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EXPIRED


COORDINATION OF VASCULARIZATION AND LUNG DEVELOPMENT
	
RELEASE DATE:  September 24, 2002
 
RFA:  HL-03-006
 
National Heart, Lung, and Blood Institute (NHLBI)
 (http://www.nhlbi.nih.gov) 
 
LETTER OF INTENT RECEIPT DATE: February 19, 2003 
APPLICATION RECEIPT DATE:  	March 19, 2003
 
THIS RFA CONTAINS THE FOLLOWING INFORMATION
o Purpose of this RFA
o Research Objectives
o Mechanism(s) of Support 
o Funds Available
o Eligible Institutions
o Individuals Eligible to Become Principal Investigators
o Special Requirements 
o Where to Send Inquiries
o Letter of Intent
o Submitting an Application
o Peer Review Process
o Review Criteria
o Receipt and Review Schedule
o Award Criteria
o Required Federal Citations

PURPOSE OF THIS RFA

The National Heart, Lung, and Blood Institute (NHLBI) invites 
applications to address the interactive relationships between 
vasculogenesis, including angiogenic/angiostatic modulation, and the 
developing lung.  The purpose of this RFA is to stimulate research that 
will increase our knowledge of these interactive processes by supporting 
fundamental studies focusing on the cellular and molecular mechanisms 
that coordinate the formation of the lung and its vasculature during the 
process of normal lung development or that contribute to arrested or 
aberrant lung development. It is expected that these studies will 
involve a systems biology approach to lung development and will gather 
information on the temporo-spatial expression of regulatory genes, 
growth factors and receptors involved in the process of vasculogenesis 
and angiogenesis during lung development.  Such new information would 
provide the basis for intervention to reverse arrested alveolization, 
which is a feature of the chronic lung disease observed in very-low-
birth-weight premature infants. Such new information might also clarify 
some of the apparent associations between early developmental events and 
the pathobiology of adult lung disease. 

RESEARCH OBJECTIVES

Background
The development of the lung vasculature is a highly orchestrated 
process, involving the formation of new vessels, followed by cessation 
of further vascular proliferation.  During development, there are two 
distinct and separate processes, vasculogenesis and angiogenesis, which 
are considered responsible for organ vascularization.  Vasculogenesis is 
the organization of undifferentiated endothelial cells into vascular 
structures.  It is followed by angiogenesis, whereby previously formed 
vessels extend into under-vascularized regions.  In this process, 
endothelial cells proliferate and sprout from the previously formed 
vessels, forming new vascular structures.  

The precise alignment of lung structural components and vasculature is 
required for normal pulmonary function.  Infants born with congenital 
alveolar-capillary dysplasia die of respiratory failure because of 
failure to oxygenate effectively. However, little is understood about 
the mechanisms that regulate and coordinate growth and differentiation 
of normal lung and its vasculature or about the factors that lead to 
disrupted alignment of the vasculature and the arrested growth of 
alveolar structure observed in the presentation of bronchopulmonary 
dysplasia (BPD) in the post-surfactant era. 

