v/v). The cells were incubated at room temperature for 5 min in the presence of 10 mM MgCl2 and with or without 50 milliunits/ml sphingomyelinase from S. aureus (EC 3.1.4.12 [EC] , Sigma). 180 µl of cell suspension was added to the wells of a microplate containing different amounts of CAMP factor in 20 µl of the former buffer. Hemolysis was measured by the decrease in turbidity (A650) using a 96-well plate reader (Spectramax 190, Molecular Devices, Sunnyvale, CA). For osmotic protection by polyethylene glycol (PEG), the red cells were made to 5% (v/v) suspension followed by incubation with 500 milliunits/ml sphingomyelinase at room temperature. 20 µl of the erythrocyte suspension was added to 180 µl of hemolysis buffer containing CAMP factor and PEGs of various molecular weights at 30 mM. Hemolysis was assayed by cell turbidity as described above (experiments depicted in Fig. 4A) or by measuring the optical density of the released hemoglobin at 540 nm (after spinning down cells and membranes; experiments shown in Fig. 4B). Control samples without CAMP factor remained stable during the assay period.
Binding of CAMP Factor to Erythrocyte MembranesSheep erythrocytes were lysed osmotically in 5 mM phosphate buffer and washed several times until the membrane pellets became white. Membranes were suspended in hemolysis buffer with 10 mM MgCl2 and pretreated with or without 0.18 units/ml sphingomyelinase for 10 min at 37 °C. CAMP factor protein or GST-CAMP fusion protein was added. After incubation at 37 °C for one-half hour, the mixtures were centrifuged at 14,000 rpm for 10 min and washed twice with the hemolysis buffer. The membrane pellet was dissolved in 10 mM Tris, 150 mM NaCl, 10% sodium deoxycholate (w/v), pH 8.0. The dissolved membrane pellets were analyzed by SDS-PAGE or by gel filtration. For SDS-PAGE, 300 µg/ml lipids and 17 µg/ml protein were used. For gel filtration, the concentration of lipids and CAMP factor was 150 and 174 µg/ml, respectively. The protein concentration of the membrane was determined by the Bradford method, and the lipid concentration was estimated by assuming the lipid to protein ratio is 1:1 by weight. Preparation of LiposomesAll lipids were purchased from Avanti Lipids (Alabaster, AL), with the exception of bovine brain ceramide (Sigma). The lipids, dissolved in chloroform, were mixed in various molar ratios (see "Results"), dried down under nitrogen in a round-bottom flask, and then dried under vacuum for an additional 3 h to remove the residual solvent. The dried lipids were hydrated at room temperature for 1 h in 1 ml of 20 mM HEPES, 150 mM NaCl, 50 mM calcein, pH 7.4, by vigorous vortexing. For ceramide-containing liposomes, the suspension was warmed to 45 °C during hydration. The suspension was frozen at 20 °C and thawed at room temperature. The lipid suspension was sized down to unilamellar liposomes using a liposome extruder (Northern Lipids, Vancouver, British Columbia, Canada) by extrusion 10 times through a polycarbonate membrane with a 100-nm pore size. The extruder was thermostatted to 45 °C to facilitate processing of the ceramide-containing liposomes. The non-entrapped calcein was removed by gel filtration on Sephadex G-50 pre-equilibrated with 20 mM HEPES, 150 mM NaCl, pH 7.4. The lipid concentration was determined by an enzymatic cholesterol assay (Molecular Probes, Eugene, OR). For liposomes without cholesterol, the lipid concentration was estimated from the encapsulated liposome volume (19). Calcein Release AssayAll fluorescence measurements were performed on a Fuorolog 3 spectrofluorimeter (Instruments S.A., Jobin Yvon/Spex Division, Edison, NJ). The liposomes with entrapped calcein (final lipid concentration 60 µg/ml) were mixed with various amounts of CAMP factor in 10 mM Tris-HCl, 150 mM NaCl, 10 mM MgCl2, pH 7.4 buffer. After incubation at 37 °C for 10 min, the samples were diluted with the same buffer, and calcein fluorescence intensity was measured immediately (excitation, 480 nm; emission, 520 nm). The fraction of calcein released was calculated by deducting the fluorescence intensity of a control sample incubated without CAMP factor. 