2ef80bf3fc2654629b916b6e11caa113 pmc_35159165.pdf 91b1e9305cf733dc5e6ba8d015d2b935e02775b4 pmc_35159165.pdf 02d8caa25c328c40e4f8f6f907709b2ff7680de1a355270b55dae4b1697c7d3d pmc_35159165.pdf Title: Neuron–Microglia Contact-Dependent Mechanisms Attenuate Methamphetamine-Induced Microglia Reactivity and Enhance Neuronal Plasticity Subject: Exposure to methamphetamine (Meth) has been classically associated with damage to neuronal terminals. However, it is now becoming clear that addiction may also result from the interplay between glial cells and neurons. Recently, we demonstrated that binge Meth administration promotes microgliosis and microglia pro-inflammation via astrocytic glutamate release in a TNF/IP3R2-Ca2+-dependent manner. Here, we investigated the contribution of neuronal cells to this process. As the crosstalk between microglia and neurons may occur by contact-dependent and/or contact-independent mechanisms, we developed co-cultures of primary neurons and microglia in microfluidic devices to investigate how their interaction affects Meth-induced microglia activation. Our results show that neurons exposed to Meth do not activate microglia in a cell-autonomous way but require astrocyte mediation. Importantly, we found that neurons can partially prevent Meth-induced microglia activation via astrocytes, which seems to be achieved by increasing arginase 1 expression and strengthening the CD200/CD200r pathway. We also observed an increase in synaptic individual area, as determined by co-localization of pre- and post-synaptic markers. The present study provides evidence that contact-dependent mechanisms between neurons and microglia can attenuate pro-inflammatory events such as Meth-induced microglia activation. Keywords: methamphetamine; neuron-to-microglia; neuroprotection; contact-dependent; CD200; PSD95 Author: Joana Bravo, Inês Ribeiro, Ana Filipa Terceiro, Elva B. Andrade, Camila Cabral Portugal, Igor M. Lopes, Maria M. Azevedo, Mafalda Sousa, Cátia D. F. Lopes, Andrea C. Lobo, Teresa Canedo, João Bettencourt Relvas and Teresa Summavielle Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Fri Jan 28 03:34:13 2022 CET ModDate: Fri Jan 28 04:16:42 2022 CET Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 17 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 22594242 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- SETHQF+VnURWPalladioL Type 1 Custom yes yes no 10 0 CTFYTG+URWPalladioL-Bold Type 1 Custom yes yes no 15 0 KUJTCF+URWPalladioL-Roma Type 1 Custom yes yes no 20 0 DUAIEJ+URWPalladioL-Ital Type 1 Custom yes yes no 24 0 GTLPTE+VnURWPalladioL-Bold Type 1 Custom yes yes no 28 0 MCBCCI+SourceSansRoman-Regular Type 1C Custom yes yes no 36 0 MCBCCM+SourceSansRoman.613wght Type 1C Custom yes yes no 40 0 MCBCCO+SourceSansRoman-Bold Type 1C Custom yes yes no 44 0 PFKOHU+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 56 0 BTSNHC+EURM10 Type 1 Builtin yes yes no 78 0 YFFKLH+CMSY10 Type 1 Builtin yes yes no 85 0 MPUDFL+PazoMath Type 1 Builtin yes yes no 95 0 KMPDPO+Arial-BoldMT CID TrueType Identity-H yes yes yes 128 0 YCJEDM+MyriadPro-Regular Type 1C WinAnsi yes yes no 136 0 JFCCBQ+ArialMT TrueType WinAnsi yes yes no 139 0 VNXRNS+Arial-BoldMT TrueType WinAnsi yes yes no 142 0 BIIFOL+Arial-BoldMT CID TrueType Identity-H yes yes yes 205 0 WGTWWV+MyriadPro-Regular Type 1C WinAnsi yes yes no 213 0 SKZDSD+ArialMT TrueType WinAnsi yes