There is great potential for treating a variety of neonatal diseases by 
employing various factors to stimulate normal vascular development or to 
interfere with pathological processes, but realizing that potential 
depends on clarification of the many complex relationships that are 
operative during normal lung development.  Growth factors such as basic 
fibroblast growth factor (FGF) and vascular endothelial growth factor 
(VEGF) are known to enhance migration, proliferation and 
dedifferentiation of endothelial cells, leading to the appearance of 
vascular structures in tissue undergoing repair.  Other findings suggest 
that the unique temporal and spatial expression of specific VEG-F 
isoforms during lung development promotes the vascular patterning of the 
lung as it develops.  Likewise, an important balance between angiogenic 
modulators like interleukin 8 (IL8) and angiostatic modulators like 
interleukin 10 (IL10) may be modulated by a biochemical cascade of 
cytokine signals which may serve to regulate normal development, but 
which may also be elaborated excessively as a consequence of conditions 
which result in injury.  For instance, intermittent hypoxia is a 
relatively common condition, which occurs during maternal sleep 
disordered beathing and during apnea of prematurity, producing 
deleterious fluctuations in the levels of free radicals, cytokines, and 
growth factors leading to lung injury.  The control of vascularization 
in the developing lung via paracrine mechanisms represents an important 
area of scientific overlap between organ development and the repair of 
injured tissue. 
Problems and opportunities in studying the process of lung development 
arise from the fact that different lung components e.g. the vasculature, 
the extracellular matrix and the parenchyma of the lung, are interacting 
with one another while they are developing concurrently.  For instance, 
reduction in the level of the transcription factor Fox f1 causes 
neonatal pulmonary hemorrhage and abnormalities in the process of 
alveologenesis, implicating it in the regulation of mesenchyme-
epithelial interaction critical for lung morphogenesis.  Little is known 
about the composite of early, complex interactions of this type, which 
ultimately determine the structure and function of the adult pulmonary 
vasculature.  
An operational understanding of how to foster precise alignment of lung 
structural components and vasculature is required for successful 
function of lung transplants, tissue implants and/or revitalization and 
construction of operative artificial organs.  BPD, which is now 
primarily seen in very low birth weight premature infants who are 
surviving in increased numbers in the post-surfactant era, is believed 
to be a clinical example of developmental mis-alignment.  The prevailing 
view of this disorder is that arrested development of the vasculature 
may be the factor that limits formation of alveolar structure.  
Knowledge gained through studies on the developing vasculature could 
potentially yield an appropriate clinical approach to this problem.  
Likewise, understanding these interactions is fundamental in estimating 
the potential utility of any approach to therapeutic intervention in the 
area of adult lung injury and vascular proliferative disease. 
Understanding the influence of parallel development of the lung and its 
vasculature could uncover information useful in preventing the 
development of co-morbid conditions later in life. For example, in the 
neonatal rat, the number of alveoli increases logarithmically during the 
first week of life.  Dexamethasone treatment during this critical period 
of lung development in rats resulted in sustained lung hypoplasia and 
increased the severity of subsequent, hyperoxia-induced, pulmonary 
hypertension.  In other studies, vitamin A, which appears to stimulate 
the generation of alveoli in adult mice, has been shown to effect the 
localization of VEGF at axonal points in the vasculature of neonatal 
rats, and may, thereby, stimulate the development of alveolar 
capillaries. 
Objectives and Scope
This RFA is intended to stimulate investigations of the molecular 
mechanisms that coordinate the development of lung vasculature and 
parenchyma.  Multidisciplinary studies that bring together investigators 
with expertise in developmental biology of the lung and vasculature are 
encouraged.  New approaches that address basic areas that have the 
potential to lead to development of novel treatments for developmental 
and congenital abnormalities are also encouraged.  In addition to those 
discussed above, some research topics that will be responsive to this 
program are listed below. These are only examples, applicants are 
encouraged to propose other topics that address the overall goals of 
this initiative, consistent with the SPECIAL REQUIREMENTS section below.
o assess the temporo-spatial relationships between the expression of 
genes governing the regulation of lung structural development and genes 
involved in pulmonary vascularization
o develop methods to explore whether vascularization initiates 
structural organization, or whether signals liberated by the developing 
lung activate recruitment of vascular primordia into the developing lung 
and participate in their structural differentiation 
o address the positive and negative roles of inflammation during the 
coordinated development of the lung and the pulmonary vasculature.
o track the simultaneous progression of vascular and parenchymal stem 
cells during lung development.
o develop vascularized lung tissue for eventual clinical replacement of 
damaged tissue.  
o Characterize the effects of intermittent hypoxia on the coordination 
between vasculogenesis and the developing lung, and elucidate the 
underlying pathological mechanisms.
MECHANISM OF SUPPORT
This RFA will use the NIH R01 (investigator-initiated research project 
grant) award mechanism.  As an applicant you will be solely responsible 
for planning, directing, and executing the proposed project.  This RFA 
is a one-time solicitation.  Future unsolicited, competing-continuation 
applications based on this project will compete with all investigator-
initiated applications and will be reviewed according to the customary 
peer review procedures.  The anticipated award date is September 30, 
2003.  
This RFA uses just-in-time concepts.  It also uses the modular budgeting 
format. (see http://grants.nih.gov/grants/funding/modular/modular.htm). 
Specifically, if you are submitting an application with direct costs in 
each year of $250,000 or less, use the modular format.
FUNDS AVAILABLE
 
