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Medical Forum / Diseases and Disorders / Herpes / November 2003

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Where, when asymptomatic shedding, viruses are located in the body?

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Perl Molson - 29 Oct 2003 17:00 GMT
does anyone know?
In the mucus and stuff like that? Where about?

Perl Molson
Guy - 31 Oct 2003 00:57 GMT
If "viruses are located in the body", then they aren't "shedding".  In the
body, they're dormant.  Once they begin replicating (from the nerve center
that's infected), they can travel to the surface of the skin and then be
'shed'.  This can occur anywhere within the area served by the nerve center
where the virus hibernates.  People with genital herpes have tested positive
for shedding all through the boxer shorts area at times.  This shedding can
most easily occur at thinly skinned areas such as the sexual organs, anus,
etc.  Orally located shedding is mostly around the chin just below the lips,
lips, nose area...again, "thinly skinned" areas.  But can happen on cheeks,
point of chin, etc.

Herpes virus being shed can be found in saliva (for oral) and sexual
secretions (for genital) also but the researchers think this is caused by
these secretions passing over a shedding location and picking it up as it
goes by.  Once in these secretions, the virus has a limited lifespan and
limited ability to be transferred.  They THINK this to be the case anyway...

Hang in
-G

> does anyone know?
> In the mucus and stuff like that? Where about?
>
> Perl Molson
Perl Molson - 01 Nov 2003 01:25 GMT
> If "viruses are located in the body", then they aren't "shedding".  In the
> body, they're dormant.  Once they begin replicating (from the nerve center
[quoted text clipped - 20 lines]
> >
> > Perl Molson

It seems we did not discussed the issues related to the surface of
skin/mucosa
too much in here. I'd like to learn more about it.

http://www-ermm.cbcu.cam.ac.uk/99000393h.htm

Schematic representation of genes/proteins involved in herpes simplex
virus infection - animated
Perl Molson - 01 Nov 2003 05:28 GMT
> If "viruses are located in the body", then they aren't "shedding".  In the
> body, they're dormant.  Once they begin replicating (from the nerve center
[quoted text clipped - 20 lines]
> >
> > Perl Molson

It seems we did not discussed the issues related to the surface of
skin/mucosa
too much in here. I'd like to learn more about it.

http://www-ermm.cbcu.cam.ac.uk/99000393h.htm

Schematic representation of genes/proteins involved in herpes simplex
virus infection - animated.

From the animation it's easy to figure out, that,
THE SKIN-MUCOSA IS A MEDIUM THROUGH WHICH THE EPITHELIUM CELLS
CANNOT BE INFECTED OR REINFECTED BOTH WAYS.

it results that an OB cannot exist without viruses being able to
overpass the skin-mucosa areas.

Who is responsible for the defence in the skin-mucosa?
The immune system and other factors. Also, the health of the skin
seems to
be a key factor in offering the defence mechanisms an environment
where the viruses can be defeated.

It is my current assumption that if the skin mucosa can be made
extremely efficient in killing the viruses, at one point in time,
from the cell body of the sensory ganglion cell, the viruses will, at
one point in time, not be able to either FIND THE TRACK THEY USUALLY
FOLLOW
TO THE MUCOSA - THEY WILL LOSE THE TRACK OR THEY WILL NOT BE CARRIED
BY THE
TRANSPORTING MECHANISMS CARRIER, or, the ammount of the viruses that
the
ganglion cell will produce will stop at one point; the ganglion cell
virus mechanism cannot be perfect to be able to provide,
forever, the new born viruses/genes.
It is hard to imagine that, in the ganglion responsible for the
producing of
viruses, the mechanism will function perfectly forever without
becomining otherwise.

Even a swiss clock will perish sooner or latter.

Imagine an extremelly efficient defence mechanism of the skin/mucosa.
No matter how much the ganglia is stressed into producing new viruses,
by  the triggering factors, the defence mechanism will not colapse.

It is hard to believe, that, without any traces that can be found in
the
skin/mucosa, related to the mechanism of the virus, the virus will
keep going as in the animation from the above link.

Something from the skin/mucus, must attract the viruses from the
ganglia, to it.

It EVENTUALLY is something of an electrical nature, as some ions or
such,
that, provided from the skin/mucosa, will cause the viruses to be
transported
from through the neuron.