yes no 216 0 QPTRQH+Arial-BoldMT TrueType WinAnsi yes yes no 219 0 DKOVBH+Arial-BoldMT CID TrueType Identity-H yes yes yes 284 0 MGWNXP+MyriadPro-Regular Type 1C WinAnsi yes yes no 292 0 DZRFBH+ArialMT TrueType WinAnsi yes yes no 295 0 TLKIRB+Arial-BoldMT TrueType WinAnsi yes yes no 298 0 APOGJB+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 339 0 APOGJD+PalatinoLinotype TrueType WinAnsi yes yes no 342 0 APOGJF+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 345 0 APOILL+Arial,Bold CID TrueType Identity-H yes yes yes 348 0 APOJPE+SimSun CID TrueType Identity-H yes yes yes 354 0 APOGJB+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 378 0 APOGJD+PalatinoLinotype TrueType WinAnsi yes yes no 381 0 APOGJF+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 384 0 APOILL+Arial,Bold CID TrueType Identity-H yes yes yes 387 0 APOJPE+SimSun CID TrueType Identity-H yes yes yes 393 0 APOGJB+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 430 0 APOGJC+PalatinoLinotype CID TrueType Identity-H yes yes yes 433 0 APOGJD+PalatinoLinotype TrueType WinAnsi yes yes no 439 0 APOGJF+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 442 0 APOIKK+Arial CID TrueType Identity-H yes yes yes 445 0 APOILL+Arial,Bold CID TrueType Identity-H yes yes yes 451 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-05-07 04:29:46 CEST RepresentationInformation: pmc_35159165.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2022-02-27 18:44:11 CET Size: 22594242 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 726 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Materials and Methods Destination: section.2 Children: Item: Title: Animals Destination: subsection.2.1 Item: Title: Neuronal Cell Culture Destination: subsection.2.2 Item: Title: Microglia and Astrocyte Purified Cultures Obtained from Mixed Glial Cell Cultures Destination: subsection.2.3 Item: Title: Microglia Incubation with Neuron-Conditioned Medium Destination: subsection.2.4 Item: Title: Co-Cultures of Neurons and Microglia in Microfluidic Devices Destination: subsection.2.5 Item: Title: Astrocytic-Conditioned Medium Destination: subsection.2.6 Item: Title: Treatment of Neuron Microglia Co-Cultures Destination: subsection.2.7 Item: Title: Immunocytochemistry and Image Acquisition Destination: subsection.2.8 Item: Title: Phagocytic Assay Destination: subsection.2.9 Item: Title: Fluorescence Intensity Quantification Destination: subsection.2.10 Item: Title: RNA Extraction, cDNA Synthesis, and qRT-PCR Destination: subsection.2.11 Item: Title: Flow Cytometry of Microglia Destination: subsection.2.12 Item: Title: Quantification of Synaptic Proteins Destination: subsection.2.13 Item: Title: Statistical Analysis Destination: subsection.2.14 Item: Title: Results Destination: section.3 Children: Item: Title: Neurons Exposed to Meth Do Not Promote Microglial Activation through Contact-Dependent or -Independent Mechanisms Destination: subsection.3.1 Item: Title: Microglia Activation Induced by Meth-Exposed Astrocytes Is Partially Prevented by Neurons Destination: subsection.3.2 Item: Title: Neurons Increased Self-Protection from Meth-Induced Activation of Microglia through Contact-Dependent Mechanisms Destination: subsection.3.3 Item: Title: Synaptic Proteins Expression Increases in Co-Cultures of Neurons and ACM Meth-Microglia Destination: subsection.3.4 Item: Title: Discussion Destination: section.4 Item: Title: Conclusions Destination: section.5 Item: Title: References Destination: section.5 Info: Title: Neuron Microglia Contact-Dependent Mechanisms Attenuate Methamphetamine-Induced Microglia Reactivity and Enhance Neuronal Plasticity Author: Joana Bravo, Inês Ribeiro, Ana Filipa Terceiro, Elva B. Andrade, Camila Cabral Portugal, Igor M. Lopes, Maria M. Azevedo, Mafalda Sousa, Cátia D. F. Lopes, Andrea C. Lobo, Teresa Canedo, João Bettencourt Relvas and Teresa Summavielle Subject: Exposure to methamphetamine (Meth) has been classically associated with damage to neuronal terminals. However, it is now becoming clear that addiction may also result from the interplay between glial cells and neurons. Recently, we demonstrated that binge Meth administration promotes microgliosis and microglia pro-inflammation via astrocytic glutamate release in a TNF/IP3R2-Ca2+-dependent manner. Here, we investigated the contribution of neuronal cells to this process. As the crosstalk between microglia and neurons may occur by contact-dependent and/or contact-independent mechanisms, we developed co-cultures of primary neurons and microglia in microfluidic devices to investigate how their interaction affects Meth-induced microglia activation. Our results show that neurons exposed to Meth do not activate microglia in a cell-autonomous way but require astrocyte mediation. Importantly, we found that neurons can partially prevent Meth-induced microglia activation via astrocytes, which seems to be achieved by increasing arginase 1 expression and strengthening the CD200/CD200r pathway. We also observed an increase in synaptic individual area, as determined by co-localization of pre- and post-synaptic markers. The present study provides evidence that contact-dependent mechanisms between neurons and microglia can attenuate pro-inflammatory events such as Meth-induced microglia activation. Keywords: methamphetamine; neuron-to-microglia; neuroprotection; contact-dependent; CD200; PSD95 Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Fri Jan 28 03:34:13 CET 2022 ModDate: Fri Jan 28 04:16:42 CET 2022 ID: 0xaf7c53a5e0d78b5e6d10b1903c4e7344, 0xaf7c53a5e0d78b5e6d10b1903c4e7344 Filters: FilterPipeline: FlateDecode Fonts: Type1: Font: BaseFont: KUJTCF+URWPalladioL-Roma FontSubset: true FirstChar: 2 LastChar: 246 FontDescriptor: FontName: KUJTCF+URWPalladioL-Roma Flags: Symbolic FontBBox: -166, -283, 1021, 943 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: YFFKLH+CMSY10 FontSubset: true FirstChar: 0 LastChar: 48 FontDescriptor: FontName: YFFKLH+CMSY10 Flags: Symbolic FontBBox: -29, -960, 1116, 775 FontFile: true Font: BaseFont: DUAIEJ+URWPalladioL-Ital FontSubset: true FirstChar: 2 LastChar: 150 FontDescriptor: FontName: DUAIEJ+URWPalladioL-Ital Flags: Symbolic FontBBox: -170, -305, 1010, 941 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: SETHQF+VnURWPalladioL FontSubset: true FirstChar: 161 LastChar: 243 FontDescriptor: FontName: SETHQF+VnURWPalladioL Flags: Symbolic FontBBox: -166, -283, 1021, 943 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: GTLPTE+VnURWPalladioL-Bold FontSubset: true FirstChar: 161 LastChar: 182 FontDescriptor: FontName: GTLPTE+VnURWPalladioL-Bold Flags: Symbolic FontBBox: -152, -301, 1000, 935 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: BTSNHC+EURM10 FontSubset: true FirstChar: 11 LastChar: 22 FontDescriptor: FontName: