{"id":3090,"date":"2023-03-02T11:05:56","date_gmt":"2023-03-02T11:05:56","guid":{"rendered":"https:\/\/limcr.rup-dev.net\/myeloid-neoplasms-pleyer-group\/"},"modified":"2024-02-14T07:21:39","modified_gmt":"2024-02-14T07:21:39","slug":"myeloid-neoplasms-pleyer-group","status":"publish","type":"page","link":"https:\/\/limcr.rup-dev.net\/en\/myeloid-neoplasms-pleyer-group\/","title":{"rendered":"Myeloid neoplasms &#8211; Pleyer group"},"content":{"rendered":"\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n        \n        \n        \n    \n                                \n                            \n                                \n    \n    \n        \n    \n                                                                                 \n            <div class=\"ce ce-textimage\n         ce-textimage--mobtop          ce--mb-medium                                                     ce--no-bg\n        \"\n             id=\"block_7b4bf1ddced5b6868b6723156b1bdef4\">\n                                    <div class=\"container-fluid\">\n                                <div class=\"row\">\n                    <div class=\"ce-textimage__text col-12 col-md-12 col-xl-12 mx-auto text-center  d-flex flex-column justify-content-center\">\n                                                \n                        <div class=\"ce-textblock\" data-animation=\"true\" data-animation-duration=\"300\">\n    <div class=\"ce-textblock__text\">\n                            <h2 class=\" h4 u-color-cd-color-2 \"> Pleyer Group <\/h2>\n                \n    <\/div>\n<\/div>\n                    <\/div>\n                    <div class=\"ce-textimage__image  col-12 col-md-12 col-xl-12 col-12 d-flex flex-column justify-content-center\">\n                        <figure  data-animation=\"fade-up\" data-animation-duration=\"300\"  class=\"mx-auto d-block\">\n                                                                                            <picture>\n                                                                            \n                                        \n                                        <source srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/Pleyer_Lisa.jpg\">\n                                        <img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/Pleyer_Lisa.jpg\" alt=\"Pleyer_Lisa\" title=\"Pleyer_Lisa\"\n                                             width=\"200\" height=\"200\"\n                                             class=\"img-fluid w-100\">\n                                                                    <\/picture>\n                            \n                                                    <\/figure>\n                    <\/div>\n                <\/div>\n                            <\/div>\n                    <\/div>\n    \n        \n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n                    \n            <div class=\"ce ce-text\n         ce--mb-standard          ce--contrast                  ce--sp-standard          ce--full\n             u-bgColor-cd-color-2 \"\n             id=\"block_6399ecdea495f69d34e210ed058f7b1d\">\n                                    <div class=\"container-fluid\">\n                                <div class=\"row\">\n                    <div class=\"ce-text__text col-12 col-md-12 col-xl-6 mx-auto text-left\">\n                        <div class=\"ce-textblock\" data-animation=\"true\" data-animation-duration=\"300\">\n    <div class=\"ce-textblock__text\">\n                        <p><em>&#8220;We want to understand how these diseases &#8216;outwit&#8217; the body&#8217;s own defenses so that we can counteract them with targeted therapies and help the body to effectively defend itself against the tumor again.&#8221;<\/em><\/p>\n<h5>PD Dr. DI Lisa Pleyer<\/h5>\n\n    <\/div>\n<\/div>\n                    <\/div>\n                <\/div>\n                            <\/div>\n                    <\/div>\n    \n        \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n                    \n            <div class=\"ce ce-text\n         ce--mb-0                                 \"\n             id=\"block_a3c829a7c7d3a6e1b1be7ecdf1b61fd6\">\n                                    <div class=\"container-fluid\">\n                                <div class=\"row\">\n                    <div class=\"ce-text__text col-12 col-md-12 col-xl-6 mx-auto text-left\">\n                        <div class=\"ce-textblock\" data-animation=\"true\" data-animation-duration=\"300\">\n    <div class=\"ce-textblock__text\">\n                        <p>Since 2009, we have been working intensively on diseases from the myloid group of forms, and we have developed a new research program with Assoc. Prof. Neureiter from the local pathology department and Dr. Viktoria Faber, who provided histological and cytological photos, have written a textbook on this subject (Figure 1). The diseases we deal with in detail include myelodysplastic syndromes, acute myeloid leukemia, chronic myelomonocytic leukemia and various overlap syndromes<\/p>\n<p>&nbsp;<\/p>\n\n    <\/div>\n<\/div>\n                    <\/div>\n                <\/div>\n                            <\/div>\n                    <\/div>\n    \n        \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n                        \n\n            \n        \n                                    \n            <div class=\"ce ce-image\n         ce--mb-standard                                                     ce--no-bg\n        \"\n             id=\"block_9289e648f11a80cac4228266b870efaa\">\n                                    <div class=\"container-fluid\">\n                                                <div class=\"row\">\n                    <div\n                        class=\"col-12 col-md-12 col-xl-12 mx-auto text-left \">\n                        <figure class=\"pb-1\"  data-animation=\"fade-up\" data-animation-duration=\"300\" >\n                                                                                                                        <picture>\n                                    \n\n                                        <source media=\"(min-width: 1600px)\" srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/LIMCR-1600x0-c-default.jpg\">\n                                        <source media=\"(min-width: 1200px)\" srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/LIMCR-1600x0-c-default.jpg\">\n                                        <source media=\"(min-width: 992px)\" srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/LIMCR-992x0-c-default.jpg\">\n                                        <source media=\"(min-width: 768px)\" srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/LIMCR-992x0-c-default.jpg\">\n                                        <source media=\"(min-width: 576px)\" srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/LIMCR-576x0-c-default.jpg\">\n                                                                                    <source media=\"(min-width: 320px)\"\n                                                    srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/LIMCR-576x0-c-default.jpg\">\n                                            <source srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/LIMCR-320x0-c-default.jpg\">\n                                                                                <img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/LIMCR-1600x0-c-default.jpg\" alt=\"Seit 2009 besch\u00e4ftigen wir uns intensiv mit Erkrankungen aus dem myloiden Formenkreis, und haben mit Assoc. Prof. Neureiter von der der hiesigen Pathologie und O\u00c4 Dr. Viktoria Faber, die histologische bzw. zytologische Fotos zur Verf\u00fcgung gestellt haben, ein Lehrbuch hierzu verfasst (Abbildung 1). Die Erkrankungen mit denen wir uns im Detail besch\u00e4ftigen umfassen myelodysplastische Syndrome, akute myeloische Leuk\u00e4mie, chronische myelomonozyt\u00e4re Leuk\u00e4mie, sowie diverse \u00dcbergangsformen \u201aoverlap syndromes\u2018\" title=\"\"\n                                             width=\"670\" height=\"435\"\n                                             class=\"img-fluid w-100\">\n                                                                    <\/picture>\n                            \n                                                    <\/figure>\n                    <\/div>\n                <\/div>\n                            <\/div>\n                    <\/div>\n    \n        \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n            \n        \n                    <div class=\"ce ce-cols ce-cols--2\n         ce--mb-standard                                 \"\n                 id=\"block_b7d62937d208422c378172829a8856e5\">\n                                <div class=\"container-fluid\">\n                                        <div class=\"row\">\n                        <div class=\"col-12 col-lg-6 \">\n                            <!--HIER DIE SCHLEIFE MIT DEM CONTENT SPALTE 1-->\n                                                                                                                            \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n                                            \n        \n        \n        \n    \n\n                    \n    \n                    \n            <div class=\"ce ce-text\n                                        \"\n             id=\"block_b7d62937d208422c378172829a8856e5\">\n                                        <div class=\"row\">\n                    <div class=\"ce-text__text col-12 col-md-12 col-xl-12  text-left\">\n                        <div class=\"ce-textblock\" data-animation=\"true\" data-animation-duration=\"300\">\n    <div class=\"ce-textblock__text\">\n                        <p>We have established a national data register that has since become one of the largest data registers of its kind in the world and has led to many national and international collaborations. This registry collects anonymized data on the course of therapy, response and side effects of patients with these diseases who have been treated with hypomethylating substances. These diseases are characterized by so-called epigenetic changes, which can activate cancer genes on the one hand and inactivate cancer-preventing genes on the other. As a result, there is a massive proliferation of malignant stem cells (leukemic blasts) in the bone marrow and at the same time the maturation of normal blood stem cells into white blood cells, red blood cells and platelets is prevented.<\/p>\n\n    <\/div>\n<\/div>\n                    <\/div>\n                <\/div>\n                        <\/div>\n    \n                                                                    \n                        <\/div>\n                        <div class=\"col-12 col-lg-6 \">\n                            <!