
Moringa
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Serving size: 2-8 (375 mg) capsulesContaining over 90 nutrients and 46 antioxidants,
Moringa (Moringa Oleifera) is one of nature's most nutritious foods.
Ideal for helping our bodies maintain optimum health, the nutrition in
this miraculous tree has been traditionally used to treat over 300
different diseases and disorders. Ounce for ounce, dried moringa leaves contains
ten times the omega 3's found in salmon, ten times the beta carotene of
carrots, twenty times the iron of spinach, seventeen times as much
calcium as milk and fifteen times the potassium of bananas &ten
times the protein in yogurt. Moringa
leaves are highly nutritious and are rich in vitamins K, A, C, B6,
Manganese, Magnesium, Riboflavin, Calcium, Thiamin, Potassium, &
Niacin. Moringa also contains 18 amino acids such as tryptophan &
argine & all 8 essential amino acids and is rich in flavonoids. Because Moringa is so nutrient dense it is frequently used as a meal replacement. Moringa is sometimes referred to as the "Miracle Tree" because its combination of sustainability, high nutrition, and hardiness has caused it to be promoted widely in
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a forum on beneficial trees and plants Open
access, freely available online
Moringa oleifera: A Review of the
Medical Evidence for Its Nutritional, Therapeutic, and Prophylactic Properties.
Part 1.
Jed W. Fahey, Sc.D.
Johns Hopkins School of
Medicine, Department of Pharmacology and Molecular Sciences, Lewis B. and
Dorothy Cullman Cancer Chemoprotection Center, 725 N. Wolfe Street, 406 WBSB,
Baltimore, Maryland, USA 21205-2185
Moringa oleifera, or the horseradish tree, is a pan-tropical
species that is known by such regional names as benzolive, drumstick tree,
kelor, marango, mlonge, mulangay, nébéday, saijhan, and sajna. Over the past
two decades, many reports have appeared in mainstream scientific journals
describing its nutritional and medicinal properties. Its utility as a non-food
product has also been extensively described, but will not be discussed herein,
(e.g. lumber, charcoal, fencing, water clarification, lubricating oil). As with
many reports of the nutritional or medicinal value of a natural product, there
are an alarming number of purveyors of “healthful” food who are now promoting M.
oleifera as a panacea. While much of this recent enthusiasm indeed appears
to be justified, it is critical to separate rigorous scientific evidence from
anecdote. Those who charge a premium for products containing Moringa spp.
must be held to a high standard. Those who promote the cultivation and use of Moringa
spp. in regions where hope is in short supply must be provided with the
best available evidence, so as not to raise false hopes and to encourage the
most fruitful use of scarce research capital. It is the purpose of this series
of brief reviews to: (a) critically evaluate the published scientific evidence
on M. oleifera, (b) highlight claims from the traditional and tribal
medicinal lore and from non-peer reviewed sources that would benefit from
further, rigorous scientific evaluation, and (c) suggest directions for future
clinical research that could be carried out by local investigators in
developing regions.
This is the first of four
planned papers on the nutritional, therapeutic, and prophylactic properties of Moringa oleifera. In this introductory
paper, the scientific evidence for health effects are summarized in tabular
format, and the strength of evidence is discussed in very general terms. A
second paper will address a select few uses of Moringa in greater detail than
they can be dealt with in the context of this paper. A third paper will probe
the phytochemical components of Moringa in more depth. A fourth paper
will lay out a number of suggested research projects that can be initiated at a
very small scale and with very limited resources, in geographic regions which
are suitable for Moringa cultivation and utilization. In advance of this
fourth paper in the series, the author solicits suggestions and will gladly
acknowledge contributions that are incorporated into the final manuscript. It
is the intent and hope of the journal’s editors that such a network of
small-scale, locally executed investigations might be successfully woven into a
greater fabric which will have enhanced scientific power over similar small
studies conducted and reported in isolation. Such an approach will have the
added benefit that statistically sound planning, peer review, and multi-center
coordination brings to a scientific investigation.