I cannot see an independent process, neurons independently to work
the viruses way out of the ganglia, independent from the skin/mucosa
itself.

Like the magnet ideea. It is required some opposite charge to attract
the
viruses out.

Viruses HAVE NO INTELLIGENCE and the genes are not such programmed
to provide viruses with such capability of transporting themselves
in such a diverse environments such as from skin/mucus to neuronal
pathways to
the ganglia.

Or an I wrong and is it  like an earthquake of the body, that will
cause the lava of viruses to
exit the magma - ganglia towards the surface - mucosa/skin? The magma
will exit
through the only path that it can exit, because it just there is no
other path?

Probably not, because initially, the same path was been used in the
reverse process.

You see the analogy? In the first place, the herpes virus had find its
way
towards the NEURON dependently of the factors such as the trigerring
factors - enzymes, hormons, other substances or in excess or in the
lack of it.
There was the need for the triggering factors to allow the virus to
travel all
along the path.
The triggering factors "HAVE TO BE", THEN, RESPONSIBLE FOR the
transportation. The hijacking of the neuron is dependent of the
triggering
factors that will cause a reverse proccess.

So, in order to exit the ganglia and find their way to the
skin/mucosa, the viruses will
have the existing viruses from the skin/mucosa as an propulsion factor
BY THE  SPECIFIC ENVIRONMENT CAUSED BY VIRUSES' ACTIVITY IN THE BODY.

My final argument is that the viruses themselves are
creating a special environment in the body that will
allow the new viruses to born from the genetic material in the ganglia
and transported to the skin/mucosa.

The special environment made of such enzymes, hormones, etc that
allows
a certain conductivity or movement mechanisms to be taken place in the
body
in most likely relevant to the continuity of the viruses' activity.

Whether the viruses that cause such an environment are part of the
asymptomathic shedding, or they came from the outside the body (
if you receive them from the shedding of your partner, or from your
tooth brush
etc), these particular viruses will be at the origins of the cause
of the environment that will allow the viruses from the ganglia to
become active
on the skin/mucose areas.

Yeah, folks, herpes viruses have neither intelligence nor memory.
It is all about the specific environment produced by the
same viruses to reactivate old viruses - the later once much more
uncontrolable because the long term of the environment goes beyond
the lifetime of the causal skin/mucosa viruses.

An environment produces by the herpes virus in our bodies
persist even after the viruses themselves perish- I repeat, that
is eventually sufficient for the genes and such of herpes
reminiscences
from the ganglia to find their path to the skin/mucosa.

These are my speculations,

Cheers,
Perl Molson.

P.S.  Comments are obviously welcome
Perl Molson - 01 Nov 2003 23:05 GMT
> > If "viruses are located in the body", then they aren't "shedding".  In the
> > body, they're dormant.  Once they begin replicating (from the nerve center
[quoted text clipped - 33 lines]
>  THE SKIN-MUCOSA IS A MEDIUM THROUGH WHICH THE EPITHELIUM CELLS
> CANNOT BE INFECTED OR REINFECTED BOTH WAYS.

I have to make a correction. I have made a mistake:
I've intended to write:

THE SKIN-MUCOSA IS A MEDIUM THROUGH WHICH the herpes viruses must go
to reach THE EPITHELIUM CELLS
and consequently, the epithelium cells CANNOT BE REINFECTED and the
viruses cannot return to the ganglia to stay there dormant.

In other words, the skin-mucosa seems to be the intermediate
passageway for the viruses both ways towards the ganglia from the
epithelium and from the ganglia towards the epithelium.
The skin-mucosa is a "must be 100% protected" area.

Perl Molson

> it results that an OB cannot exist without viruses being able to
> overpass the skin-mucosa areas.
[quoted text clipped - 122 lines]
>
> P.S.  Comments are obviously welcome
Perl Molson - 01 Nov 2003 23:25 GMT
> > If "viruses are located in the body", then they aren't "shedding".  In the
> > body, they're dormant.  Once they begin replicating (from the nerve center
[quoted text clipped - 33 lines]
>  THE SKIN-MUCOSA IS A MEDIUM THROUGH WHICH THE EPITHELIUM CELLS
> CANNOT BE INFECTED OR REINFECTED BOTH WAYS.