The NHLBI intends to commit approximately $4,000,000 in FY 2003 to fund 
8 to 10 new and/or competitive continuation grants in response to this 
RFA. An applicant may request a project period of up to four years and a 
budget for direct costs of up to $250,000 per year. Because the nature 
and scope of the proposed research will vary from application to 
application, it is anticipated that the size and duration of each award 
will also vary. Although the financial plans of the NHLBI to provide 
support for this program, awards pursuant to this RFA are contingent 
upon the availability of funds and the receipt of a sufficient number of 
meritorious applications. 
Since the total costs for a subcontract or consortium are included in 
the direct cost request, one additional module of $25,000 above the cap 
may be requested for the facilities and administrative costs associated 
with third party agreements.  A module requested for this purpose must 
be clearly identified in the budget justification section of the 
application, and will be restricted for this purpose only at the time of 
award.
ELIGIBLE INSTITUTIONS
You may submit (an) application(s) if your institution has any of the 
following characteristics:	
o For-profit or non-profit organizations 
o Public or private institutions, such as universities, colleges, 
hospitals, and laboratories 
o Units of State and local governments
o Eligible agencies of the Federal government  
o Domestic or foreign
o Faith-based or community based organizations 
INDIVIDUALS ELIGIBLE TO BECOME PRINCIPAL INVESTIGATORS   
Any individual with the skills, knowledge, and resources necessary to 
carry out the proposed research is invited to work with their 
institution to develop an application for support.  Individuals from 
underrepresented racial and ethnic groups as well as individuals with 
disabilities are always encouraged to apply for NIH programs.   
SPECIAL REQUIREMENTS
Grantees" Meetings
The NHLBI will sponsor meetings to encourage the exchange of information 
among investigators who participate in this program. In the preparation 
of the budget for the grant application, applicants should factor in 
travel funds for an annual program meeting to be held in Bethesda, 
Maryland.  Applicants should also include a statement in their 
application, indicating their willingness to participate in such 
meetings.
General Clinical Research Centers
Applicants from institutions that have a General Clinical Research 
Center (GCRC) funded by the NIH National Center for Research Resources 
may wish to identify the GCRC as a resource for conducting the proposed 
research.  If so, a letter of agreement from either the GCRC program 
director or principal investigator should be included with the 
application.
Restrictions and Exclusions
Studies are limited to a systems biology approach to lung development.  
Therefore, applications focused exclusively on lung vascular development 
will not be considered responsive.  Likewise, applications focused 
exclusively on lung structural development, or primarily on growth 
factors and growth factor receptors, will not be considered responsive.
WHERE TO SEND INQUIRIES
We encourage inquiries concerning this RFA and welcome the opportunity 
to answer questions from potential applicants.  Inquiries may fall into 
three areas: scientific/research, peer review, and financial or grants 
management issues:
o Direct your questions about scientific/research issues to:
Dr. Mary Anne Berberich 
Division of Lung Diseases
National Heart, Lung, and Blood Institute 
6701 Rockledge Drive, Room 10102, MSC 7952
Bethesda, MD  20892-7952
Telephone:  (301) 435-0222
FAX:  (301) 480-3557
Email: [email protected] 
o Direct your questions about peer review issues to:
Dr. Anne P. Clark
Chief, Review Branch
Division of Extramural Affairs
National Heart, Lung, and Blood Institute 
6701 Rockledge Drive, Room 7214, MSC 7924
Bethesda, MD  20892-7924 (20817 for express/courier service)
Telephone:  (301)435-0270 
FAX:  (301) 480-0730
Email: [email protected]
o Direct your questions about financial or grants management matters to:
Mr. Owen O. Bobbitt
Grants Operations Branch
Division of Extramural Affairs
National Heart, Lung, and Blood Institute 
6701 Rockledge Drive, MSC 7926
Bethesda, MD  20892-7926
Telephone:  (301) 435-0177 
FAX:  (301) 480-0422
Email: [email protected] 
LETTER OF INTENT
Prospective applicants are asked to submit a letter of intent that 
includes the following information:
o Descriptive title of the proposed research
o Name, address, and telephone number of the Principal Investigator
o Names of other key personnel 
o Participating institutions
o Number and title of this RFA 
Although a letter of intent is not required, is not binding, and does 
not enter into the review of a subsequent application, the information 
that it contains allows IC staff to estimate the potential review 
workload and plan the review.
The letter of intent should be sent, on or before the date listed at the 
beginning of this document, to Dr. Anne Clark at the address listed 
under WHERE TO SEND INQUIRES. 
SUBMITTING AN APPLICATION
Applications must be prepared using the PHS 398 research grant 
application instructions and forms (rev. 5/2001).  The PHS 398 is 
available at http://grants.nih.gov/grants/funding/phs398/phs398.html in 
an interactive format.  For further assistance contact GrantsInfo, 
Telephone (301) 710-0267, Email: [email protected].
SPECIFIC INSTRUCTIONS FOR MODULAR GRANT APPLICATIONS: All applications 
submitted to this RFA must use the modular budget format.  Applications 
requesting up to $250,000 per year in direct costs must be submitted in 
a modular grant format.  Applications requesting one module ($25,000) 
above the cap due to subcontract or consortium facilities and 
administrative costs associated with third party agreements must also be 
submitted in modular format and may request up to $275,000 per year in 
direct costs.    The modular grant format simplifies the preparation of 
the budget in these applications by limiting the level of budgetary 
detail.  Applicants request direct costs in $25,000 modules.  Section C 
of the research grant application instructions for the PHS 398 (rev. 
5/2001) at http://grants.nih.gov/grants/funding/phs398/phs398.html 
includes step-by-step guidance for preparing modular grants.  Additional 
information on modular grants is available at 
http://grants.nih.gov/grants/funding/modular/modular.htm.
USING THE RFA LABEL: The RFA label available in the PHS 398 (rev. 
5/2001) application form must be affixed to the bottom of the face page 
of the application.  Type the RFA number on the label.  Failure to use 
this label could result in delayed processing of the application such 
that it may not reach the review committee in time for review.  In 
addition, the RFA title and number must be typed on line 2 of the face 
page of the application form and the YES box must be marked. The RFA 
label is also available at: 
http://grants.nih.gov/grants/funding/phs398/label-bk.pdf.
SENDING AN APPLICATION TO THE NIH: Submit a signed, typewritten original 
of the application, including the Checklist, and three signed, 
photocopies, in one package to:
Center For Scientific Review
National Institutes Of Health
6701 Rockledge Drive, Room 1040, MSC 7710
Bethesda, MD  20892-7710
Bethesda, MD  20817 (for express/courier service)
At the time of submission, two additional copies of the application and 
all five collated sets of Appendix material must be sent to Dr. Anne 
Clark at the address listed under WHERE TO SEND INQUIRIES.  