The following paper is
intended to be useful for both scientific and lay audiences. Since various
terms used herein are likely not familiar to the lay reader, nor are many of
the references readily available to either scientific or lay audiences, we
encourage active on-line dialog between readers and both the author and the
journal staff. Both will attempt to answer questions and to direct readers to
the experts in an open and public manner.
Reviews
Abstract
Copyright: ©2005 Jed W. Fahey
This is an Open Access
article distributed under the terms of the Creative Commons Attribution License
which permits unrestricted use, distribution, and reproduction in any medium, provided
the original work is properly cited.
Contact: Jed W. Fahey
Email: jfahey@jhmi.edu
Received: September 15, 2005
Accepted: November 20, 2005
Published: December 1, 2005
The
electronic version of this article is the complete one and can be found online
at: http://www.TFLJournal.org/article.php/20051201124931586
Trees for Life Journal
2005, 1:5 PEER REVIEWED
Introduction
Moringa oleifera is the most widely cultivated species of a monogeneric
family, the Moringaceae, that is native to the sub-Himalayan tracts of
Nutrition
Moringa trees have been used to
combat malnutrition, especially among infants and nursing mothers. Three
non-governmental organizations in particular—Trees for Life, Church World
Service and Educational Concerns for Hunger Organization—have advocated Moringa
as “natural nutrition for the tropics.” Leaves can be eaten fresh,
cooked, or stored as dried powder for many months without refrigeration, and
reportedly without loss of nutritional value. Moringa is especially promising
as a food source in the tropics because the tree is in full leaf at the end of
the dry season when other foods are typically scarce.
A large number of reports on the
nutritional qualities of Moringa now exist in both the scientific and the
popular literature. Any readers who are familiar with Moringa will recognize
the oft-reproduced characterization made many years ago by the Trees for Life
organization, that “ounce-for-ounce, Moringa leaves contain more Vitamin A than
carrots, more calcium than milk, more iron than spinach, more Vitamin C than
oranges, and more potassium than bananas,” and that the protein quality of
Moringa leaves rivals that of milk and eggs. These readers will also recognize
the oral histories recorded by Lowell Fuglie in
In many cultures throughout the
tropics, different-tiation between food and medicinal uses of plants (e.g.
bark, fruit, leaves, nuts, seeds, tubers, roots, flowers), is very difficult
since plant uses span both categories and this is deeply ingrained in the
traditions and the fabric of the community (85). Thus, Table 1 in this
review captures both nutritional and medicinal references as they relate to
Moringa, whilst avoiding most of the better known agro-forestry and water
purification applications of this plant. The interested reader is also directed
to the very comprehensive reviews of the nutritional attributes of Moringa
prepared by the NGOs mentioned earlier (in particular, see references
47,123,157).
Phytochemistry
Phytochemicals are, in the strictest
sense of the word, chemicals produced by plants. Commonly, though, the word
refers to only those chemicals which may have an impact on health, or on
flavor, texture, smell, or color of the plants, but are not required by humans
as essential nutrients. An examination of the phytochemicals of Moringa species
affords the opportunity to examine a range of fairly unique compounds. In
particular, this plant family is rich in compounds containing the simple sugar,
rhamnose, and it is rich in a fairly unique group of compounds called
glucosinolates and isothiocyanates (10,38). For example, specific components of
Moringa preparations that have been reported to have hypo-tensive, anticancer,
and antibacterial activity include 4-(4'-O-acetyl-a-L-rhamnopyranosyloxy)benzyl
isothiocy-anate [1], 4-(a-L-rhamnopyranosyloxy)benzyl isothiocy-anate [2],
niazimicin [3], pterygospermin [4], benzyl isothiocyanate [5],
and 4-(a-L-rhamnopyranosyloxy)
benzyl
glucosinolate [6]. While these compounds are relatively unique to the
Moringa family, it is also rich in a number of vitamins and minerals as well as
other more commonly recognized phytochemicals such as the carotenoids
(including ß-carotene or pro-vitamin A). These attributes are all discussed
extensively by Lowell Fuglie (47) and others, and will be the subject of a
future review in this series.