<<<<<<
I have to make a correction. I have made a mistake:
I've intended to write:

THE SKIN-MUCOSA IS A MEDIUM THROUGH WHICH the herpes viruses must go
to reach THE EPITHELIUM CELLS
and consequently, the epithelium cells CANNOT BE REINFECTED and the
viruses cannot return to the ganglia to stay there dormant.

In other words, the skin-mucosa seems to be the intermediate
passageway for the viruses both ways towards the ganglia from the
epithelium and from the ganglia towards the epithelium.
The skin-mucosa is a "must be 100% protected" area.

Perl Molson <<<<<<

Boy, another mistake!

Actually, in conformity with the animation at

http://www-ermm.cbcu.cam.ac.uk/99000393h.htm
we can see clearly that, from "React" to "Epithelium" area,
as in below the description left from the "Play" button, following the
animation,

that the ephitelial cells can be infected directly from
the ganglia and then neuron, using its transport mechanism.
But still, THERE IS ALWAYS AN AREA WHERE THE VIRUS IS COMPLETELY
OUTSIDE THE
NEURON AND GANGLIA. That means, that the viruses can be destroyed
ALWAYS
without the need of the virus killer to reach the neuron!

How the viruses can be distroyed before they get
to return to the neurons?
Through the immune system activity,  even including increased oxigen
levels, why not,
skin-mucus protection using a variety of protective methods: build
your
skin stronger, more resistant to the disease and use antivirals
like pure oils etc, discussed in A.S.H.

Yes, folks, the virus must have no escape once it exits the neuron!

Perl Molson

> it results that an OB cannot exist without viruses being able to
> overpass the skin-mucosa areas.
[quoted text clipped - 122 lines]
>
> P.S.  Comments are obviously welcome
Perl Molson - 20 Nov 2003 15:38 GMT
> If "viruses are located in the body", then they aren't "shedding".  In the
> body, they're dormant.  Once they begin replicating (from the nerve center
> that's infected), they can travel to the surface of the skin and then be
> 'shed'.  

That's something not very clear yet for me.
I've read somewhere that the virus will shed only a few days at a time.

The virus eventually will get reactivated in the neuron and
travel and shade again.
Does the virus return to the ganglia or it can multiply where it sheds (skin,
boxers areas, lips).

The multiplication must be clearer; where exactly does the multiplication
takes place?
That is from the neuron to the skin area all included.

If they multiply in both neuron and skin locations,
is the virus fully developed in both situations?

Perl Molson

This can occur anywhere within the area served by the nerve center
> where the virus hibernates.  People with genital herpes have tested positive
> for shedding all through the boxer shorts area at times.  This shedding can
[quoted text clipped - 16 lines]
> >
> > Perl Molson
M.L.S. - 20 Nov 2003 17:29 GMT
>> If "viruses are located in the body", then they aren't "shedding".  In the
>> body, they're dormant.  Once they begin replicating (from the nerve center
>> that's infected), they can travel to the surface of the skin and then be
>> 'shed'.  

>That's something not very clear yet for me.

Along with everything else.

>I've read somewhere that the virus will shed only a few days at a time.

The trouble with simple people like you is that they have completely
simple views of the things they read.

"The virus" in the sense you use it is not a monolith.  "The virus" is
actually thousands of discrete viruses, each of which is quite capable
of acting individually.  In the average HSV infected person it is
likely that *some* virus is active at any given moment, but it is only
when sufficient numbers of viruses to be detected get active that we
refer to the condition as "shedding".

>The virus eventually will get reactivated in the neuron and
>travel and shade again.
>Does the virus return to the ganglia or it can multiply where it sheds (skin,
>boxers areas, lips).

After the hundreds of articles you've posted, Perl, how can you not
know that?

Individual viruses don't "return" anywhere.  Individual viruses hijack
cellular machinery to make thousands of copies of themselves, but like
the cells they commandeer they don't survive the process.  Some of the
copies, however, can and will go back to the ganglia.

>The multiplication must be clearer; where exactly does the multiplication
>takes place?

If you had the slightest inkling of basic viral morphology you
wouldn't be asking that question.

>That is from the neuron to the skin area all included.

