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Mechanisms of progesterone action in inhibiting prematurity

, MD &
Pages 763-772 | Received 13 Mar 2006, Accepted 19 Jul 2006, Published online: 07 Jul 2009

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Read on this site (5)

Rie Seyama, Shintaro Makino, Shuko Nojiri, Jun Takeda, Toshifumi Suzuki, Yojiro Maruyama, Satoru Takeda & Atsuo Itakura. (2022) Retrospective study of the recurrence risk of preterm birth in Japan. The Journal of Maternal-Fetal & Neonatal Medicine 35:3, pages 515-519.
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Mariarosaria Di Tommaso & Vincenzo Berghella. (2013) Cervical length for the prediction and prevention of preterm birth. Expert Review of Obstetrics & Gynecology 8:4, pages 345-355.
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Meena Khandelwal. (2012) Vaginal progesterone in risk reduction of preterm birth in women with short cervix in the midtrimester of pregnancy. International Journal of Women's Health 4, pages 481-490.
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GS Jayasooriya & RF Lamont. (2009) The use of progesterone and other progestational agents to prevent spontaneous preterm labour and preterm birth. Expert Opinion on Pharmacotherapy 10:6, pages 1007-1016.
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Articles from other publishers (73)

Yongmei Shen, Yaqi Li, Jiasong Cao, Wen Li, Qimei Lin, Jianxi WangZhuo Wei & Ying Chang. (2023) Mechanisms of Immune Tolerance and Inflammation via Gonadal Steroid Hormones in Preterm Birth. Maternal-Fetal Medicine 5:4, pages 229-237.
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Anne-Marie Aubin, Liam McAuliffe, Kimberley Williams, Ashad Issah, Rosanna Diacci, Jack E. McAuliffe, Salma Sabdia, Jason Phung, Carol A. Wang & Craig E. Pennell. (2023) Combined vaginal progesterone and cervical cerclage in the prevention of preterm birth: a systematic review and meta-analysis. American Journal of Obstetrics & Gynecology MFM 5:8, pages 101024.
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Doron Kabiri, Yael Hamou, Gali Gordon, Yosef Ezra & Ilan Matok. (2023) Comparing the efficacy of vaginal micronized progesterone gel and capsule for prevention of preterm birth in singleton pregnancies with short cervical length at midtrimester: an indirect comparison meta-analysis. Frontiers in Pharmacology 14.
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Ulla-Britt Wennerholm, Lina Bergman, Pihla Kuusela, Elin Ljungström, Anna C. Möller, Cecilie Hongslo Vala, Ann-Catrin Ekelund, Ann Liljegren, Max Petzold, Petteri Sjögren, Mikael Svensson, Annika Strandell & Bo Jacobsson. (2023) Progesterone, cerclage, pessary, or acetylsalicylic acid for prevention of preterm birth in singleton and multifetal pregnancies – A systematic review and meta-analyses. Frontiers in Medicine 10.
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Francesca Ferrari, Silvia Minozzi, Laura Basile, Giuseppe Chiossi & Fabio Facchinetti. (2023) Progestogens for maintenance tocolysis in symptomatic women. A systematic review and meta-analysis. PLOS ONE 18:2, pages e0277563.
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Goran AugustinGoran Augustin. 2023. Acute Abdomen During Pregnancy. Acute Abdomen During Pregnancy 75 116 .
Vivekanand Khandre, Jyotsana Potdar & Akshunna Keerti. (2022) Preterm Birth: An Overview. Cureus.
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Zongzhi Yin, Jingjing Su, Jiajia Fei, Tengteng Li, Dan Li, Yunxia Cao & Raouf A. Khalil. (2022) Preserved oxytocin-induced myometrium contraction and sensitivity to progesterone inhibition following rat uterus thermal insult. Impact on fertility. Biochemical Pharmacology 204, pages 115244.