Figure 1. Structures of selected
phytochemicals from Moringa spp.: 4-(4'-O-acetyl-a-L-rhamnopyranosyloxy)benzyl
isothiocyanate [1], 4-(-L-rhamnopyranosyloxy)benzyl isothiocyanate [2],
niazimicin [3], pterygospermin [4], benzyl isothiocyanate [5],
and 4-(a-L-rhamnopyranosyloxy)benzyl glucosinolate [6]
The benefits for the treatment or prevention
of disease or infection that may accrue from either dietary or topical
administration of Moringa preparations (e.g. extracts, decoctions, poultices,
creams, oils, emollients, salves, powders, porridges) are not quite so well
known (116). Although the oral history here is also voluminous, it has been
subject to much less intense scientific scrutiny, and it is useful to review
the claims that have been made and to assess the quality of evidence available
for the more well-documented claims. The readers of this review are encouraged
to examine two recent papers that do an excellent job of contrasting the
dilemma of balancing evidence from complementary and alternative medicine (e.g.
traditional medicine, tribal lore, oral histories and anecdotes) with the
burden of proof required in order to make sound scientific judgments on the
efficacy of these traditional cures (138,154). Clearly much more research is
justified, but just as clearly this will be a very fruitful field of endeavor
for both basic and applied researchers over the next decade.
Widespread claims of the medicinal
effectiveness of various Moringa tree preparations have encouraged the author
and his colleagues at The Johns Hopkins University to further investigate some
of these possibilities. A plethora of traditional medicine refer-ences attest
to its curative power, and scientific validation of these popular uses is
developing to
support
at least some of the claims. Moringa preparations have been cited in the
scientific literature as having antibiotic, antitrypanosomal, hypotensive,
antispasmodic, antiulcer, anti-inflammatory, hypo-cholesterolemic, and
hypoglycemic activities, as well as having considerable efficacy in water
purification by flocculation, sedimentation, antibiosis and even reduction of
Schistosome cercariae titer (see Table 1).
Unfortunately, many of these reports
of efficacy in human beings are not supported by placebo controlled, randomized
clinical trials, nor have they been published in high visibility journals. For
example, on the surface a report published almost 25 years ago (141) appears to
establish Moringa as a powerful cure for urinary tract infection, but it
provides the reader with no source of comparison (no control subjects). Thus,
to the extent to which this is antithetical to Western medicine, Moringa has
not yet been and will not be embraced by Western-trained medical practitioners
for either its medicinal or nutritional properties.
In many cases, published in-vitro (cultured
cells) and in-vivo (animal) trials do provide a degree of mechanistic
support for some of the claims that have sprung from the traditional medicine
lore. For example, numerous studies now point to the elevation of a variety of
detoxication and antioxidant enzymes and biomarkers as a result of treatment
with Moringa or with phytochemicals isolated from Moringa (39,40,76,131). I
shall briefly introduce antibiosis and cancer prevention as just two examples
of areas of Moringa research for which the existing scientific evidence appears
to be particularly strong.
Antibiotic Activity. This is clearly the area in which the preponderance of
evidence—both classical scientific and extensive anecdotal evidence—is
overwhelming. The scientific evidence has now been available for over 50 years,
although much of it is completely unknown to western scientists. In the late
1940’s and early 1950’s a team from the University of Bombay (BR Das),
Travancore University (PA Kurup), and the Department of Biochemistry at the
Indian Institute of Science in Bangalore (PLN Rao), identified a compound they
called pterygospermin [4] a compound which they reported readily
dissociated into two molecules of benzyl isothiocyanate [5] (23,24,25,26,77,78,79,80,81,108).
Benzyl isothiocyanate was already understood at that time to have antimicrobial
properties. This group not only identified pterygospermin, but performed
extensive and elegant characterization of its mode of antimicrobial action in
the mid 1950’s. (They identified the tree from which they isolated this substance
as “Moringa pterygosperma,” now regarded as an archaic designation for “M.
oleifera.”) Although others were to show that pterygospermin and extracts
of the Moringa plants from which it was isolated were antibacterial against a
variety of microbes, the identity of pterygospermin has since been challenged
(34) as an artifact of isolation or structural determination.
