Wisconsin Alumni Research FoundationDownload PDFPatent Trials and Appeals BoardSep 8, 20212021000676 (P.T.A.B. Sep. 8, 2021) Copy Citation UNITED STATES PATENT AND TRADEMARK OFFICE UNITED STATES DEPARTMENT OF COMMERCE United States Patent and Trademark Office Address: COMMISSIONER FOR PATENTS P.O. Box 1450 Alexandria, Virginia 22313-1450 www.uspto.gov APPLICATION NO. FILING DATE FIRST NAMED INVENTOR ATTORNEY DOCKET NO. CONFIRMATION NO. 15/596,529 05/16/2017 William L. Murphy P150263US02 (3004049-0049 1514 130832 7590 09/08/2021 Stinson LLP (WARF 3004049) 7700 Forsyth Blvd. Suite 1100 St. Louis, MO 63105 EXAMINER GARYU, LIANKO G ART UNIT PAPER NUMBER 1658 NOTIFICATION DATE DELIVERY MODE 09/08/2021 ELECTRONIC Please find below and/or attached an Office communication concerning this application or proceeding. The time period for reply, if any, is set in the attached communication. Notice of the Office communication was sent electronically on above-indicated "Notification Date" to the following e-mail address(es): USpatent2@stinson.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE ____________ BEFORE THE PATENT TRIAL AND APPEAL BOARD ____________ Ex parte WILLIAM L. MURPHY, MATTHEW BRIAN PARLATO, JAMES A MOLENDA, and NGOC NHI LE ____________ Appeal 2021-000676 Application 15/596,529 Technology Center 1600 ____________ Before DONALD E. ADAMS, DEBORAH KATZ, and RACHEL H. TOWNSEND, Administrative Patent Judges. ADAMS, Administrative Patent Judge. DECISION ON APPEAL Pursuant to 35 U.S.C. § 134(a), Appellant1 appeals from Examiner’s decision to reject claims 1–6, 8, and 10–20. We have jurisdiction under 35 U.S.C. § 6(b). We AFFIRM. 1 We use the word “Appellant” to refer to “applicant” as defined in 37 C.F.R. § 1.42. Appellant identifies the real party in interest as “Wisconsin Alumni Research Foundation” (Appellant’s June 23, 2020, Appeal Brief (Appeal Br.) 1). Appeal 2021-000676 Application 15/596,529 2 STATEMENT OF THE CASE Appellant’s disclosure “relates to hydrogel compositions and to methods for using the hydrogel compositions to promote cell expansion and cell differentiation” (Spec.2 ¶ 4). Claims 1, 3, 10, 12, and 16 reproduced below: 1. A hydrogel composition comprising an 8-arm, 20 kDa polyethylene glycol functionalized with norbornene, a crosslinking peptide, at least 0.25 mM of a cell adhesion peptide selected from the group consisting of CRGDS (SEQ ID NO: 2), Acetylated-GCYGRGDSPG (SEQ ID NO:31), cyclic RGD (SEQ ID NO:35), CRGD-(G)13-PHSRN (SEQ ID NO:29), CPHSRN-(SG)5-RGD (SEQ ID NO:30) and IKVAV (SEQ ID NO:38); an immobilized low molecular weight heparin; and a cell selected from the group consisting of an embryonic stem cell, an embryonic stem cell-derived neuron, an embryonic stem cell-derived neural progenitor cell, an embryonic stem cell-derived astrocyte, an embryonic stem cell- derived microglial cell, an embryonic stem cell-derived endothelial cell, an embryonic stem cell-derived retinal pigment epithelial cell, an induced pluripotent stem cell, an induced pluripotent stem cell-derived neural progenitor cell, an induced pluripotent stem cell-derived astrocyte, an induced pluripotent stem cell-derived microglial cell, an induced pluripotent stem cell-derived endothelial cell, a mesenchymal stem cell, an umbilical vein endothelial cell, an NIH 3T3 fibroblast, a cardiomyocyte, an induced pluripotent stem cell-derived cardiomyocyte, an endothelial progenitor cell, a circulating angiogenic cell, a neuron, a pericyte, a hepatocyte, a pancreatic beta cell, a pancreatic islet cell and combinations thereof. (Appeal Br. 12.) 3. The hydrogel composition of claim 2 comprising a shear modulus range of from about 2 kPa to about 12 kPa. (Id.) 2 Appellant’s May 16, 2017, Specification. Appeal 2021-000676 Application 15/596,529 3 10. The hydrogel composition of claim 1, wherein the crosslinking peptide is selected from the group consisting of KCGGPQGIWGQGCK (SEQ ID NO:27), KCGGPQGIAGQGCK (SEQ ID NO:28) and combinations thereof. (Id. at 13.) 