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Kimberley P. Williams, Liam McAuliffe, Rosanna Diacci, Anne-Marie Aubin, Ashad Issah, Carol Wang, Jason Phung & Craig E. Pennell. (2021) Vaginal progesterone for prevention of preterm birth in asymptomatic high-risk women with a normal cervical length: a systematic review and meta-analysis protocol. Systematic Reviews 10:1.
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Toma Fukuda, Hyo Kyozuka, Tsuyoshi Murata, Shun Yasuda, Akiko Yamaguchi & Keiya Fujimori. (2021) Preventing recurrent preterm birth with 125 mg of 17‐alpha‐hydroxyprogesterone caproate. Journal of Obstetrics and Gynaecology Research 47:9, pages 3119-3126.
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Rosanna C Diacci, Ashad Issah, Kimberley P Williams, Liam McAuliffe, Anne-Marie Aubin, Jack E McAuliffe, Jason Phung, Carol A Wang & Craig E Pennell. (2021) Effectiveness of combined vaginal progesterone and cervical cerclage in preventing preterm birth: a systematic review and meta-analysis protocol. BMJ Open 11:6, pages e050086.
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Jesse N. Cottrell, Alexis C. Witcher, Kyleigh Comley, Mark W. Cunningham Jr., Tarek Ibrahim, Denise C. Cornelius, Babbette LaMarca & Lorena M. Amaral. (2021) Progesterone-induced blocking factor improves blood pressure, inflammation, and pup weight in response to reduced uterine perfusion pressure (RUPP). American Journal of Physiology-Regulatory, Integrative and Comparative Physiology 320:5, pages R719-R727.
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Yun Ji Jung, Hayan Kwon, Jeongeun Shin, Yejin Park, Seok-Jae Heo, Hyun Soo Park, Soo-young Oh, Ji-Hee Sung, Hyun-Joo Seol, Hyun Mi Kim, Won Joon Seong, Han Sung Hwang, Inkyung Jung & Ja-Young Kwon. (2021) The Feasibility of Cervical Elastography in Predicting Preterm Delivery in Singleton Pregnancy with Short Cervix Following Progesterone Treatment. International Journal of Environmental Research and Public Health 18:4, pages 2026.
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H. Skröder, H. Pettersson, F. Norlén, P. Gustavsson, L. Rylander, M. Albin & J. Selander. (2021) Occupational exposure to whole body vibrations and birth outcomes – A nationwide cohort study of Swedish women. Science of The Total Environment 751, pages 141476.
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Eduardo B. da Fonseca, Rievani Damião & Daniela Aires Moreira. (2020) Preterm birth prevention. Best Practice & Research Clinical Obstetrics & Gynaecology 69, pages 40-49.
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Lorena M. Amaral, Jesse N. Cottrell, Kyleigh M. Comley, Mark W. CunninghamJr.Jr., Alexis Witcher, Venkata Ramana Vaka, Tarek Ibrahim & Babbette LaMarca. (2020) 17-Hydroxyprogesterone caproate improves hypertension and renal endothelin-1 in response to sFlt-1 induced hypertension in pregnant rats. Pregnancy Hypertension 22, pages 151-155.
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Valeria Garcia-Flores, Roberto Romero, Amy-Eunice Furcron, Dustyn Levenson, Jose Galaz, Chengrui Zou, Sonia S. Hassan, Chaur-Dong Hsu, David Olson, Gerlinde A. S. Metz & Nardhy Gomez-Lopez. (2020) Prenatal Maternal Stress Causes Preterm Birth and Affects Neonatal Adaptive Immunity in Mice. Frontiers in Immunology 11.
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Jamil T. Elfarra, Jesse N. Cottrell, Denise C. Cornelius, Mark W. CunninghamJr.Jr., Jessica L. Faulkner, Tarek Ibrahim, Babbette Lamarca & Lorena M. Amaral. (2020) 17-Hydroxyprogesterone caproate improves T cells and NK cells in response to placental ischemia; new mechanisms of action for an old drug. Pregnancy Hypertension 19, pages 226-232.
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Keiya Fujimori, Hyo Kyozuka & Shun Yasuda. 2020. Preterm Labor and Delivery. Preterm Labor and Delivery 149 159 .