Subsequent elegant and very thorough
work, published in 1964 as a PhD thesis by Bennie Badgett (a student of the
well known chemist Martin Ettlinger), identified a number of glyosylated
derivatives of benzyl isothiocyanate [5] (e.g. compounds containing the
6-carbon simple sugar, rhamnose) (8). The identity of these compounds was not
available in the refereed scientific literature until “re-discovered” 15 years
later by Kjaer and co-workers (73). Seminal reports on the antibiotic activity
of the primary rhamnosylated compound then followed, from U Eilert and
colleagues in
Extensive field reports and
ecological studies (see Table 1) forming part of a rich traditional
medicine history, claim efficacy of leaf, seed, root, bark, and flowers against
a variety of dermal and internal infections. Unfortunately, many of the reports
of antibiotic efficacy in humans are not supported by placebo controlled,
randomized clinical trials. Again, in keeping with Western medical prejudices,
practitioners may not be expected to embrace Moringa for its antibiotic
properties. In this case, however, the in-vitro (bacterial cultures) and
observational studies provide a very plausible mechanistic underpinning for the
plethora of efficacy claims that have accumulated over the years (see Table
1).
Aware of the reported antibiotic
activity of [2], [5], and other isothiocyanates and plants
containing them, we undertook to determine whether some of them were also
active as antibiotics against Helicobacter pylori. This bacterium was
not discovered until the mid-1980’s, a discovery for which the 2005 Nobel Prize
in Medicine was just awarded. H. pylori is an omnipresent pathogen of
human beings in medically underserved areas of the world, and amongst the
poorest of poor populations worldwide. It is a major cause of gastritis, and of
gastric and duodenal ulcers, and it is a major risk factor for gastric cancer
(having been classified as a carcinogen by the W.H.O. in 1993). Cultures of H.
pylori, it turned out, were extraordinarily susceptible to [2], and
to a number of other isothiocyanates (37,60). These compounds had antibiotic
activity against H. pylori at concentrations up to 1000-fold lower than
those which had been used in earlier studies against a wide range of bacteria
and fungi. The extension of this finding to human H. pylori infection is
now being pursued in the clinic, and the prototypical isothiocyanate has
already demonstrated some efficacy in pilot studies (49,168).
Cancer Prevention. Since Moringa species have long been recognized by
folk medicine practitioners as having value in tumor therapy (61), we examined
compounds [1] and [2] for their cancer preventive potential (39).
Recently, [1] and the related compound [3] were shown to be
potent inhibitors of phorbol ester
|
Traditional Use Condition/Effecta |
Plant Partb |
Referencesc |
|
|
(ANT) Antimicrobial /
Biocidal |
LFSPRBGO |
8, 13, 19, 24, 27, 31,
34, 64, 68, 100, 104, 114, 115, 126, 140, 151 160, 161, 162 |
|
|
Bacterial |
LFS |
25, 26, 55, 63, 77 -
81, 149 |
|
|
Dental Caries/Toothache
|
RBG |
47 |
|
|
Infection |
LF |
47 |
|
|
Syphilis |
G |
47 |
|
|
Typhoid |
G |
47 |
|
|
Urinary Tract Infection
|
L |
141 |
|
|
Fungal/ Mycoses |
O |
111 |
|
|
Thrush |
88, 111 |
||
|
Viral |
|||
|