>If they multiply in both neuron and skin locations,
>is the virus fully developed in both situations?

I think you need to heat up some wooden spoons and stick them in your
ears.

Mike
Perl Molson - 20 Nov 2003 23:18 GMT
> >> If "viruses are located in the body", then they aren't "shedding".  In the
> >> body, they're dormant.  Once they begin replicating (from the nerve center
[quoted text clipped - 16 lines]
> when sufficient numbers of viruses to be detected get active that we
> refer to the condition as "shedding".

> >The virus eventually will get reactivated in the neuron and
> >travel and shade again.
[quoted text clipped - 3 lines]
> After the hundreds of articles you've posted, Perl, how can you not
> know that?

Some times I am focussing on a particular issue about the virus
and I am ommiting some basic things.

> Individual viruses don't "return" anywhere.  Individual viruses hijack
> cellular machinery to make thousands of copies of themselves, but like
> the cells they commandeer they don't survive the process.  

In this case how is it possible for viruses to survive on a towel or
tooth brush for
several hours?
Is that because on the towel, tooth brush etc, there
are INFECTED SKIN CELLS that contain viruses (still alive?).

Some of the
> copies, however, can and will go back to the ganglia.
>
[quoted text clipped - 3 lines]
> If you had the slightest inkling of basic viral morphology you
> wouldn't be asking that question.

Eventually these are some of the currently unknown areas.

http://darwin.bio.uci.edu/~faculty/wagner/movieindex.html

Perl Molson

> >That is from the neuron to the skin area all included.
>  
[quoted text clipped - 5 lines]
>
> Mike
M.L.S. - 21 Nov 2003 00:26 GMT
>> >The virus eventually will get reactivated in the neuron and
>> >travel and shade again.
>> >Does the virus return to the ganglia or it can multiply where it sheds (skin,
>> >boxers areas, lips).

>> After the hundreds of articles you've posted, Perl, how can you not
>> know that?

>Some times I am focussing on a particular issue about the virus
>and I am ommiting some basic things.

Perl, truthfully, I haven't seen you understand a single thing, no
matter what you're focusing on.

>> Individual viruses don't "return" anywhere.  Individual viruses hijack
>> cellular machinery to make thousands of copies of themselves, but like
>> the cells they commandeer they don't survive the process.  

>In this case how is it possible for viruses to survive on a towel or
>tooth brush for several hours?

By exactly the same method by which you would survive if somebody
drove you out to the desert and left you there.  You would still have
the ability to function (relatively speaking) for a few hours until
your constituent components had degenerated to the point where you
could no longer function.

A virus is nothing more than a very tiny, very complex machine.  Let's
say it's like a toaster, comprende?  When the toaster is in the
kitchen it can make toast if someone plugs it in, adds bread, and
pushes the button.  If you take the toaster and put it out in the
yard, it's still a toaster (even though it's not making toast) until
such rain and snow and other junk has fallen on it to the point where
it no longer will function as a toaster.

These aren't difficult concepts for most people to master, Perl, but I
appreciate the fact that you are having trouble.

>Is that because on the towel, tooth brush etc, there
>are INFECTED SKIN CELLS that contain viruses (still alive?).

No, it's because the particles of the submicroscopic atmosphere
haven't yet fully degraded or sucked off the outer coating of the
viral structure.

Mike
Perl Molson - 20 Nov 2003 15:44 GMT
> If "viruses are located in the body", then they aren't "shedding".  In the
> body, they're dormant.  Once they begin replicating (from the nerve center
[quoted text clipped - 20 lines]
> >
> > Perl Molson

I think I've found the part of the answer myself.

Following the animation,
http://www-ermm.cbcu.cam.ac.uk/99000393h.htm
it says that
the neuronal cell is less permissive to HSV replication
you can see that when the green line at the bottom
is reaching the "cell body" triangle on that graphic.

I would like a bit more details, though, then just "less permissive".
Perl Molson
M.L.S. - 20 Nov 2003 17:30 GMT
>I think I've found the part of the answer myself.

Sure you have, Perl, sure you have.

>Following the animation,
>http://www-ermm.cbcu.cam.ac.uk/99000393h.htm
>it says that
>the neuronal cell is less permissive to HSV replication
>you can see that when the green line at the bottom
>is reaching the "cell body" triangle on that graphic.