BTSNHC+EURM10 Flags: Symbolic FontBBox: -32, -243, 1060, 720 FontFile: true Font: BaseFont: CTFYTG+URWPalladioL-Bold FontSubset: true FirstChar: 3 LastChar: 150 FontDescriptor: FontName: CTFYTG+URWPalladioL-Bold Flags: Symbolic FontBBox: -152, -301, 1000, 935 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: MPUDFL+PazoMath FontSubset: true FirstChar: 68 LastChar: 68 FontDescriptor: FontName: MPUDFL+PazoMath Flags: Symbolic FontBBox: -40, -283, 878, 946 FontFile: true Pages: Page: Sequence: 1 Annotations: Annotation: Subtype: Link Rect: 79, 323, 152, 332 Annotation: Subtype: Link Rect: 34, 312, 104, 320 Annotation: Subtype: Link Rect: 34, 164, 96, 186 Annotation: Subtype: Link Rect: 126, 90, 154, 99 Annotation: Subtype: Link Rect: 34, 78, 147, 87 Annotation: Subtype: Link Rect: 34, 756, 121, 792 Annotation: Subtype: Link Rect: 515, 756, 560, 792 Annotation: Subtype: Link Rect: 190, 642, 201, 655 Annotation: Subtype: Link Rect: 417, 642, 428, 655 Annotation: Subtype: Link Rect: 154, 629, 166, 643 Annotation: Subtype: Link Rect: 245, 629, 256, 643 Annotation: Subtype: Link Rect: 451, 629, 462, 643 Annotation: Subtype: Link Rect: 214, 617, 225, 630 Annotation: Subtype: Link Rect: 501, 617, 512, 630 Annotation: Subtype: Link Rect: 100, 17, 240, 28 Annotation: Subtype: Link Rect: 421, 17, 560, 28 Annotation: Subtype: Link Rect: 34, 444, 86, 463 Page: Sequence: 2 Annotations: Annotation: Subtype: Link Rect: 369, 707, 376, 716 ActionDest: 485 Annotation: Subtype: Link Rect: 412, 657, 419, 666 ActionDest: 485 Annotation: Subtype: Link Rect: 482, 607, 489, 616 ActionDest: 485 Annotation: Subtype: Link Rect: 489, 607, 496, 616 ActionDest: 485 Annotation: Subtype: Link Rect: 435, 582, 442, 591 ActionDest: 485 Annotation: Subtype: Link Rect: 526, 557, 533, 566 ActionDest: 485 Annotation: Subtype: Link Rect: 388, 532, 395, 541 ActionDest: 485 Annotation: Subtype: Link Rect: 395, 532, 402, 541 ActionDest: 485 Annotation: Subtype: Link Rect: 201, 507, 208, 516 ActionDest: 485 Annotation: Subtype: Link Rect: 436, 481, 443, 490 ActionDest: 485 Annotation: Subtype: Link Rect: 444, 481, 451, 490 ActionDest: 485 Annotation: Subtype: Link Rect: 195, 444, 207, 453 ActionDest: 485 Annotation: Subtype: Link Rect: 438, 431, 450, 440 ActionDest: 485 Annotation: Subtype: Link Rect: 338, 394, 350, 403 ActionDest: 485 Annotation: Subtype: Link Rect: 544, 381, 556, 390 ActionDest: 485 Annotation: Subtype: Link Rect: 338, 343, 350, 352 ActionDest: 485 Annotation: Subtype: Link Rect: 296, 306, 308, 315 ActionDest: 485 Annotation: Subtype: Link Rect: 311, 306, 323, 315 ActionDest: 485 Annotation: Subtype: Link Rect: 485, 293, 497, 302 ActionDest: 485 Annotation: Subtype: Link Rect: 498, 293, 510, 302 ActionDest: 485 Annotation: Subtype: Link Rect: 510, 293, 522, 302 ActionDest: 485 Annotation: Subtype: Link Rect: 518, 268, 530, 277 ActionDest: 485 Annotation: Subtype: Link Rect: 531, 268, 543, 277 ActionDest: 485 Annotation: Subtype: Link Rect: 266, 230, 278, 239 ActionDest: 485 Annotation: Subtype: Link Rect: 475, 205, 487, 214 ActionDest: 485 Annotation: Subtype: Link Rect: 493, 193, 505, 202 ActionDest: 485 Annotation: Subtype: Link Rect: 544, 155, 556, 164 ActionDest: 485 Annotation: Subtype: Link Rect: 300, 117, 312, 126 ActionDest: 485 Annotation: Subtype: Link Rect: 262, 92, 274, 101 ActionDest: 485 Page: Sequence: 3 Annotations: Annotation: Subtype: Link Rect: 318, 