Common cold |
FRB |
47 |
|
|
Epstein-Barr Virus
(EBV) |
L |
104 |
|
|
Herpes Simplex Virus
(HSV-1) |
L |
84 |
|
|
HIV-AIDS |
L |
1, 124 |
|
|
Warts |
S |
47 |
|
|
Parasites |
|||
|
Dranunculiasis
(guinea-worm) |
36 |
||
|
Helminths |
LFP |
47 |
|
|
Schistosomes |
S |
113 |
|
|
Trypanosomes |
LR |
95 |
|
|
Other / Not Attributed
to a Specific Pathogen |
|||
|
Bronchitis |
L |
47 |
|
|
Earache |
G |
47 |
|
|
External Sores/Ulcers |
LFRB |
15 |
|
|
Fever |
LRGS |
47 |
|
|
Hepatic |
L |
6 |
|
|
Skin (Dermal) |
O S |
15 |
|
|
Throat Infection |
F |
47 |
|
|
Water treatment
(general) |
S |
11, 50, 75, 86, 169 |
|
| |
|
|
|
|
AST Asthma |
RG |
47 |
|
|
CAN Cancer Therapy /
Protection |
LFPBS |
12, 17, 28, 39, 45, 59,
61, 64, 104, 115 |
|
|
Anti-tumor |
LFSB |
45, 48, 57, 61, 87 |
|
|
Prostate |
L |
47, 48 |
|
|
Radioprotective |
L |
132 |
|
|
Skin |
P |
12 |
|
|
CIR
Circulatory/Endocrine Disorders |
LFSPR |
56, 93 |
|
|
Anti-anemic |
L |
47, 125 |
|
|
Anti-hypertensive |
LP |
40, 41, 42, 43, 44, 53,
83, 137 |
|
|
Cardiotonic |
R |
47 |
|
|
Diabetes/hypoglycemia |
LP |
6, 45, 71, 87, 101, 167
|
|
|
Diuretic |
LFRG |
6, 14, 62 |
|
|
Hypocholestemia |
L |
52, 94 |
|
|
Thyroid |
L |
153 |
|
|
Tonic |
F |
47 |
|
|
Hepatorenal |
LR |
93, 120 |
|
|
DET Detoxification |
BO |
76, 135, 166 |
|
|
Antipyretic |
148 |
||
|
Purgative |
O |
47 |
|
|
Snakebite |
B |
47 |
|
|
Scorpion-bite |
B |
47 |
|
|
DIG Digestive Disorders
|
LSRBG |
53 |
|
|
For TRTMNT of: |
|||
|
Colitis |
LB |
47 |
|
|
Diarrhea |
LR |
47, 62, 64 |
|
|
Digestif |
B |
47 |
|
|
Dysentery |
LG |
47 |
|
|
Flatulence |
R |
47 |
|
|
Ulcer / Gastritis |
LS |
3, 115, 136 |
|
|
INF Inflammation |
LFSPRG |
14, 28, 35, 45, 62, 64,
68, 110, 131, 160, 161 |
|
|
Rheumatism |
LFSPRG |
28 |
|
|
Joint Pain |
P |
47 |
|
|
Edema |
R |
47 |
|
|
Arthritis |
S |
47 |
|
|
IMM Immunity |
SO |
69 |
|
|
Immune-stimulant |
S |
69 |
|
|
Lupus |
O |
28 |
|
|
NER Nervous Disorders |
LFRBGO |
58, 59, 62, 96 |
|
|
Anti-spasmodic |
SR |
14, 53 |
|
|
Epilepsy |
RB |
47 |
|
|
Hysteria |
FRBO |
47 |
|
|
Headache |
LRBG |
47 |
|
|
NUT Nuritional |
LSBO |
6, 7, 18, 22, 28, 30,
31, 32, 46, 47, 48, 51, 65, 66, 67, 70, 92, 102, 112, 116, 133, 163 |
|
|
Antinutritional factors
|
B |
88, 89, 90, 110, 127,
128, 139, 156, 164, 165 |
|
|
Antioxidant |
LO |
110, 147 |
|
|
Carotenoids |
L |
29, 105, 152 |
|
|
Energy |
LSO |
85 |
|
|
Goitrogen |
S |
2 |
|
|
Iron deficiency |
LS |
16 |
|
|
Oil quality |
O |
5, 98, 110, 158, 159 |
|
|
Protein |
LS |
47 |
|
|
Vitamin/Mineral
deficiency |
LS |
7, 9, 54, 56, 85, 119 |
|
| |
|
|
|
|
REP Reproductive Health
|
LFPRBGO |
44, 53, 64, 121, 122 |
|
Abortifacient |
FRBG |
106, 107, 155 |
|
Aphrodisiac |
RB |
47 |
|
Birth Control |
B |
45, 53, 142 - 146, |
|
Lactation Enhancer |
L |
47 |
|
Prostate function |
O |
47 |
|
SKI Skin Disorders |
LRSG |
160, 161 |
|
Antiseptic |
L |
47 |
|
Astringent |
R |
47 |
|
Pyodermia |
S |
15 |
|
Rubefacient |
RG |
47 |
|
Vesicant |
R |
47 |
|
GEN General
Disorders/Conditions |
LFSPRBO |
4, 6, 8, 20, 21, 45,
48, 64, 66, 67, 68, 73, 74, 82, 91, 92, 99, 102, 103, 109, 116, 117, 118,
123, 125, 128, 129, 130, 134, 150, 163 |
|
Bladder |
OS |
47 |
|
Catarrh |
LF |
47 |
|
Gout |
RO |
47 |
|
Hepatamegaly |
R |
47 |
|
Lactation |
L |
47 |
|
Low.Back/Kidney Pain |
R |
47 |
|