12. A hydrogel composition comprising a polyethylene glycol functionalized with norbornene, a crosslinking peptide, at least 0.25 mM of a cell adhesion peptide selected from the group consisting of CRGDS (SEQ ID NO: 2), Acetylated- GCYGRGDSPG (SEQ ID NO:31), cyclic RGD (SEQ ID NO:35), CRGD-(G)13-PHSRN (SEQ ID NO:29), CPHSRN(SG)5-RGD (SEQ ID NO:30) and IKVAV (SEQ ID NO:38), an immobilized low molecular weight heparin, and a cell selected from the group consisting of an embryonic stem cell, an embryonic stem cell-derived neuron, an embryonic stem cell-derived neural progenitor cell, an embryonic stem cell- derived astrocyte, an embryonic stem cell-derived microglial cell, an embryonic stem cell-derived endothelial cell, an embryonic stem cell-derived retinal pigment epithelial cell, an induced pluripotent stem cell, an induced pluripotent stem cell- derived neural progenitor cell, an induced pluripotent stem cell- derived astrocyte, an induced pluripotent stem cell-derived microglial cell, an induced pluripotent stem cell-derived endothelial cell, a mesenchymal stem cell, an umbilical vein endothelial cell, an NIH 3T3 fibroblast, a cardiomyocyte, an induced pluripotent stem cell-derived cardiomyocyte, an endothelial progenitor cell, a circulating angiogenic cell, a neuron, a pericyte, a hepatocyte, a pancreatic beta cell, a pancreatic islet cell and combinations thereof, wherein the hydrogel composition comprises a shear modulus in the range of about 1.8 kPa to about 33 kPa. (Id. at 13–14.) 16. The hydrogel composition of claim 12, wherein the crosslinking peptide is selected from the group consisting of KCGGPQGIWGQGCK (SEQ ID NO:27), Appeal 2021-000676 Application 15/596,529 4 KCGGPQGIAGQGCK (SEQ ID NO:28) and combinations thereof. (Id. at 14.) Grounds of rejection before this Panel for review: Rejection 1: Claims 1, 2, 5, 6, and 17–19 stand rejected under 35 U.S.C. § 103 as unpatentable over the combination of Yang,3 Liang,4 and Schwartz.5 Rejection 2: Claims 3, 4, 8, and 11 stand rejected under 35 U.S.C. § 103 as unpatentable over the combination of Yang, Liang, Schwartz, and Ki.6 Rejection 3: Claims 12–15 stand rejected under 35 U.S.C. § 103 as unpatentable over the combination of Yang, Liang, Schwartz, and Ki. 3 Yang et al., Development of an Osteogenic Scaffold for Human Mesenchymal Stem Cells, 52 Polymer Preprints (American Chemical Society, Division of Polymer Chemistry)/Polym. Prepr. (Am. Chem. Soc., Div. Polym. Chem.) 160–161 (2011). 4 Liang et al., Heparin-functionalized polymeric biomaterials in tissue engineering and drug delivery applications, 10 Acta Biomaterialia 1588– 1600 (2014). 5 Schwartz et al., A Quantitative Comparison of Human HT-1080 Fibrosarcoma Cells and Primary Human Dermal Fibroblasts Identifies a 3D Migration Mechanism with Properties Unique to the Transformed Phenotype, 8 PLoS ONE e81689, doi:10.1371/journal.pone.0081689, (2013) 6 Ki et al., Effect of 3D Matrix Compositions on the Efficacy of EGFR Inhibition in Pancreatic Ductal Adenocarcinoma Cells, 14 Biomacromolecules 3017–3026 (2013). Appeal 2021-000676 Application 15/596,529 5 Rejection 4: Claims 10 and 20 stand rejected under 35 U.S.C. § 103(a) as unpatentable over the combination of Yang, Liang, Schwartz, and Gould.7 Rejection 5: Claim 16 stands rejected under 35 U.S.C. § 103 as unpatentable over the combination of Yang, Liang, Schwartz, and Gould. ISSUE Does the preponderance of evidence relied upon by Examiner support a conclusion of obviousness? FACTUAL FINDINGS (FF) FF 1. Yang discloses a human mesenchymal stem cell (hMSC) based therapeutic system in which hMSCs are encapsulated in a synthetic 3- dimensional (3D) scaffold using thiolene chemistry (Yang 160: Introduction; see generally Ans.8 3). FF 2. Yang discloses a hydrogel system comprising a 20 kDa, 4 arm, PEG- norbornene crosslinked with a matrix metalloproteinase (MMP)-degradable peptide KCGPQGIAGQCK, with 1 mM CRGDS and various concentrations of peptide tethered with dexamethasone incorporated into the gel (see Yang 160: Fig. 2, legend; see also Ans. 3). FF 3. Yang discloses that “[f]unctionalization of the thiolene scaffold with chemical osteogenic cues is able to promote the differentiation of hMSCs” (Yang 161: Discussion; see id. at 160 (Yang discloses that hMSCs “are 7 Gould et al., Small peptide functionalized thol-ene hydrogels as culture substrates for understanding valvular interstitial cell activation and de novo tissue deposition, 8 Acta Biomaterialia 3201–3209 (2012). 