496, 330, 504 ActionDest: 485 Annotation: Subtype: Link Rect: 215, 458, 227, 467 ActionDest: 485 Annotation: Subtype: Link Rect: 544, 420, 556, 429 ActionDest: 485 Annotation: Subtype: Link Rect: 185, 282, 196, 291 ActionDest: 485 Annotation: Subtype: Link Rect: 197, 282, 209, 291 ActionDest: 485 Annotation: Subtype: Link Rect: 258, 68, 270, 77 ActionDest: 485 Page: Sequence: 4 Annotations: Annotation: Subtype: Link Rect: 298, 622, 310, 631 ActionDest: 485 Annotation: Subtype: Link Rect: 310, 622, 322, 631 ActionDest: 485 Annotation: Subtype: Link Rect: 233, 546, 245, 556 ActionDest: 485 Annotation: Subtype: Link Rect: 477, 94, 489, 102 ActionDest: 485 Annotation: Subtype: Link Rect: 489, 93, 501, 102 ActionDest: 485 Page: Sequence: 5 Annotations: Annotation: Subtype: Link Rect: 193, 672, 205, 681 ActionDest: 485 Annotation: Subtype: Link Rect: 318, 672, 330, 681 ActionDest: 485 Annotation: Subtype: Link Rect: 194, 496, 206, 505 ActionDest: 485 Annotation: Subtype: Link Rect: 267, 295, 279, 304 ActionDest: 485 Annotation: Subtype: Link Rect: 280, 295, 292, 304 ActionDest: 488 Annotation: Subtype: Link Rect: 508, 232, 520, 241 ActionDest: 488 Annotation: Subtype: Link Rect: 523, 232, 535, 241 ActionDest: 488 Page: Sequence: 6 Annotations: Annotation: Subtype: Link Rect: 324, 520, 336, 529 ActionDest: 485 Annotation: Subtype: Link Rect: 357, 467, 365, 479 ActionDest: 102 Annotation: Subtype: Link Rect: 199, 442, 206, 454 ActionDest: 102 Annotation: Subtype: Link Rect: 295, 442, 302, 454 ActionDest: 102 Annotation: Subtype: Link Rect: 461, 429, 468, 441 ActionDest: 102 Annotation: Subtype: Link Rect: 221, 404, 228, 416 ActionDest: 102 Annotation: Subtype: Link Rect: 199, 392, 206, 404 ActionDest: 102 Annotation: Subtype: Link Rect: 433, 231, 445, 240 ActionDest: 485 Annotation: Subtype: Link Rect: 445, 231, 457, 240 ActionDest: 485 Annotation: Subtype: Link Rect: 307, 178, 314, 190 ActionDest: 177 Annotation: Subtype: Link Rect: 318, 141, 325, 153 ActionDest: 177 Annotation: Subtype: Link Rect: 521, 141, 528, 153 ActionDest: 177 Annotation: Subtype: Link Rect: 388, 128, 395, 140 ActionDest: 177 Annotation: Subtype: Link Rect: 345, 106, 357, 115 ActionDest: 488 Annotation: Subtype: Link Rect: 380, 78, 387, 90 ActionDest: 177 Page: Sequence: 7 Annotations: Annotation: Subtype: Link Rect: 464, 708, 471, 720 ActionDest: 177 Page: Sequence: 8 Page: Sequence: 9 Annotations: Annotation: Subtype: Link Rect: 345, 422, 357, 431 ActionDest: 485 Annotation: Subtype: Link Rect: 345, 369, 352, 381 ActionDest: 258 Annotation: Subtype: Link Rect: 515, 372, 527, 381 ActionDest: 485 Annotation: Subtype: Link Rect: 341, 344, 348, 356 ActionDest: 258 Annotation: Subtype: Link Rect: 291, 331, 298, 343 ActionDest: 258 Annotation: Subtype: Link Rect: 499, 331, 506, 343 ActionDest: 258 Annotation: Subtype: Link Rect: 253, 306, 260, 318 ActionDest: 258 Annotation: Subtype: Link Rect: 504, 296, 516, 305 ActionDest: 485 Annotation: Subtype: Link Rect: 402, 268, 409, 280 ActionDest: 258 Annotation: Subtype: Link Rect: 514, 256, 521, 268 ActionDest: 258 Annotation: Subtype: Link Rect: 479, 171, 491, 180 ActionDest: 485 Page: Sequence: 10 Page: Sequence: 11 Annotations: Annotation: Subtype: Link Rect: 275, 540, 287, 549 ActionDest: 485 Annotation: Subtype: Link Rect: 288, 539, 300, 549 ActionDest: 485 Annotation: Subtype: Link Rect: 472, 462, 479, 474 ActionDest: 372 Annotation: Subtype: Link Rect: 402, 449, 409, 461 ActionDest: 372 Annotation: Subtype: Link Rect: 340, 424, 346, 436 ActionDest: 372 Annotation: Subtype: Link Rect: 396, 411, 403, 423 ActionDest: 372 Annotation: Subtype: Link Rect: 308, 374, 314, 386 ActionDest: 372 Annotation: Subtype: Link Rect: 445, 374, 452, 386 ActionDest: 372 Page: Sequence: 12 Annotations: Annotation: Subtype: Link Rect: 268, 410, 280, 419 ActionDest: 485 Annotation: Subtype: Link Rect: 280, 410, 292, 419 ActionDest: 485 Annotation: Subtype: Link Rect: 278, 322, 290, 331 ActionDest: 488 Annotation: Subtype: Link Rect: 291, 322, 303, 331 ActionDest: 488 Annotation: Subtype: Link Rect: 331, 281, 338, 293 ActionDest: 410 Annotation: Subtype: Link Rect: 309, 269, 316, 281 ActionDest: 410 Annotation: Subtype: Link Rect: 361, 256, 368, 268 ActionDest: 410 Annotation: Subtype: Link Rect: 267, 234, 279, 243 ActionDest: 488 Annotation: Subtype: Link Rect: 367, 206, 374, 218 ActionDest: 410 Annotation: Subtype: Link Rect: 276, 181, 283, 193 ActionDest: 410 Page: Sequence: 13 Annotations: Annotation: Subtype: Link Rect: 389, 194, 401, 203 ActionDest: 485 Annotation: Subtype: Link Rect: 426, 119, 433, 128 ActionDest: 485 Annotation: Subtype: Link Rect: 434, 118, 446, 128 ActionDest: 488 Annotation: Subtype: Link Rect: 446, 118, 458, 128 ActionDest: 488 Page: Sequence: 14 Annotations: Annotation: Subtype: Link Rect: 213, 710, 225, 719 ActionDest: 485 Annotation: Subtype: Link Rect: 408, 622, 420, 631 ActionDest: 488 Annotation: Subtype: Link Rect: 544, 572, 556, 581 ActionDest: 485 Annotation: Subtype: Link Rect: 495, 497, 507, 506 ActionDest: 485 Annotation: Subtype: Link Rect: 507, 497, 519, 506 ActionDest: 485 Annotation: Subtype: Link Rect: 249, 459, 261, 468 ActionDest: 485 Annotation: Subtype: Link Rect: 527, 447, 539, 456 ActionDest: 488 Annotation: Subtype: Link Rect: 514, 396, 526, 406 ActionDest: 488 Annotation: Subtype: Link Rect: 498, 384, 510, 393 ActionDest: 485 Annotation: Subtype: Link Rect: 254, 359, 266, 368 ActionDest: 488 Annotation: Subtype: Link Rect: 417, 346, 429, 355 ActionDest: 488 Annotation: Subtype: Link Rect: 434, 334, 446, 343 ActionDest: 488 Annotation: Subtype: Link Rect: 528, 271, 540, 280 ActionDest: 485 Annotation: Subtype: Link Rect: 435, 246, 447, 255 ActionDest: 488 Annotation: Subtype: Link Rect: 284, 221, 296, 230 ActionDest: 485 Annotation: Subtype: Link Rect: 501, 221, 513, 230 ActionDest: 488 Annotation: Subtype: Link Rect: 513, 221, 525, 230 ActionDest: 488 Annotation: Subtype: Link Rect: 251, 196, 263, 205 ActionDest: 488 Annotation: Subtype: Link Rect: 486, 170, 498, 180 ActionDest: 488 Annotation: Subtype: Link Rect: 299, 146, 311, 154 ActionDest: 485 Annotation: Subtype: Link Rect: 319, 120, 331, 129 ActionDest: 488 Annotation: Subtype: Link Rect: 381, 95, 393, 104 ActionDest: 488 Annotation: Subtype: Link Rect: 393, 95, 405, 104 ActionDest: 488 Page: Sequence: 15 Annotations: Annotation: Subtype: Link Rect: 428, 723, 440, 732 ActionDest: 485 Annotation: Subtype: Link Rect: 392, 698, 404, 707 ActionDest: 488 Annotation: Subtype: Link Rect: 404, 698, 416, 707 ActionDest: 488 Annotation: Subtype: Link Rect: 419, 558, 560, 569 Annotation: Subtype: Link Rect: 165, 546, 259, 557 Page: Sequence: 16 Annotations: Annotation: Subtype: Link Rect: 127, 708, 164, 718 Annotation: Subtype: Link Rect: 508, 696, 546, 707 Annotation: Subtype: Link Rect: 90, 673, 128, 684 