Scurvy |
LSRBO |
47 |
|
Splenomegaly |
R |
47 |
|
“Tonic” |
LFPSO |
47 |
a It is very difficult in some cases to separate the effects of
severe nutritional deficiencies (e.g. Vitamin C) from sequelae (e.g. scurvy)
which transcend categorization by organ systems or classification into single
disease states.
b Plant parts are designated by their first
letters (in bold):
Leaves
Flowers
Seeds
Pods (drumsticks)
Roots
Bark
Gum
Oil (from seeds)
c Many of the original citations have been
collected by Lowell J. Fuglie, [and can be found in his excellent treatise
entitled The Miracle Tree, (47)] and by Manuel Palada (116), Julia
Morton (102), and Trees For Life (157). Most other compendiums in recent
publications or on commercial websites appear to be highly derivative of these
seminal works.
References
(3-letter code in yellow at end of
reference indicates major classification in Table 1)
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2. Abuye C, AM Omwega, JK Imungi
(1999) Familial tendency and dietary association of goitre in
3. Akhtar AH, KU Ahmad (1995)
Anti-ulcerogenic evaluation of the methanolic extracts of some indigenous
medicinal plants of
4.
6. Asres K (1995) The major
constituents of the acetone fraction of Ethiopian Moringa stenopetala leaves.
Mansoura Journal of Pharmacological Science 11(1): 55-64. ANT CIR NUT
GEN
7.
8. Badgett BL (1964) Part I. The
mustard oil glucoside from Moringa oleifera seed. Rice University PhD
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(1998) Mineral composition of non-conventional leafy vegetables. Plant Foods
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13. Caceres A, O Cabrera, O Morales,
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14. Caceres A, A Saravia, S Rizzo, L
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16. Chawla S, A Saxena, et al. (1988)
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18. D’Souza J, AR Kulkarni (1993)
Comparative studies on nutritive values of tender foliage of seedlings and
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19. Dahot MU (1998) Antimicrobial
activity of small protein of Moringa oleifera leaves. Journal of the
Islamic Academy of Sciences 11(1): 6 pp. ANT
20. Dahot MU, and AR Memon (1987)
Properties of Moringa oleifera seed lipase.
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Proteolytic enzymes of Moringa oleifera seeds. Journal of Pharmacy 6(1-2):
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22. Dahot MU, and AR Memon (1985)
Nutritive significance of oil extracted from Moringa oleifera seeds. Journal
of Pharmacy of the University of
23. Das BR, PA Kurup, and PL
Narasimha Rao (1954) Antibiotic principle from Moringa pterygosperma. Naturwissenschaften
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47.
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48.
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50.
Gassenschmidt U, KD Jany, B Tauscher, and H Niebergall (1995) Isolation and
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51.
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53. Gilani AH, K Aftab, A
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55.
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CAN
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