8 Examiner’s September 4, 2020, Answer. Appeal 2021-000676 Application 15/596,529 6 commonly used in stem cell based bone regeneration therapies since they are multipotent and can differentiate into osteoblasts under osteogenic signals, such as dexamethasone”); Ans. 3 (Examiner finds that Yang “suggest[s] incorporating biomolecules in the hydrogel to direct differentiation.”)). FF 4. Examiner finds that Yang does not teach a hydrogel comprising a 20 kDa, 8-arm, polyethylene glycol functionalized with norbornene, and further comprising an immobilized low molecular weight heparin (Ans. 3). FF 5. Liang discloses: Given its function as an anticoagulant, heparin can exhibit undesirable side effects, such as hemorrhagic complications, heparin-induced thrombocytopenia and/or low bioavailability, when administered non-intravenously. As a result, low- molecular weight heparin (LMWH), which has a better defined chemical composition, has been developed to provide more predictable anticoagulant dose, longer half-lives and reduced side effects. Many studies have indicated that LMWH is more effective in the inhibition of tumor growth via its regulation of the binding of many angiogenic growth factors (e.g. FGF and VEGF) when compared with unfractionated heparin. LMWH can also interfere with tumor metastasis by reducing the activity of heparanase and thus reducing tumor metastatic potential and growth, or by competing with P-selectin binding, thereby inhibiting the adhesion of tumor cells. More recent research has suggested that heparin can also interact with transcription factors to induce apoptotic cell death. Therefore, LMWH has been widely explored as a component in tumor-targeted delivery systems, and a few chemically modified LMWH derivatives, such as LMWH-deoxycholic acid, have been developed with reduced anticoagulant activity and high antiangiogenic efficacy. Recent research has also suggested that LMWH may be potentially used as an antifibrotic agent in patients with chronic hepatitis B. (Liang 1588: § 1 (endnotes omitted); see Ans. 4.) Appeal 2021-000676 Application 15/596,529 7 FF 6. Liang discloses: Due to its advantageous biological activities, the incorporation of heparin in biomaterials has been highly attractive. Heparin is often physically encapsulated or covalently conjugated to hydrogels to provide sustained release of the anticoagulant. Also, heparin-containing hydrogels have been widely used for the sequestration and controlled release of growth factors to promote angiogenesis and bone regeneration. Heparin- functionalized, naturally derived hydrogels have been developed by taking advantage of their biocompatibility, low toxicity, relatively low cost and benign gelation conditions while heparin-synthetic polymer biohybrid hydrogels have been studied to provide increased control over their mechanical and chemical properties. Additionally, surfaces and scaffolds modified with heparin have been explored to suppress non- specific protein absorption and localize growth factors to promote cell attachment and proliferation. (Liang 1589: § 1 (endnotes omitted); see generally Ans. 4.) FF 7. Liang discloses that “heparin-functionalized hydrogels support hMSC viability . . . and induce osteogenic differentiation” (Liang 1591: § 2.2.1; see id. (Liang discloses that “heparin-functionalized PEG hydrogels [are] capable of sequestering bFGF and releasing it in a controlled manner over a 5-week time period, with zero-order release kinetics after an initial burst. The bFGF-loaded hydrogels demonstrated enhanced stimulation of the growth of . . . [hMSCs] compared to the controls”); see also Ans. 3). FF 8. Examiner relies on Schwartz to disclose “a synthetic ECM