100% release was obtained from a liposome sample lysed by sodium deoxycholate. Gel FiltrationGel filtration chromatography of solubilized membranes and CAMP factor was performed using a Sephacryl HR 300 (Amersham Biosciences) column (diameter, 16 mm; length, 25 cm). The column was equilibrated with 50 mM Tris-HCl, 150 mM NaCl, 6 mM sodium deoxycholate, pH 8.0. The samples containing erythrocyte membranes were pelleted and dissolved in 500 µl of buffer (50 mM Tris-HCl, 150 mM NaCl, 10% sodium deoxycholate, pH 8.0), applied to the column and eluted with equilibration buffer. Fractions of 1 ml were collected and analyzed by SDS-PAGE. Chemical Cross-linking of CAMP FactorCAMP factor (final concentration 0.17 mg/ml) was first incubated with the liposomes (total lipids, 0.2 mg/ml) in 10 mM HEPES, 150 mM NaCl, 10 mM MgCl2, pH 7.4 at 37 °C for 30 min. The cross-linking reagent, glutaraldehyde (Sigma), was then added to 2.5 mM, and the samples were incubated again at 37 °C for 30 min. The reaction was stopped by the addition of Tris to 0.1 M. The samples were then analyzed by SDS-PAGE. Electron MicroscopySheep red blood cells were treated with sphingomyelinase as described above, incubated, and lysed with 70 µg/ml CAMP factor, and the membranes were collected by centrifugation. The membranes were washed three times with 5 mM HEPES buffer (pH 7.4) and mounted onto carbon-coated grids (Formvar/copper, 200 mesh, Marivac Ltd.) followed by negative staining with sodium phosphotungstate (2% (w/v), pH 7.4) for 5 s. Membranes were then examined in a LEO 912 AB Omega electron microscope operated at 100 kV.
Cloning, Recombinant Expression, and Purification of CAMP FactorThe coding sequence for CAMP factor was amplified by PCR, cloned, and sequenced from a laboratory strain of S. agalactiae. A BLAST (www.ncbi.nlm.nih.gov) search was performed. The coding sequence was found to deviate at two positions from the published sequence of CAMP factor of S. agalactiae (20) at both the nucleotide and amino acid levels. However, the coding sequence of the CAMP factor mature peptide exactly matched the amino acid sequence of protein B, the alias of CAMP factor of S. agalactiae (14). These differences may arise from the different sources of the bacterial strains.
We initially tried to clone the CAMP factor gene into a high copy number vector, pT7- We finally used the pGEX-KG expression vector, which yields a protein expressed as glutathione S-transferase-CAMP factor fusion protein. The 53-kDa fusion protein was purified following a well established protocol (13, 15). The fusion protein absorbed to the glutathione-agarose beads was directly cleaved by thrombin, and the 27-kDa cleavage product was released immediately from the agarose beads (Fig. 1A). The cleaved protein has 20 amino acids derived from the vector attached to the N terminus of the wild-type CAMP factor. This N-terminal extension had no apparent effect on the activity of CAMP factor.
Secondary Structure Prediction and Circular Dichroism The GOR IV secondary structure prediction program suggests that the protein consists mainly of an Hemolytic Activity of CAMP Factor on Sheep ErythrocytesWe found that 50% hemolysis of could be achieved in 25 min at 25 °C with 1.25 ng/ml CAMP factor (Fig. 2A). The hemolytic activity of the recombinant CAMP factor thus is comparable with the previous data obtained with wild-type CAMP factor, for which values of 1.75 ng/ml (22) or 1 ng/ml (7) have been reported.
The CAMP factor could lyse the sheep red blood cells alone even without sphingomyelinase treatment. However, a concentration of 12 µg/ml CAMP factor was needed to achieve an equivalent extent of hemolysis (also note that the kinetics is somewhat different; Fig. 2B). The untreated cells thus are about 10,000 times less susceptible to CAMP factor than the sphingomyelinase-treated ones. The uncleaved GST-CAMP fusion protein possessed very low hemolytic activity, being about 5,000 times less active than the thrombin-cleaved protein (data not shown). This finding may be related to the observed lack of toxicity during expression. Binding of CAMP Factor to Sheep Erythrocyte Membranes The CAMP protein was incubated with red blood cell membranes with or without prior sphingomyelinase treatment. After incubation, the mixture was centrifuged and washed twice to remove the unbound protein. Fig. 3 shows that CAMP factor bound efficiently to the sphingomyelinase-treated membranes. It also shows that CAMP factor could bind to the untreated cell membranes, although the binding efficiency was much lower. GST-CAMP fusion protein also bound efficiently to the sphingomyelinase-treated red blood cell membranes. The intact binding but low hemolytic activity of GST-CAMP suggests that membrane binding and cell lysis are separate, successive events, and that the N terminus of the CAMP molecule may be involved in the latter step.