--HIER DIE SCHLEIFE MIT DEM CONTENT SPALTE 2-->\n                                                                                                                            \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n                                            \n        \n        \n        \n    \n\n                    \n    \n                    \n            <div class=\"ce ce-text\n                                        \"\n             id=\"block_b7d62937d208422c378172829a8856e5\">\n                                        <div class=\"row\">\n                    <div class=\"ce-text__text col-12 col-md-12 col-xl-12  text-left\">\n                        <div class=\"ce-textblock\" data-animation=\"true\" data-animation-duration=\"300\">\n    <div class=\"ce-textblock__text\">\n                        <p>Epigenetics refers to heritable changes in gene expression and the resulting cellular phenotype (= appearance) that are not caused by changes in the DNA sequence. One example of the enormous impact that epigenetic changes can have on appearance is the transformation of a caterpillar into a butterfly (Figure 3). It is the same animal, with the same DNA sequence (= genome). This pronounced change in external appearance from caterpillar to butterfly is caused by epigenetic changes in gene expression (=which genes are &#8216;read&#8217; and &#8216;translated&#8217; into proteins). Such epigenetic changes are significantly involved in the development and progression of myeloid neoplasms. Hypomethylating substances can partially reverse epigenetically controlled processes, reduce the growth and thus the number of cancer cells and also promote the maturation of normal blood cells.<\/p>\n\n    <\/div>\n<\/div>\n                    <\/div>\n                <\/div>\n                        <\/div>\n    \n                                                                                            <\/div>\n                    <\/div>\n                <\/div>\n            <\/div>\n                        \n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n                    \n            <div class=\"ce ce-text\n         ce--mb-standard          ce--contrast                  ce--sp-standard          ce--full\n             u-bgColor-cd-color-2 \"\n             id=\"block_0323a9e1cc762faf01e014b49d3ce437\">\n                                    <div class=\"container-fluid\">\n                                <div class=\"row\">\n                    <div class=\"ce-text__text col-12 col-md-12 col-xl-6 mx-auto text-left\">\n                        <div class=\"ce-textblock\" data-animation=\"true\" data-animation-duration=\"300\">\n    <div class=\"ce-textblock__text\">\n                            <h2 class=\"h4\"> Epigenetic changes drive the transformation from caterpillar to butterfly <\/h2>\n                <p>The working group is investigating the efficacy of various hypomethylating substances in highly diverse patient groups in the world&#8217;s largest patient collective, and is clarifying the molecular and immunological mechanisms that are decisive for the success of the therapy. The aim is to identify the patients with the highest probability of a good response. Another focus is on analyzing chromosomes in the cancer cells and investigating whether the presence of certain mutations can predict the response to treatment. Furthermore, the group is investigating the exact interactions of the malignant cells with various cells of the surrounding immune system in order to identify new targets for targeted therapies so that even more effective treatment combinations can be developed (Figure).<\/p>\n\n    <\/div>\n<\/div>\n                    <\/div>\n                <\/div>\n                            <\/div>\n                    <\/div>\n    \n        \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n                        \n\n            \n        \n                                    \n            <div class=\"ce ce-image\n         ce--mb-small                                                     ce--no-bg\n        \"\n             id=\"block_e8100fe45c598a5337af6fa45649bf03\">\n                                    <div class=\"container-fluid\">\n                                <header class=\"ce-header\">\n    <div class=\"row\">\n        <div class=\"col-8 col-md-8 col-xl-12 mx-auto text-left\">\n            <div class=\"ce-textblock__text\">\n                                    <h2 class=\"h4 u-color-cd-color-2\">Effects of leukemia cells on the immune system <\/ h2 >\n                        <\/div>\n        <\/div>\n    <\/div>\n<\/header>\n                <div class=\"row\">\n                    <div\n                        class=\"col-8 col-md-8 col-xl-12 mx-auto text-left \">\n                        <figure class=\"pb-1\"  data-animation=\"fade-up\" data-animation-duration=\"300\" >\n                                                                                                                        <picture>\n                                    \n\n                                        <source media=\"(min-width: 1600px)\" srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/s-1600x0-c-default.jpg\">\n                                        <source media=\"(min-width: 1200px)\" srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/s-1600x0-c-default.jpg\">\n                                        <source media=\"(min-width: 992px)\" srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/s-661.33333333333x0-c-default.jpg\">\n                                        <source media=\"(min-width: 768px)\" srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/s-661.33333333333x0-c-default.jpg\">\n                                        <source media=\"(min-width: 576px)\" srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/s-384x0-c-default.jpg\">\n                                                                                    <source media=\"(min-width: 320px)\"\n                                                    srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/s-384x0-c-default.jpg\">\n                                            <source srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/s-320x0-c-default.jpg\">\n                                                                                <img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/s-1600x0-c-default.jpg\" alt=\"LIMCR\" title=\"\"\n                                             width=\"670\" height=\"504\"\n                                             class=\"img-fluid w-100\">\n                                                                    <\/picture>\n                            \n                                                    <\/figure>\n                    <\/div>\n                <\/div>\n                            <\/div>\n                    <\/div>\n    \n        \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n                    \n            <div class=\"ce ce-text\n         ce--mb-small                                 \"\n             id=\"block_ae8fe565b0760b8e9f84d50f5a420669\">\n                                    <div class=\"container-fluid\">\n                                <div class=\"row\">\n                    <div class=\"ce-text__text col-12 col-md-12 col-xl-6 mx-auto text-left\">\n                        <div class=\"ce-textblock\" data-animation=\"true\" data-animation-duration=\"300\">\n    <div class=\"ce-textblock__text\">\n                        <p>The cancer cells influence the immune system in such a way that an environment is created in which the tumor can grow undisturbed and the body&#8217;s natural defense mechanisms are paralyzed. These changes can be partially reversed using targeted therapies and help the body to defend itself effectively against the tumor again.<\/p>\n\n    <\/div>\n<\/div>\n                    <\/div>\n                <\/div>\n                            <\/div>\n                    <\/div>\n    \n        \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n    \n                        \n\n            \n        \n                                    \n            <div class=\"ce ce-image\n         ce--mb-small                                                     ce--no-bg\n        \"\n             id=\"block_1b23bec022a1d258c23719935235ad65\">\n                                    <div class=\"container-fluid\">\n                                                <div class=\"row\">\n                    <div\n                        class=\"col-8 col-md-8 col-xl-12 mx-auto text-left \">\n                        <figure class=\"pb-1\"  data-animation=\"fade-up\" data-animation-duration=\"300\" >\n                                                                                                                        <picture>\n                                    \n\n                                        <source media=\"(min-width: 1600px)\" srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/1-5-Foto-1600x0-c-default.jpg\">\n                                        <source media=\"(min-width: 1200px)\" srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/1-5-Foto-1600x0-c-default.jpg\">\n                                        <source media=\"(min-width: 992px)\" srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/1-5-Foto-661.33333333333x0-c-default.jpg\">\n                                        <source media=\"(min-width: 768px)\" srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/1-5-Foto-661.33333333333x0-c-default.jpg\">\n                                        <source media=\"(min-width: 576px)\" srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/1-5-Foto-384x0-c-default.jpg\">\n                                                                                    <source media=\"(min-width: 320px)\"\n                                                    srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/1-5-Foto-384x0-c-default.jpg\">\n                                            <source srcset=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/1-5-Foto-320x0-c-default.jpg\">\n                                                                                <img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/limcr.rup-dev.net\/wp-content\/uploads\/sites\/6\/2023\/03\/1-5-Foto-1600x0-c-default.jpg\" alt=\"LIMCR\" title=\"\"\n                                             width=\"1000\" height=\"1065\"\n                                             class=\"img-fluid w-100\">\n                                                                    <\/picture>\n                            \n                                                    <\/figure>\n                    <\/div>\n                <\/div>\n                            <\/div>\n                    <\/div>\n    \n        \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n                    \n            <div class=\"ce ce-text\n         ce--mb-small                                 \"\n             id=\"block_0e631906a6f47b769a4b55609687e9b0\">\n                                    <div class=\"container-fluid\">\n                                <div class=\"row\">\n                    <div class=\"ce-text__text col-12 col-md-12 col-xl-6 mx-auto text-left\">\n                        <div class=\"ce-textblock\" data-animation=\"true\" data-animation-duration=\"300\">\n    <div class=\"ce-textblock__text\">\n                        <p>Another part of the group is working on new methods for efficiently and cleanly separating blood cells and tumor cells circulating in the bloodstream using complex &#8216;blood filters&#8217;. This will enable an even more precise examination of tumor cells in the future.