composed of 8-arm, 20 kDa polyethylene glycol functionalized with norbornene (8-arm PEG-NB) . . ., wherein the 8-arm PEG-NB is crosslinked with MMP- degradable peptide and the cell adhesive peptide CRGDS” (Ans. 4 (citing Schwartz 17: Figure S5 legend; Schwartz 18: Figure S7, legend); see also Ans. 4 (Examiner finds that Schwartz discloses that “the mechanical Appeal 2021-000676 Application 15/596,529 8 properties [of a 20 kDa, 8-arm, PEG-NB are] similar to a 4-arm PEG- NB.”)). FF 9. Examiner finds that the combination of Yang, Liang, and Schwartz fails to disclose a “shear moduli in the range of about 1.8 kPa to about 33 kPa and the extent of crosslinking from about 35% to about 75%” as required by Appellant’s claimed invention, and relies on Ki to make up for this deficiency (see Ans. 5–6 (citing Ki 3022: Tables 1–2); see Ans. 6 (citing Ki 3018) (Examiner finds that Ki discloses that “by manipulating the cross- linking density the stiffness of the gel matrix can be easily controlled to mimic tissues with certain mechanical property”); see also Ans. 9–10). FF 10. Examiner finds that the combination of Yang, Liang, and Schwartz, with or without Ki fails to disclose a “crosslinking peptide . . . selected from the group consisting of [Appellant’s] SEQ ID NO: 27, SEQ ID NO: 28, and combinations thereof” as required by Appellant’s claimed invention, and relies on Gould to make up for this deficiency (Ans. 7 (citing Gould § 2.3 (disclosing Appellant’s SEQ ID NO: 27); see also Ans. 11). ANALYSIS Rejection 1: Based on the combination of Yang, Liang, and Schwartz, Examiner concludes that, before the effective filing date of Appellant’s claimed invention, it would have been prima facie obvious “to substitute low molecular weight heparin taught by Liang . . . for dexamethasone taught by Yang” and “substitute the 8-arm, 20 kDa polyethylene glycol that is functionalized with norbornene taught by Schwartz . . . for the 4-arm, 20 kDa polyethylene glycol functionalized with norbornene of Yang . . . to arrive at the presently claimed invention” (Ans. 4). As Examiner explains, Appeal 2021-000676 Application 15/596,529 9 “[t]he artisan of ordinary skill would have been motivated to make the substitution with a reasonable expectation of success because low molecular weight heparin promotes differentiation of hMSCs and “the 8-arm PEG-NB can be utilized as a synthetic ECM and the 8-arm PEG-NB have similar mechanical properties to a 4-arm PEG-NB as taught by Schwartz” (Ans. 4– 5; see also FF 1–8). Examiner relies on Liang to disclose the use of low molecular weight heparin containing hydrogel to stimulate hMSCs and promote, inter alia, bone regeneration and induce osteogenic differentiation (see FF 5–7; see also FF 7 (Liang discloses that “heparin-functionalized hydrogels support hMSC viability . . . and induce osteogenic differentiation.”)). Thus, we are not persuaded by Appellant’s contention that Yang does not suggest “that heparin would be successfully used in place of dexamethasone in its hydrogel . . . to differentiate hMSCs into osteoblasts” (Appeal Br. 7). Liang further discloses that low molecular weight heparin was developed to overcome the deficiencies of heparin (see FF 5–7). Therefore, we are not persuaded by Appellant’s contention that “there is nothing to suggest using LMWH as dexamethasone does not have the side effects of heparin as discussed in Liang” (Appeal Br. 7). Appellant recognizes that Schwartz discloses that an 8-arm 20 kDa PEG-functionalized with norbornene produced similar results to a 4-arm 20 kDa PEG-functionalized with norbornene (see Appeal Br. 7). Appellant, however, contends that “there is simply no reason to modify the references to use the 8-arm PEG as an alternative to the 4-arm PEG,” Examiner “appears to completely ignore the requirement for some reason to make the substitutions,” and “if equivalent, then why make the substitutions at all – Appeal 2021-000676 Application 15/596,529 10 unless you are using inadmissible hindsight” (id.; see also Reply Br.9 1). We are not persuaded. See In