CAMP Factor Is a Pore-forming ProteinMembrane-damaging toxins may act through two mechanisms. One mechanism involves enzymatic hydrolysis of phospholipids, which will directly disrupt the membrane structure and eventually lead to the cell lysis. In contrast, pore-forming proteins damage erythrocytes through a colloid-osmotic mechanism. They form channels on the target cell membranes, causing the leakage of small molecules such as ions and metabolites, whereas large molecules such as hemoglobin cannot pass through the channels. This will lead to an increased intracellular osmotic pressure and the influx of water into the cell, resulting in the bursting of cells. Adding polymeric solutes to the cell suspension can inhibit this colloid-osmotic process. With increasing molecular weight, these solutes will finally become too large to move freely through the pores, thus counterbalancing the osmotic pressure caused by the intracellular macromolecules. Therefore, the osmotic protection can be used to detect pores of defined size. Previous studies on CAMP factor showed that after lysis of liposomes with CAMP factor, no change in lipid composition had occurred, so that enzymatic activity was not required for membrane damage (22). We therefore reasoned that CAMP factor might possess pore-forming activity. Fig. 4A shows that PEG 6000 and PEG 8000 cause a pronounced delay of hemolysis; lysis is even slower with PEG 10,000. In contrast, PEG 1000 and PEG 4000 have no protective effect on CAMP factor-mediated hemolysis. When cells were incubated with CAMP factor in the presence of PEG 10,000, washed twice in the same buffer, and resuspended in buffer without PEG, hemolysis occurred immediately. This confirmed that pore formation had indeed proceeded in the presence of PEG, indicating that PEG had worked by osmotic protection but not by directly inhibiting the binding or lytic action of CAMP factor. These data strongly suggest that CAMP factor forms pores with a defined diameter on susceptible membranes. Given that the hydrodynamic radii of PEG 4000 and PEG 6000 are 1.6 and 2.7 nm, respectively (23), these experiments suggested that the diameter of CAMP factor pore is between these two values. Prompted by the finding of larger pores by electron microscopy (see below, Fig. 5), we repeated the osmotic protection experiments with different dosages of CAMP factor. Fig. 4B shows that the osmo-protective effect of PEG 6000 is diminished and finally abrogated at higher concentrations of toxin. This finding is in line with the assumption of heterogeneous pore size, with the smaller pores being more prevalent than large ones, at least at low concentrations of toxin.
Electron Microscopy of CAMP Factor PoresOn sheep red cell membranes pretreated with sphingomyelinase and then exposed to high concentrations of CAMP factor, we observed discrete, circumscribed membrane lesions of various sizes (Fig. 5). Although the smallest pores were just discernible against the background, larger ones reached diameters of 12 nm and beyond. Some pores were round and regular in shape (Fig. 5D), whereas others appeared quite irregular (Fig. 5, B and C). Similar findings have been reported previously with streptolysin O (24, 25). In comparison with the latter toxin, the pores created by CAMP factor appear to be lined by a more delicate seam of protein, which may reflect the smaller molecular mass of CAMP factor (27 kDa as compared with 60 kDa for streptolysin O).
Oligomeric State of CAMP FactorGel filtration performed on CAMP factor showed that it was monomeric in solution, as it was eluted from a Sephacryl HR 300 column between
To detect oligomers on membranes, we performed chemical cross-linking on CAMP factor incubated with liposomes consisting of ceramide (40%), cholesterol (45%), and phosphatidylcholine (15%). Fig. 6B shows that oligomeric forms were indeed produced upon treatment with glutaraldehyde. Considering the low susceptibility of the liposomal membranes to CAMP factor (see below), the relatively high efficiency of cross-linking also suggests the existence of non-lytic oligomeric stages on liposome membranes. Liposome Permeabilization StudiesIn previous studies, the activity of CAMP factor was found to be related to the amount of diacylglycerol or ceramide and the amount of cholesterol in both natural and artificial membranes (6, 7). Therefore, liposome membranes containing different concentrations of ceramide or diacylglycerol might offer a good model for studying the action of CAMP factor on bilayers and for better understanding the effects of lipid composition on the activity of CAMP factor. Fig. 7 shows the CAMP-induced calcein release from liposomes of various lipid compositions. The following observations were made. 1) The extent of liposome permeabilization is not linearly related to the CAMP factor concentration. Instead, there is very little permeabilization until a threshold concentration is reached; the percentage of calcein release then increases from 20 to 100% by merely doubling the protein concentration. This cooperative dose-effect correlation is in line with an oligomeric mode of action of CAMP factor during membrane permeabilization. 2) Contrary to what we had expected, ceramide did not augment the activity of CAMP factor on the liposomes, even at molar fractions as high as 40%; this applied to C12-ceramide (Fig. 7A) and to C20-ceramide as well as ceramide isolated from bovine brain (not shown). We found, however, that cholesterol was important. When the cholesterol concentration was increased from 25 to 45%, the liposomes became three times more sensitive, whereas cholesterol-free liposomes were insensitive (Fig. 7B). The latter finding concurs with previous reports that the cholesterol content in the membrane affected the CAMP activity on liposome membranes (6). 3) Even with the most susceptible model membranes used, the concentration of CAMP factor needed to elicit a substantial liposome permeabilization was more than a thousand times higher than that required with sphingomyelinase-treated red blood cells but was very similar to the concentration required with untreated erythrocytes (cf. Fig. 2).