Okay, now how do we get those little triangles out of our bodies???

Maybe if we rub little circles on our skins?!?

Mike
Perl Molson - 20 Nov 2003 23:02 GMT
> >I think I've found the part of the answer myself.
>
[quoted text clipped - 12 lines]
>
> Mike

You, dumb a.s!

Perl Molson
Tim Fitzmaurice - 31 Oct 2003 15:06 GMT
> does anyone know?
> In the mucus and stuff like that? Where about?

IIRC its mostly at the mucocutaneous junctions that it gets shed. Though
that isnt automatic (probably where the early ideas of skin latency came
from they were spotting shedding virus not latent).

It hasn't been completely investigated as far as I know - swabs ued to
test for this experimentally will likely be quite wide ranging to get the
most accurate Yes/No answer for an individual.

Try plugging a few keywords into pubmed and see what comes back

Tim
--
When playing rugby, its not the winning that counts, but the taking apart
ICQ: 5178568
Perl Molson - 01 Nov 2003 01:34 GMT
> > does anyone know?
> > In the mucus and stuff like that? Where about?
[quoted text clipped - 10 lines]
>
> Tim

http://jvi.asm.org/cgi/content/full/75/2/821
Herpes Simplex Virus gE/gI Sorts Nascent Virions to Epithelial Cell
Junctions, Promoting Virus Spread

the page has lots of illustrations
Perl Molson - 01 Nov 2003 10:22 GMT
> > > does anyone know?
> > > In the mucus and stuff like that? Where about?
[quoted text clipped - 16 lines]
>
> the page has lots of illustrations

More on "asymptomatic shedding" or "subclinical" shedding:

Reactivation of genital herpes simplex virus type 2 infection in
asymptomatic seropositive persons.

Wald A, Zeh J, Selke S, Warren T, Ryncarz AJ, Ashley R, Krieger JN,
Corey L.

Department of Medicine, University of Washington, Seattle 98122, USA.
annawald@u.washington.edu

BACKGROUND: Most persons who have serologic evidence of infection with
herpes simplex virus (HSV) type 2 (HSV-2) are asymptomatic.
Historically, it has been assumed that these persons have less
frequent viral reactivation than those with symptomatic infection.
METHODS: We conducted a prospective study to investigate genital
shedding of HSV among 53 subjects who had antibodies to HSV-2 but who
reported having no history of genital herpes, and we compared their
patterns of viral shedding with those in a similar cohort of 90
subjects with symptomatic HSV-2 infection. Genital secretions of the
subjects in both groups were sampled daily and cultured for HSV for a
median of 94 days. RESULTS: HSV was isolated from the genital mucosa
in 38 of the 53 HSV-2-seropositive subjects (72 percent) who reported
no history of genital herpes, and HSV DNA was detected by the
polymerase-chain-reaction assay in cultures prepared from genital
mucosal swabs in 6 additional subjects. The rate of subclinical
shedding of HSV in the subjects with no reported history of genital
herpes was similar to that in the subjects with such a history (3.0
percent vs. 2.7 percent). Of the 53 subjects who had no reported
history of genital herpes, 33 (62 percent) subsequently reported
having typical herpetic lesions; the duration of their recurrences in
these subjects was shorter (median, three days vs. five days; P<0.001)
and the frequency lower (median, 3.0 per year vs. 8.2 per year;
P<0.001) than in the 90 subjects with previously diagnosed symptomatic
infection. Only 1 of these 53 subjects had no clinical or virologic
evidence of HSV infection. CONCLUSIONS: Seropositivity for HSV-2 is
associated with viral shedding in the genital tract, even in subjects
with no reported history of genital herpes.

http://content.nejm.org/cgi/content/abstract/342/12/844

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
0727588&dopt=Abstract&holding=f1000

Perl Molson - 01 Nov 2003 10:24 GMT
> > > does anyone know?
> > > In the mucus and stuff like that? Where about?
[quoted text clipped - 16 lines]
>
> the page has lots of illustrations

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Link&db=PubMed&dbFrom=PubMed&f
rom_uid=10727588

Tim Fitzmaurice - 06 Nov 2003 12:27 GMT
> > IIRC its mostly at the mucocutaneous junctions that it gets shed. Though
> > that isnt automatic (probably where the early ideas of skin latency came
[quoted text clipped - 3 lines]
> Herpes Simplex Virus gE/gI Sorts Nascent Virions to Epithelial Cell
> Junctions, Promoting Virus Spread

I think you are mixing junctions - these junctions are not the gross
anatomy junction I was talking about. Thats glycoproteins and how they
organise cell-cell spreading you are linking rather than anatomic areas of
shedding. Skin and mucous membranes are both epithelial structures.