A. Care, B. Muller‐Myhsok, E. Olearo, T. Todros, J. Caradeux, M. Goya, M. Palacio, E. Carreras & Z. Alfirevic. (2019) Should phenotype of previous preterm birth influence management of women with short cervix in subsequent pregnancy? Comparison of vaginal progesterone and Arabin pessary. Ultrasound in Obstetrics & Gynecology 53:4, pages 529-534.
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Yuyun Lisnawati & Noroyono Wibowo. (2022) Correlation of cervical progesterone levels to plasma progesterone levels in normal pregnancy and preterm labor: A cross-sectional study. F1000Research 8, pages 189.
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Yuyun Lisnawati, Noroyono Wibowo & Ana Mariana. (2019) Correlation of cervical progesterone levels to plasma progesterone levels in normal pregnancy and preterm labor: A cross-sectional study. F1000Research 8, pages 189.
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Lynne Sykes & Phillip R. Bennett. (2018) Efficacy of progesterone for prevention of preterm birth. Best Practice & Research Clinical Obstetrics & Gynaecology 52, pages 126-136.
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Waranya Chatuphonprasert, Kanokwan Jarukamjorn & Isabella Ellinger. (2018) Physiology and Pathophysiology of Steroid Biosynthesis, Transport and Metabolism in the Human Placenta. Frontiers in Pharmacology 9.
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Yuguang Wang, Vikki M. Abrahams, Guoyang Luo, Nicholas G. Norwitz, Victoria V. Snegovskikh, Shu-Wing Ng & Errol R. Norwitz. (2018) Progesterone Inhibits Apoptosis in Fetal Membranes by Altering Expression of Both Pro- and Antiapoptotic Proteins. Reproductive Sciences 25:8, pages 1161-1167.
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Roberto Romero, Agustin Conde-Agudelo, Eduardo Da Fonseca, John M. O’Brien, Elcin Cetingoz, George W. Creasy, Sonia S. Hassan & Kypros H. Nicolaides. (2018) Vaginal progesterone for preventing preterm birth and adverse perinatal outcomes in singleton gestations with a short cervix: a meta-analysis of individual patient data. American Journal of Obstetrics and Gynecology 218:2, pages 161-180.
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Zongzhi Yin, Yun Li, Wenzhu He, Dan Li, Hongyan Li, Yuanyuan Yang, Bing Shen, Xi Wang, Yunxia Cao & Raouf A. Khalil. (2017) Progesterone inhibits contraction and increases TREK-1 potassium channel expression in late pregnant rat uterus. Oncotarget 9:1, pages 651-661.
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Seong Jin ChoiJoon Hyung SohnKyoung-Hee HanEun Young ParkJieun KangIn-Bai Chung. (2018) The Effect of Progesterone on Tumor Necrosis Factor-α Induced Matrix Metalloproteinase-9 in Human Choriodecidual Membranes. Perinatology 29:4, pages 170.
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Goran AugustinGoran Augustin. 2018. Acute Abdomen During Pregnancy. Acute Abdomen During Pregnancy 789 819 .
Tracy A. Manuck. (2017) 17-alpha hydroxyprogesterone caproate for preterm birth prevention: Where have we been, how did we get here, and where are we going?. Seminars in Perinatology 41:8, pages 461-467.
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Anjali P. Anders, Jennifer A. Gaddy, Ryan S. Doster & David M. Aronoff. (2017) Current concepts in maternal-fetal immunology: Recognition and response to microbial pathogens by decidual stromal cells. American Journal of Reproductive Immunology 77:3, pages e12623.
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Azam Azargoon, Raheb Ghorbani & Fereshteh Aslebahar. (2016) Vaginal progesterone on the prevention of preterm birth and neonatal complications in high risk women: A randomized placebo-controlled double-blind study. International Journal of Reproductive BioMedicine 14:5, pages 309-316.
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Zhuo Miao, Min Sun, Feng Jiang, Yuanqing Yao & Yi Li. (2016) Negative Effects of SRD5A1 on Nuclear Activity of Progesterone Receptor Isoform B in JEG3 Cells. Reproductive Sciences 23:2, pages 192-199.