<\/p>\n\n    <\/div>\n<\/div>\n                    <\/div>\n                <\/div>\n                            <\/div>\n                    <\/div>\n    \n        \n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n                    \n            <div class=\"ce ce-text\n         ce--mb-small          ce--contrast                  ce--sp-standard          ce--full\n             u-bgColor-cd-color-2 \"\n             id=\"block_02c247f46265f42a6ea9653b00b2279e\">\n                                    <div class=\"container-fluid\">\n                                <div class=\"row\">\n                    <div class=\"ce-text__text col-12 col-md-12 col-xl-12 mx-auto text-center\">\n                        <div class=\"ce-textblock\" data-animation=\"true\" data-animation-duration=\"300\">\n    <div class=\"ce-textblock__text\">\n                            <h2 class=\"h4\"> Team <\/h2>\n                <div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<p><strong>Priv.Doz. O\u00c4 Dr.DI Lisa Pleyer<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><strong>OA Dr. Konstantin Schlick<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Dr. Petra Altenhofer<br \/>\n<\/strong>(Biologist)<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Dr. Thomas Barta<\/strong><br \/>\n(Biologist)<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Jakob Wagner, MSc<\/strong><br \/>\n(Biologist)<\/p>\n<\/div>\n<\/div>\n\n    <\/div>\n<\/div>\n                    <\/div>\n                <\/div>\n                            <\/div>\n                    <\/div>\n    \n        \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n                                <div class=\"ce ce-accordion\n         ce--mb-small                         \"\n                 id=\"block_d8bbd0e519823b9546b14636ed22355e\">\n\n                                                <div class=\"container-fluid\">\n                                        <header class=\"ce-header\">\n    <div class=\"row\">\n        <div class=\"col-12 col-md-12 col-xl-6 mx-auto \">\n            <div class=\"ce-textblock__text\">\n                                    <h2 class=\"h4 u-color-cd-color-2\">Publications <\/ h2 >\n                        <\/div>\n        <\/div>\n    <\/div>\n<\/header>\n                    <div class=\"row\">\n                        <div class=\"col-12 col-md-12 col-xl-6 mx-auto\">\n                                                                                                                                                            <div class=\"ce-accordion__item\" data-animation=\"fade-up\" data-animation-duration=\"300\" >\n                                    <div class=\"ce-accordion__header js-accordion__header\" id=\"accordion_block_d8bbd0e519823b9546b14636ed22355e1\">\n                                        <div class=\"ce-accordion__clickarea  collapsed  d-flex flex-row align-items-center\"\n                                             data-toggle=\"collapse\" data-target=\"#collapse_block_d8bbd0e519823b9546b14636ed22355e1\" aria-expanded=\"false\"\n                                             aria-controls=\"collapse_block_d8bbd0e519823b9546b14636ed22355e1\">\n                                            <header>\n                                                \n                                            <\/header>\n                                            <span class=\"ml-auto\">\n                                                <a class=\"ce-accordion__icon\"><\/a>\n                                            <\/span>\n                                        <\/div>\n                                    <\/div>\n\n\n                                    <div id=\"collapse_block_d8bbd0e519823b9546b14636ed22355e1\" class=\"collapse \"\n                                         aria-expanded=\"false\" aria-labelledby=\"heading_block_d8bbd0e519823b9546b14636ed22355e1\" data-parent=\"#block_d8bbd0e519823b9546b14636ed22355e\">\n                                        <div class=\"ce-accordion__body\">\n                                                                                    <\/div>\n                                    <\/div>\n                                <\/div>\n                                                    <\/div>\n                    <\/div>\n                                    <\/div>\n                            <\/div>\n        \n\n            \n\n\n\n\n\n\n\n\n\n\n\n\n    \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n                    \n            <div class=\"ce ce-text\n         ce--mb-0          ce--contrast                  ce--sp-standard          ce--full\n             u-bgColor-cd-color-2 \"\n             id=\"block_d07f66f47eb65fd2695ef47a69a7c811\">\n                                    <div class=\"container-fluid\">\n                                <div class=\"row\">\n                    <div class=\"ce-text__text col-12 col-md-12 col-xl-12 mx-auto text-center\">\n                        <div class=\"ce-textblock\" data-animation=\"true\" data-animation-duration=\"300\">\n    <div class=\"ce-textblock__text\">\n                            <h2 class=\"h4\"> Do you have a request or questions? <\/h2>\n                <p>Get in touch with us &#8211; 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