Annotation: Subtype: Link Rect: 134, 673, 170, 684 Annotation: Subtype: Link Rect: 335, 650, 372, 661 Annotation: Subtype: Link Rect: 135, 616, 173, 626 Annotation: Subtype: Link Rect: 278, 581, 316, 591 Annotation: Subtype: Link Rect: 322, 581, 358, 591 Annotation: Subtype: Link Rect: 345, 557, 383, 568 Annotation: Subtype: Link Rect: 86, 535, 124, 545 Annotation: Subtype: Link Rect: 130, 535, 166, 545 Annotation: Subtype: Link Rect: 430, 523, 467, 534 Annotation: Subtype: Link Rect: 351, 500, 388, 511 Annotation: Subtype: Link Rect: 458, 477, 495, 488 Annotation: Subtype: Link Rect: 240, 442, 277, 453 Annotation: Subtype: Link Rect: 284, 442, 320, 453 Annotation: Subtype: Link Rect: 141, 420, 179, 430 Annotation: Subtype: Link Rect: 122, 397, 160, 407 Annotation: Subtype: Link Rect: 166, 397, 202, 407 Annotation: Subtype: Link Rect: 428, 373, 465, 384 Annotation: Subtype: Link Rect: 95, 351, 133, 361 Annotation: Subtype: Link Rect: 139, 351, 175, 361 Annotation: Subtype: Link Rect: 220, 316, 257, 327 Annotation: Subtype: Link Rect: 264, 316, 300, 327 Annotation: Subtype: Link Rect: 453, 293, 491, 304 Annotation: Subtype: Link Rect: 59, 259, 96, 269 Annotation: Subtype: Link Rect: 271, 235, 308, 246 Annotation: Subtype: Link Rect: 297, 201, 334, 212 Annotation: Subtype: Link Rect: 341, 201, 377, 212 Annotation: Subtype: Link Rect: 313, 178, 350, 189 Annotation: Subtype: Link Rect: 357, 178, 393, 189 Annotation: Subtype: Link Rect: 59, 144, 96, 154 Annotation: Subtype: Link Rect: 102, 144, 138, 154 Annotation: Subtype: Link Rect: 387, 120, 424, 131 Annotation: Subtype: Link Rect: 430, 120, 467, 131 Annotation: Subtype: Link Rect: 399, 97, 436, 108 Annotation: Subtype: Link Rect: 451, 74, 489, 85 Page: Sequence: 17 Annotations: Annotation: Subtype: Link Rect: 59, 711, 96, 721 Annotation: Subtype: Link Rect: 102, 711, 138, 721 Annotation: Subtype: Link Rect: 337, 676, 374, 687 Annotation: Subtype: Link Rect: 453, 652, 491, 664 Annotation: Subtype: Link Rect: 162, 630, 200, 640 Annotation: Subtype: Link Rect: 182, 607, 220, 617 Annotation: Subtype: Link Rect: 263, 583, 301, 594 Annotation: Subtype: Link Rect: 131, 550, 168, 560 Annotation: Subtype: Link Rect: 168, 527, 206, 537 Annotation: Subtype: Link Rect: 212, 527, 248, 537 Annotation: Subtype: Link Rect: 59, 492, 96, 502 Annotation: Subtype: Link Rect: 59, 458, 96, 468 Annotation: Subtype: Link Rect: 503, 434, 541, 445 Annotation: Subtype: Link Rect: 462, 399, 500, 410 Annotation: Subtype: Link Rect: 329, 376, 366, 387 Annotation: Subtype: Link Rect: 146, 354, 184, 364 Annotation: Subtype: Link Rect: 118, 331, 155, 341 Annotation: Subtype: Link Rect: 173, 308, 211, 318 Annotation: Subtype: Link Rect: 217, 308, 253, 318 Annotation: Subtype: Link Rect: 405, 296, 442, 307 Annotation: Subtype: Link Rect: 449, 296, 485, 307 Annotation: Subtype: Link Rect: 456, 273, 494, 284 Annotation: Subtype: Link Rect: 500, 273, 536, 284 Annotation: Subtype: Link Rect: 249, 250, 286, 261 Annotation: Subtype: Link Rect: 292, 250, 328, 261 Annotation: Subtype: Link Rect: 426, 227, 464, 238 Annotation: Subtype: Link Rect: 180, 204, 218, 215 Annotation: Subtype: Link Rect: 163, 182, 201, 192 Checksum: 2908f871 Type: CRC32 Checksum: 2ef80bf3fc2654629b916b6e11caa113 Type: MD5 Checksum: 91b1e9305cf733dc5e6ba8d015d2b935e02775b4 Type: SHA-1 Checksum: 02d8caa25c328c40e4f8f6f907709b2ff7680de1a355270b55dae4b1697c7d3d Type: SHA-256