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Young Ju Kim. (2016) Progesterone treatment for the prevention of preterm birth. Journal of the Korean Medical Association 59:4, pages 319.
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John M. O’Brien & David F. Lewis. (2016) Prevention of preterm birth with vaginal progesterone or 17-alpha-hydroxyprogesterone caproate: a critical examination of efficacy and safety. American Journal of Obstetrics and Gynecology 214:1, pages 45-56.
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Mami Miyado, Kenji Miyado, Momori Katsumi, Kazuki Saito, Akihiro Nakamura, Daizou Shihara, Tsutomu Ogata & Maki Fukami. (2015) Parturition failure in mice lacking Mamld1. Scientific Reports 5:1.
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Alexandra D. Mainiero, Dwight J. Rouse, Vrishali Lopes & Brenna L. Hughes. (2015) Association of 17α-Hydroxyprogesterone Caproate and Risk of Infection. Obstetrics & Gynecology 126:1, pages 103-108.
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Lorena M. AmaralDenise C. CorneliusAshlyn HarmonJanae MoseleyJames N. MartinJrJrBabbette LaMarca. (2015) 17-Hydroxyprogesterone Caproate Significantly Improves Clinical Characteristics of Preeclampsia in the Reduced Uterine Perfusion Pressure Rat Model. Hypertension 65:1, pages 225-231.
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Sophia M. R. Lannon, Jeroen P. Vanderhoeven, David A. Eschenbach, Michael G. Gravett & Kristina M. Adams Waldorf. (2014) Synergy and Interactions Among Biological Pathways Leading to Preterm Premature Rupture of Membranes. Reproductive Sciences 21:10, pages 1215-1227.
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Isabel R. V. Hartwig, Christian A. Bruenahl, Katherina Ramisch, Thomas Keil, Mark Inman, Petra C. Arck & Maike Pincus. (2014) Reduced levels of maternal progesterone during pregnancy increase the risk for allergic airway diseases in females only. Journal of Molecular Medicine 92:10, pages 1093-1104.
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Lorena M. Amaral, Luissa Kiprono, Denise C. Cornelius, Carrie Shoemaker, Kedra Wallace, Janae Moseley, Gerd Wallukat, James N. MartinJr.Jr., Ralf Dechend & Babbette LaMarca. (2014) Progesterone supplementation attenuates hypertension and the autoantibody to the angiotensin II type I receptor in response to elevated interleukin-6 during pregnancy. American Journal of Obstetrics and Gynecology 211:2, pages 158.e1-158.e6.
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Michael C. Byrns. (2014) Regulation of progesterone signaling during pregnancy: Implications for the use of progestins for the prevention of preterm birth. The Journal of Steroid Biochemistry and Molecular Biology 139, pages 173-181.
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Steven M. Yellon, Abigail E. Dobyns, Hailey L. Beck, James T. Kurtzman, Robert E. Garfield & Michael A. Kirby. (2013) Loss of Progesterone Receptor-Mediated Actions Induce Preterm Cellular and Structural Remodeling of the Cervix and Premature Birth. PLoS ONE 8:12, pages e81340.
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JoonHo Lee, Roberto Romero, Yi Xu, Jezid Miranda, Wonsuk Yoo, Piya Chaemsaithong, Juan Pedro Kusanovic, Tinnakorn Chaiworapongsa, Adi L. Tarca, Steven J. Korzeniewski, Sonia S. Hassan, Nandor Gabor Than, Bo Hyun Yoon & Chong Jai Kim. (2013) Detection of Anti-HLA Antibodies in Maternal Blood in the Second Trimester to Identify Patients at Risk of Antibody-Mediated Maternal Anti-Fetal Rejection and Spontaneous Preterm Delivery. American Journal of Reproductive Immunology 70:2, pages 162-175.