APPLICATION PROCESSING: Applications must be received by the application 
receipt date listed in the heading of this RFA.  If an application is 
received after that date, it will be returned to the applicant without 
review.
The Center for Scientific Review (CSR) will not accept any application 
in response to this RFA that is essentially the same as one currently 
pending initial review, unless the applicant withdraws the pending 
application.  The CSR will not accept any application that is 
essentially the same as one already reviewed. This does not preclude the 
submission of substantial revisions of applications already reviewed, 
but such applications must include an Introduction addressing the 
previous critique.
Principal investigators should not send supplementary material without 
first contacting the Scientific Review Administrator (SRA).  The SRA 
will be identified in the letter sent to you indicating that your 
application has been received.  If you have not received such a letter 
within three weeks after submitting the application, contact Dr. Anne 
Clark at the address listed under WHERE TO SEND INQUIRIES.
PEER REVIEW PROCESS  
Upon receipt, applications will be reviewed for completeness by the CSR 
and responsiveness by the NHLBI. Incomplete applications will be 
returned to the applicant without further consideration. And, if the 
application is not responsive to the RFA, CSR staff may contact the 
applicant to determine whether to return the application to the 
applicant or submit it for review in competition with unsolicited 
applications at the next appropriate NIH review cycle.
Applications that are complete and responsive to the RFA will be 
evaluated for scientific and technical merit by an appropriate peer 
review group convened by the NHLBI in accordance with the review 
criteria stated below.  As part of the initial merit review, all 
applications will:
o Receive a written critique
o Undergo a process in which only those applications deemed to have the 
highest scientific merit, generally the top half of the applications 
under review, will be discussed and assigned a priority score
o Receive a second level review by the  National Heart, Lung and Blood 
Advisory Council. 
 