Tim
--
When playing rugby, its not the winning that counts, but the taking apart
ICQ: 5178568
Perl Molson - 06 Nov 2003 15:19 GMT
mucocutaneous junction
The site of transition from epidermis to the epithelium of a mucous membrane.

http://cancerweb.ncl.ac.uk/cgi-bin/omd?mucocutaneous+junction

OK a syntax, semantic error.
How I see it, all the blisters, lesions, ulcers etc develop
OUTSIDE THE NEURON. Even though the virus may escape in neuron, those
that are outside the neuron can be destroyed by our immune system and
through various methods presented here at A.S.H.

Until recently, I wasn't aware of it.

What's hiding in the neuron, can be made sort of not
able to become active.

It seems to me that no significant damage can be produced
BUT outside the neurons.

Am I correct here, Tim?

Perl Molson

On 31 Oct 2003, Perl Molson wrote:

> Tim Fitzmaurice <tjf11@cus.cam.ac.uk> wrote in message news:<Pine.SOL.3.96.1031031140427.1431A-100000@draco.cus.cam.ac.uk>...
> >
[quoted text clipped - 5 lines]
> Herpes Simplex Virus gE/gI Sorts Nascent Virions to Epithelial Cell
> Junctions, Promoting Virus Spread

I think you are mixing junctions - these junctions are not the gross
anatomy junction I was talking about. Thats glycoproteins and how they
organise cell-cell spreading you are linking rather than anatomic areas of
shedding. Skin and mucous membranes are both epithelial structures.

Tim
--
When playing rugby, its not the winning that counts, but the taking apart
ICQ: 5178568
Tim Fitzmaurice - 06 Nov 2003 16:17 GMT
> mucocutaneous junction
> The site of transition from epidermis to the epithelium of a mucous membrane.

[snip]

> Am I correct here, Tim?

Sticking just to the junction bit here not the rest of it which Ill come
back to (been off net for a while lots to wade through).

I didn't have a problem with the word junction. However the glycoproteins
will be shuttling things to cell junctions according to that abstract.
Cell junctions are structures in the cell membranes like 'tight junctions'
and 'gap junctions' and a whole host of weird bits only membrane chemists
really understand....the virus would use these cellular structures to moe
fom cell to cell

Thats an entirely different scale to muco-cutaneous junctions which is an
anatomic description. I think you were mixing the two.....

Tim
--
When playing rugby, its not the winning that counts, but the taking apart
ICQ: 5178568
Tim Fitzmaurice - 06 Nov 2003 16:48 GMT
And tot he rest of this post....

> How I see it, all the blisters, lesions, ulcers etc develop
> OUTSIDE THE NEURON.

Yes. Well, for the moment. Targeting the DNA circle in the neuron is a
potential target but we need much more information on latency. And there
are people doing just this sort of work.

> Even though the virus may escape in neuron, those
> that are outside the neuron can be destroyed by our immune system and
> through various methods presented here at A.S.H.

For the moment. Yes this is what the topicals do...some by interfering
with the DNA replication ACV etc) some by interfering with virus movement
(Abreva is one of thoseIIRC)

> What's hiding in the neuron, can be made sort of not
> able to become active.

Theoretically. And yes people are trying to do this. If you can't remove
it can you control thelatent state sufficiently to make it stay there

> It seems to me that no significant damage can be produced
> BUT outside the neurons.
>
> Am I correct here, Tim?

Yes, pretty much. The virus has developed to not take out the neuron and
to make sure it doesn't do anything to make the body take the neuron out
(difficult enough anyway) as part of its survival mechanism.

Tim
--
When playing rugby, its not the winning that counts, but the taking apart
ICQ: 5178568
 
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