re Fout, 675 F.2d 297, 301 (CCPA 1982) (“Express suggestion to substitute one equivalent for another need not be present to render such substitution obvious.”); see also In re Mayne, 104 F.3d 1339, 1340 (Fed. Cir. 1997) (“Because the applicants merely substituted one element known in the art for a known equivalent, this court affirms [the rejection for obviousness].”); KSR Int’l Co. v. Teleflex Inc., 550 U.S. 398, 416 (2007) (“[W]hen a patent claims a structure already known in the prior art that is altered by the mere substitution of one element for another known in the field, the combination must do more than yield a predictable result.”). Rejection 2: Based on the combination of Yang, Liang, Schwartz, and Ki, Examiner concludes that, before the effective filing date of Appellant’s claimed invention, it would have been prima facie obvious “to optimize the shear moduli and percent crosslinking density to have any appropriate value including the values of shear moduli and percent crosslinking density as claimed to achieve the desired stiffness and other mechanical properties of the hydrogel as taught by Ki” (Ans. 6; see also id. at 10). Having found no deficiency in the combination of Yang, Liang, and Schwartz, we are not persuaded by Appellant’s contention that Ki fails to overcome Appellant’s alleged shortcomings in Yang, Liang, and Schwartz (see Appeal Br. 8). 9 Appellant’s November 4, 2020, Reply Br. Appeal 2021-000676 Application 15/596,529 11 Further, we are not persuaded by Appellant’s contention that Ki “is directed to a completely separate and distinct purpose as the hydrogels of Yang” and provides no disclosure “that would provide any advantage to the goal stated in Yang” (id. at 8–9; see also Reply Br. 1 (Appellant contends that Ki “is used for a completely different purpose as the hydrogels of Yang . . . and/or Schwartz”)). As Examiner explains, Yang, Schwartz, Liang, Ki, and Appellant’s “claimed invention are concerned with the material and mechanical properties of functionalized hydrogels utilized as scaffolds for cells” and Ki discloses that the mechanical properties, shear moduli and cross-linking density, are dependent [on] the concentration of PEG8NB . . . and further by manipulating the cross-linking density the stiffness of the gel matrix can be easily controlled to mimic tissues with certain mechanical propert[ies]. . . . Therefore, the skilled artisan would have looked to the teachings Ki . . . to consider the effects of 8-arm 20kDa PEG- NB concentration on the shear moduli, cross-linking density and stiffness of the hydrogel utilized as a cell scaffold and adjusted the concentration accordingly to obtain the desired mechanical and material properties. (Ans. 16 (citing Ki 3018 and 3022 (Tables 1–2)).) We find no error in Examiner’s rationale. See In re Clay, 966 F.2d 656, 658–59 (Fed. Cir. 1992) (Discussing the criteria for determining whether prior art is analogous). Therefore, we are not persuaded by Appellant’s contention that although “stiffness may or may not be beneficial, there is simply no reason for one skilled in the art to even look to Ki . . . when first looking at Yang and the other prior art references” (Appeal Br. 9). Appeal 2021-000676 Application 15/596,529 12 Rejection 3: Based on the combination of Yang, Liang, Schwartz, and Ki, Examiner concludes that, before the effective filing date of Appellant’s claimed invention, it would have been prima facie obvious “to optimize the shear moduli and percent crosslinking density to have any appropriate value including the values of shear moduli and percent crosslinking density as claimed to achieve the desired stiffness and other mechanical properties of the hydrogel as taught by Ki” (Ans. 10). For the reasons set forth above, we are not persuaded by Appellant’s contention that “there is nothing that reasonably suggests that Yang . . . could be successfully modified with Lang . . . Schwartz . . ., and Ki . . . to arrive at a hydrogel composition including a polyethylene functionalized with norbornene and an immobilized low