REVIEW CRITERIA
The goals of NIH-supported research are to advance our understanding of 
biological systems, improve the control of disease, and enhance health. 
In the written comments, reviewers will be asked to discuss the 
following aspects of your application in order to judge the likelihood 
that the proposed research will have a substantial impact on the pursuit 
of these goals: 
o Significance 
o Approach 
o Innovation
o Investigator
o Environment
  
The scientific review group will address and consider each of these 
criteria in assigning your application=s overall score, weighting them 
as appropriate for each application.  Your application does not need to 
be strong in all categories to be judged likely to have major scientific 
impact and thus deserve a high priority score.  For example, you may 
propose to carry out important work that by its nature is not innovative 
but is essential to move a field forward.
(1) SIGNIFICANCE:  Does your study address an important problem? If the 
aims of your application are achieved, how do they advance scientific 
knowledge?  What will be the effect of these studies on the concepts or 
methods that drive this field?
(2) APPROACH:  Are the conceptual framework, design, methods, and 
analyses adequately developed, well integrated, and appropriate to the 
aims of the project?  Do you acknowledge potential problem areas and 
consider alternative tactics?
(3) INNOVATION:  Does your project employ novel concepts, approaches or 
methods? Are the aims original and innovative?  Does your project 
challenge existing paradigms or develop new methodologies or 
technologies?
(4) INVESTIGATOR: Are you appropriately trained and well suited to carry 
out this work?  Is the work proposed appropriate to your experience 
level as the principal investigator and to that of other researchers (if 
any)?
(5) ENVIRONMENT:  Does the scientific environment in which your work 
will be done contribute to the probability of success?  Do the proposed 
experiments take advantage of unique features of the scientific 
environment or employ useful collaborative arrangements?  Is there 
evidence of institutional support?
ADDITIONAL REVIEW CRITERIA: In addition to the above criteria, your 
application will also be reviewed with respect to the following:
o PROTECTIONS:  The adequacy of the proposed protection for humans, 
animals, or the environment, to the extent they may be adversely 
affected by the project proposed in the application.
o INCLUSION:  The adequacy of plans to include subjects from both 
genders, all racial and ethnic groups (and subgroups), and children as 
appropriate for the scientific goals of the research. Plans for the 
recruitment and retention of subjects will also be evaluated. (See 
Inclusion Criteria included in the section on Federal Citations, below)
o DATA SHARING:  The adequacy of the proposed plan to share data.
o BUDGET:  The reasonableness of the proposed budget and the requested 
period of support in relation to the proposed research.
RECEIPT AND REVIEW SCHEDULE
Letter of Intent Receipt Date:   February 19, 2003
Application Receipt Date:        March 19, 2003
Peer Review Date:                June/July 2003
Council Review:                  September 4-5, 2003
Earliest Anticipated Start Date: September 30, 2003
AWARD CRITERIA
Award criteria that will be used to make award decisions include:
o Scientific merit (as determined by peer review)
o Availability of funds
o Programmatic priorities.
 