The low activity of CAMP factor on the liposomes might potentially arise from inefficient membrane binding or from low activity of membrane-bound CAMP factor. To distinguish between these possibilities, we performed the following experiments. First, the ratio of membrane lipids and CAMP factor was kept constant, whereas the absolute amounts of both were varied. If binding were efficient and quantitative at low concentrations, then the extent of membrane permeabilization should be the same. This effect, however, was not observed (Fig. 8A). On the other hand, if binding were very inefficient, then increasing amounts of membranes should not significantly deplete CAMP factor from solution; a fixed amount of CAMP factor should therefore permeabilize any amount of liposomes to approximately the same degree, which was not observed either (Fig. 8B). This suggests that CAMP factor is partially depleted with increasing membrane concentration. The weak effect of CAMP factor on the liposome membrane therefore probably is not due to weak binding only but in part to the low pore forming activity of the bound toxin.
The present study shows that CAMP factor forms large oligomeric pores in susceptible membranes. The size of these pores is between those of streptolysin O (24) and the terminal complement complex (and perforin) (24, 26). With both streptolysin O and complement, pores may vary considerably in functional diameter (2427), a finding that also applies to CAMP factor.
In contrast to many other pore-forming proteins (including streptolysin O and complement), the oligomers of CAMP factor are not stable following membrane solubilization. This finding is not unprecedented with pore-forming peptides and proteins; e.g. even though evidence of oligomerization on membranes has been obtained with several pore-forming peptides such as melittin (28) or magainin (29) and with Bacillus thuringiensis CAMP factor displays little sequence homology to other poreforming proteins, the closest match being colicin Ia, which scores 20% identity when allowing for 10 gaps in the alignment. Because this alignment does not span the putative poreforming domains of colicin Ia (32), this homology does not permit the prediction of the tertiary structure of CAMP factor in the membrane-inserted oligomeric form. Structure and structure-function relationships therefore await experimental elucidation. As with other pore-forming proteins, two phases can be distinguished in the action of CAMP factor: membrane binding, and pore formation, which presumably involves oligomerization. Although sphingomyelinase treatment very clearly increased membrane binding, this difference does not fully account for the observed difference in membrane susceptibility. It therefore seems that the oligomerization/pore formation step is affected by the change in lipid composition as well. Although model liposomes were susceptible to CAMP factor to limited extent, CAMP factor was not any more active on liposomes containing ceramide than on those without. This is in striking contrast to the red cells, which were sensitized 10,000-fold by sphingomyelinase treatment, and suggests that the role of ceramide does not consist in a direct interaction with the protein. It remains to be determined what property or component of the red cell membrane accounts for the sensitizing effect of ceramide. Another open question is what the physiological role of CAMP factor might be. The apparent toxicity of CAMP factor for bacterial cells, which was observed in the initial attempts to achieve expression, led us to speculate that bacteria might be relevant as a target of CAMP factor in vivo. However, addition of purified CAMP factor to E. coli or B. subtilis cultures did not detectably affect cell viability; CAMP factor may therefore be toxic to bacterial cells only from the inside. Further studies on its mode of action need to be performed with different types of cells and model membranes to reach a better understanding of the physiological significance of CAMP factor. Although cholesterol has a strong effect on membrane susceptibility, the specificity of the sterol requirement has not yet been examined in detail, and the apparent toxicity of CAMP factor for bacterial cells suggests that it might be functionally replaced by nonsterol lipids in the target membrane.
* This work was supported by Natural Sciences and Engineering Research Council (Canada) Grant 250265-2003 GSC-032). The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 The abbreviations used are: GST, glutathione S-transferase; PEG, polyethylene glycol; PC, phosphatidylcholine; C12-ceramide, N-lauroryl-D-erythro-sphingosine; C20-ceramide, N-arachidoyl-D-erythro-sphingosine.
We thank Dale Weber, Bob Harris, and Dr. Terry Beveridge for expert help with electron microscopy.
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