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Luissa V. Kiprono, Kedra Wallace, Janae Moseley, James MartinJr.Jr. & Babbette LaMarca. (2013) Progesterone blunts vascular endothelial cell secretion of endothelin-1 in response to placental ischemia. American Journal of Obstetrics and Gynecology 209:1, pages 44.e1-44.e6.
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P C Mann, M E Cooper, K K Ryckman, B Comas, J Gili, S Crumley, E N A Bream, H M Byers, T Piester, A Schaefer, P J Christine, A Lawrence, K L Schaa, K J P Kelsey, S K Berends, A M Momany, E Gadow, V Cosentino, E E Castilla, J López Camelo, C Saleme, L J Day, S K England, M L Marazita, J M Dagle & J C Murray. (2012) Polymorphisms in the fetal progesterone receptor and a calcium-activated potassium channel isoform are associated with preterm birth in an Argentinian population. Journal of Perinatology 33:5, pages 336-340.
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Kimberly J. Payne, Lindsey A. Clyde, Abby J. Weldon, Terry-Ann Milford & Steven M. Yellon. (2012) Residency and Activation of Myeloid Cells During Remodeling of the Prepartum Murine Cervix1. Biology of Reproduction 87:5.
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Min‐Gyun Kim, Jae‐Yoon Shim, Jhang Ho Pak, Bok‐Kyung Jung, Hye‐Sung Won, Pil‐Ryang Lee & Ahm Kim. (2011) Progesterone Modulates the Expression of Interleukin‐6 in Cultured Term Human Uterine Cervical Fibroblasts. American Journal of Reproductive Immunology 67:5, pages 369-375.
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Carla E. Ransom & Amy P. Murtha. (2012) Progesterone for Preterm Birth Prevention. Obstetrics and Gynecology Clinics of North America 39:1, pages 1-16.
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Christian M. Briery, Edward W. Veillon, Chad K. Klauser, Rick W. Martin, Everett F. Magann, Suneet P. Chauhan & John C. Morrison. (2011) Women with preterm premature rupture of the membranes do not benefit from weekly progesterone. American Journal of Obstetrics and Gynecology 204:1, pages 54.e1-54.e5.
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Craig M. Zelig, Damian J. Paonessa, Nathan J. Hoeldtke, Demetrice L. Hill, Lisa M. Foglia & Peter G. Napolitano. (2010) Continuous infusion of 17-hydroxyprogesterone caproate into either the fetoplacental or intervillous circulation of a placental cotyledon attenuates vasoconstriction of the fetoplacental arteries by thromboxane mimetic U46619. American Journal of Obstetrics and Gynecology 202:2, pages 189.e1-189.e5.
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J. M. O'Brien, E. A. DeFranco, C. D. Adair, D. F. Lewis, D. R. Hall, H. How, M. Bsharat & G. W. Creasy. (2009) Effect of progesterone on cervical shortening in women at risk for preterm birth: secondary analysis from a multinational, randomized, double-blind, placebo-controlled trial. Ultrasound in Obstetrics and Gynecology 34:6, pages 653-659.
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Eduardo B. da Fonseca, Rievani Damião & Kypros Nicholaides. (2009) Prevention of Preterm Birth Based on Short Cervix: Progesterone. Seminars in Perinatology 33:5, pages 334-337.
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S. D. Keiser, E. W. Veillon, M. R. Parrish, W. Bennett, K. Cockrell, L. Fournier, J. P. Granger, J. N. Martin & B. LaMarca. (2009) Effects of 17-Hydroxyprogesterone on Tumor Necrosis Factor- -Induced Hypertension During Pregnancy. American Journal of Hypertension 22:10, pages 1120-1125.
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Edward W. VeillonJrJr, Sharon D. Keiser, Marc R. Parrish, William Bennett, Kathy Cockrell, Lillian F. Ray, Joey P. Granger, James N. MartinJrJr & Babbette LaMarca. (2009) 17-hydroxyprogesterone blunts the hypertensive response associated with reductions in uterine perfusion pressure in pregnant rats. American Journal of Obstetrics and Gynecology 201:3, pages 324.e1-324.e6.
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