molecular weight heparin” (Appeal Br. 10). Rejection 4: Based on the combination of Yang, Liang, Schwartz, and Gould, Examiner concludes that, before the effective filing date of Appellant’s claimed invention, it would have been prima facie obvious “to substitute the amino acid sequence KCGGPQGIWGQGCK taught by Gould . . . for the MMP degradable linker with the sequence KCGPQGIAGQCK of Yang . . . because the amino acid sequence of Gould et al. is a MMP degradable linker” (Ans. 7 (citing MPEP § 2144.06(II))). See also Fout, 675 F.2d at 301 (“Express suggestion to substitute one equivalent for another need not be present to render such substitution obvious.”). Appeal 2021-000676 Application 15/596,529 13 Having found no deficiency in the combination of Yang, Liang, and Schwartz, we are not persuaded by Appellant’s contention that Gould fails to overcome Appellant’s alleged shortcomings in Yang, Liang, and Schwartz (see Appeal Br. 9). For the reasons set forth above, we are not persuaded by Appellant’s contention that Examiner’s relied upon improper hindsight (see id. (Appellant contends that “without Applicant’s claimed invention, there is simply no reason to . . . [combine Yang, Liang, Schwartz, and Gould] to arrive at Appellant’s claimed invention”)). Rejection 5: Based on the combination of Yang, Liang, Schwartz, and Gould, Examiner concludes that, before the effective filing date of Appellant’s claimed invention, it would have been prima facie obvious “to substitute the amino acid sequence KCGGPQGIWGQGCK taught by Gould . . . for the MMP degradable linker with the sequence KCGPQGIAGQCK of Yang . . . because the amino acid sequence of Gould et al. is a MMP degradable linker” (Ans. 11 (citing MPEP § 2144.06(II))). See also Fout, 675 F.2d at 301 (“Express suggestion to substitute one equivalent for another need not be present to render such substitution obvious.”). For the reasons set forth above, we are not persuaded by Appellant’s contention that there is nothing that reasonably suggests that Yang . . . could be successfully modified with Lang . . ., Schwartz . . ., Ki . . . and Gould . . . to arrive at a hydrogel composition including a polyethylene functionalized with norbornene and an immobilized low molecular weight heparin. (Appeal Br. 11.) Appeal 2021-000676 Application 15/596,529 14 CONCLUSION The preponderance of evidence relied upon by Examiner supports a conclusion of obviousness. Rejection 1: The rejection of claim 1 under 35 U.S.C. § 103 as unpatentable over the combination of Yang, Liang, and Schwartz is affirmed. Claims 2, 5, 6, and 17–19 are not separately argued and fall with claim 1. Rejection 2: The rejection of claim 3 under 35 U.S.C. § 103 as unpatentable over the combination of Yang, Liang, Schwartz, and Ki is affirmed. Claims 4, 8, and 11 are not separately argued and fall with claim 3. Rejection 3: The rejection of claim 12 under 35 U.S.C. § 103 as unpatentable over the combination of Yang, Liang, Schwartz, and Ki is affirmed. Claims 13–15 are not separately argued and fall with claim 12. Rejection 4: The rejection of claim 10 under 35 U.S.C. § 103 as unpatentable over the combination of Yang, Liang, Schwartz, and Gould is affirmed. Claim 20 is not separately argued and fall with claim 10. Rejection 5: The rejection of claim 16 under 35 U.S.C. § 103 as unpatentable over the combination of Yang, Liang, Schwartz, and Gould is affirmed. Appeal 2021-000676 Application 15/596,529 15 DECISION SUMMARY In summary: Claims Rejected 35 U.S.C. § Reference(s)/Basis Affirmed Reversed 1, 2, 5, 6, 17–19 103 Yang, Liang, Schwartz 1, 2, 5, 6, 17–19 3, 4, 8, 11 103 Yang, Liang, Schwartz, Ki 3, 4, 8, 11 12–15 103 Yang, Liang, Schwartz, Ki 12–15 10, 20 103 Yang, Liang, Schwartz, Gould 10, 20 16 103 Yang, Liang, Schwartz, Ki, Gould 16 Overall Outcome 1–6, 8, 10–20 TIME PERIOD FOR RESPONSE No time period for taking any subsequent action in connection with this appeal may be extended under 37 C.F.R. § 1.136(a). See 37 C.F.R. § 1.136(a)(1)(iv) (2019). AFFIRMED Copy with citationCopy as parenthetical citation