REQUIRED FEDERAL CITATIONS 
INCLUSION OF WOMEN AND MINORITIES IN CLINICAL RESEARCH:  It is the 
policy of the NIH that women and members of minority groups and their 
sub-populations must be included in all NIH-supported clinical research 
projects unless a clear and compelling justification is provided 
indicating that inclusion is inappropriate with respect to the health of 
the subjects or the purpose of the research. This policy results from 
the NIH Revitalization Act of 1993 (Section 492B of Public Law 103-43).
All investigators proposing clinical research should read the AMENDMENT 
"NIH Guidelines for Inclusion of Women and Minorities as Subjects in 
Clinical Research - Amended, October, 2001," published in the NIH Guide 
for Grants and Contracts on October 9, 2001 
(http://grants.nih.gov/grants/guide/notice-files/NOT-OD-02-001.html), a 
complete copy of the updated Guidelines are available at 
http://grants.nih.gov/grants/funding/women_min/guidelines_amended_10_
2001.htm. The amended policy incorporates: the use of an NIH definition 
of clinical research, updated racial and ethnic categories in compliance 
with the new OMB standards, clarification of language governing NIH-
defined Phase III clinical trials consistent with the new PHS Form 398, 
and updated roles and responsibilities of NIH staff and the extramural 
community.  The policy continues to require for all NIH-defined Phase 
III clinical trials that: a) all applications or proposals and/or 
protocols must provide a description of plans to conduct analyses, as 
appropriate, to address differences by sex/gender and/or racial/ethnic 
groups, including subgroups if applicable, and b) investigators must 
report annual accrual and progress in conducting analyses, as 
appropriate, by sex/gender and/or racial/ethnic group differences.
INCLUSION OF CHILDREN AS PARTICIPANTS IN RESEARCH INVOLVING HUMAN 
SUBJECTS:  The NIH maintains a policy that children (i.e., individuals 
under the age of 21) must be included in all human subjects research, 
conducted or supported by the NIH, unless there are scientific and 
ethical reasons not to include them. This policy applies to all initial 
(Type 1) applications submitted for receipt dates after October 1, 1998.
All investigators proposing research involving human subjects should 
read the "NIH Policy and Guidelines" on the inclusion of children as 
participants in research involving human subjects that is available at 
http://grants.nih.gov/grants/funding/children/children.htm. 
REQUIRED EDUCATION ON THE PROTECTION OF HUMAN SUBJECT PARTICIPANTS: NIH 
policy requires education on the protection of human subject 
participants for all investigators submitting NIH proposals for research 
involving human subjects.  You will find this policy announcement in the 
NIH Guide for Grants and Contracts Announcement, dated June 5, 2000, at 
http://grants.nih.gov/grants/guide/notice-files/NOT-OD-00-039.html.
PUBLIC ACCESS TO RESEARCH DATA THROUGH THE FREEDOM OF INFORMATION ACT: 
The Office of Management and Budget (OMB) Circular A-110 has been 
revised to provide public access to research data through the Freedom of 
Information Act (FOIA) under some circumstances.  Data that are (1) 
first produced in a project that is supported in whole or in part with 
Federal funds and (2) cited publicly and officially by a Federal agency 
in support of an action that has the force and effect of law (i.e., a 
regulation) may be accessed through FOIA.  It is important for 
applicants to understand the basic scope of this amendment.  NIH has 
provided guidance at 
http://grants.nih.gov/grants/policy/a110/a110_guidance_dec1999.htm.
Applicants may wish to place data collected under this PA in a public 
archive, which can provide protections for the data and manage the 
distribution for an indefinite period of time.  If so, the application 
should include a description of the archiving plan in the study design 
and include information about this in the budget justification section 
of the application. In addition, applicants should think about how to 
structure informed consent statements and other human subjects 
procedures given the potential for wider use of data collected under 
this award.
URLs IN NIH GRANT APPLICATIONS OR APPENDICES: All applications and 
proposals for NIH funding must be self-contained within specified page 
limitations. Unless otherwise specified in an NIH solicitation, Internet 
addresses (URLs) should not be used to provide information necessary to 
the review because reviewers are under no obligation to view the 
Internet sites.   Furthermore, we caution reviewers that their anonymity 
may be compromised when they directly access an Internet site. 
HEALTHY PEOPLE 2010: The Public Health Service (PHS) is committed to 
achieving the health promotion and disease prevention objectives of 
"Healthy People 2010," a PHS-led national activity for setting priority 
areas. This RFA is related to one or more of the priority areas. 
Potential applicants may obtain a copy of "Healthy People 2010" at 
http://www.health.gov/healthypeople. 
AUTHORITY AND REGULATIONS: This program is described in the Catalog of 
Federal Domestic Assistance No. 93.837, 93.838, and 93.839 and is not 
subject to the intergovernmental review requirements of Executive Order 
12372 or Health Systems Agency review.  Awards are made under 
authorization of Sections 301 and 405 of the Public Health Service Act 
as amended (42 USC 241 and 284) and administered under NIH grants 
policies described at http://grants.nih.gov/grants/policy/policy.htm and 
under Federal Regulations 42 CFR 52 and 45 CFR Parts 74 and 92 
The PHS strongly encourages all grant recipients to provide a smoke-free 
workplace and discourage the use of all tobacco products.  In addition, 
Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking in 
certain facilities (or in some cases, any portion of a facility) in 
which regular or routine education, library, day care, health care, or 
early childhood development services are provided to children.  This is 
consistent with the PHS mission to protect and advance the physical and 
mental health of the American people.




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