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Altered Levels of STAT1 and STAT3 Influence the Neuronal Response to Interferon Gamma †Institute for Cancer Research, Fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 *Department of Biology, Arcadia University, 450 South Easton Road, Glenside, PA 19038 1To whom correspondence should be addressed: (v) 215-728-3617, (f) 215-728-2412, email: glenn.rall/at/fccc.edu The publisher's final edited version of this article is available at J Neuroimmunol.Abstract As immune responses in the CNS are highly regulated, cell-specific differences in IFNγ signaling may be integral in dictating the outcome of host cell responses. In comparing the response of IFNγ-treated primary neurons to control MEF, we observed that neurons demonstrated lower basal expression of both STAT1 and STAT3, the primary signal transducers responsible for IFNγ signaling. Following IFNγ treatment of these cell populations, we noted muted and delayed STAT1 phosphorylation, no detectable STAT3 phosphorylation, and a 3-10-fold lower level of representative IFNγ-responsive gene transcripts. Moreover, in response to a brief pulse of IFNγ, a steady increase in STAT1 phosphorylation and IFNγ gene expression over 48 h was observed in neurons, as compared to rapid attenuation in MEF. These distinct response kinetics in IFNγ-stimulated neurons may reflect modifications in the IFNγ negative feedback loop, which may provide a mechanism for the cell-specific heterogeneity of responses to IFNγ. Keywords: cytokine, signal transduction, gene regulation, neuron, interferon gamma, STAT1, STAT3 1. INTRODUCTION Interferon gamma (IFNγ), a pluripotent cytokine made primarily by T cells and NK cells, triggers the induction of genes that lead to antiviral and antibacterial responses, and modulates the expression of genes governing immune function, including components of the MHCI and MHCII antigen presentation pathways. IFNγ plays a crucial role in noncytolytic clearance of viruses in the “immune-privileged” environment of the central nervous system (CNS), including vesicular stomatitis virus (VSV) (Komatsu et al., 1996), measles virus (Patterson et al., 2002), Theiler’s murine encephalomyelitis virus (Rodriguez et al., 2003), Sindbis virus (Burdeinick-Kerr and Griffin, 2005), and West Nile virus (Shrestha et al., 2006). IFNγ is also crucial for the resolution of some intracellular bacterial infections within the brain (Jin et al., 2004). However, IFNγ has also been implicated in the immunopathogenesis of demyelinating diseases such as multiple sclerosis (reviewed in Sanders and De Keyser, 2007), ischemia (Takagi et al., 2002), and other neurodegenerative disorders, such as Alzheimer’s Disease (Bate et al., 2006). Moreover, IFNγ also plays a key role in CNS homeostasis, development, and neurotransmitter receptor expression (Barish et al., 1991; Kraus et al., 2006; Wong et al., 2004). Activation of IFNγ-stimulated gene expression occurs via a well-characterized signal transduction pathway (reviewed in Darnell, 1997 and Stark et al., 1998). Briefly, IFNγ binding and subsequent assembly of its receptor complex (consisting of a heterotetramer of IFNγR1 and R2 subunits), stimulates the activation of receptor-associated JAK1 and JAK2 protein tyrosine kinases, resulting in the tyrosine phosphorylation of the cytoplasmic tail of the IFNγR1 subunits. Upon docking to the phosphorylated R1 subunit, signal transducer and activator of transcription (STAT)-1 is phosphorylated on tyrosine 701 (pY701), resulting in its homodimerization. The STAT1(pY701) homodimer then translocates to the nucleus and binds to Gamma Activated Sequence (GAS) elements within the promoters of IFNγ-responsive genes, thus influencing their expression. In addition to STAT1, IFNγ stimulation also results (to a lesser degree) in phosphorylation of STAT3. Upon activation, STAT3 can homodimerize or form a heterodimer with phosphorylated STAT1, translocate to the nucleus and also bind to GAS elements. In spite of the relatively straightforward nature of these well-characterized signal transduction pathways, the cellular response to IFNγ is complex and cell-specific. The genes that are induced in IFNγ-stimulated cells can result in a wide range of consequences, including cellular activation, proliferation, or the induction of apoptosis (reviewed in Stark et al., 1998). While it is clear that IFNγ can elicit varied outcomes, the mechanisms governing the way a given cell responds to IFNγ remain largely unclear. Previous studies have examined differences in GAS element binding and transcription factor specificity (e.g. Horvath et al., 1995; reviewed in Ramana et al., 2000; Schroder et al., 2004) to elucidate mechanisms of cell-specific responses to IFNγ. In addition, many of the studies characterizing the IFNγ response have focused on a single cell type (such as hepatocytes, fibroblasts, or transformed cell lines). This has resulted in the impression that the cytoplasmic signaling pathways triggered in response to IFNγ are somewhat generic, and potential cellular or developmental differences in upstream IFNγ signaling events have therefore been largely overlooked. Recently however, Qing and Stark demonstrated that in the absence of STAT1, IFNγ signals through STAT3 and induces overlapping but distinct gene products (Qing and Stark, 2004). These investigators proposed that differential use of signaling pathways could therefore explain some of the differences observed in IFNγ responses by diverse cell types. In addition, Costa-Pereira et al. demonstrated that cell lines expressing two IFNγ receptors differing in a single amino acid showed altered kinetics of STAT phosphorylation, which resulted in diverse profiles of downstream gene transcription (Costa-Pereira et al., 2005). While a number of studies underscore the ability of neurons to make and respond to both type I and type II interferons (Chesler et al., 2004; Delhaye et al., 2006; Goody et al., 2007; Massa et al., 1999; Samuel et al., 2006; Trottier et al., 2005; Wang and Campbell, 2005; Yang et al., 2006), a direct comparison of IFNγ signaling in otherwise unmanipulated primary cells of varied tissue origin is lacking. Because immunity in the CNS is highly regulated, cell-specific differences in IFNγ signaling pathways may be particularly important in dictating the outcome of the host cell response in various pathogenic settings. We have therefore directly and quantitatively compared the responses of primary hippocampal neurons and matched primary fibroblasts to IFNγ. We have investigated expression and phosphorylation of STAT1 and STAT3, as well as the duration of the cellular response to IFNγ. We found that the neuronal response was remarkably distinct from that of control fibroblasts, providing support for the notion that differences at the level of signal transduction exist between cell types of distinct tissue origin. Furthermore, we demonstrated alterations in the expression of several IFNγ-responsive genes in treated neurons and fibroblasts, underscoring the importance of both the timing and magnitude of STAT signaling pathways in orchestrating the cell-specific response to exogenous IFNγ. 2. MATERIALS AND METHODS Cells and culture conditions Primary hippocampal neurons were prepared from embryonic (E14-15) inbred, c57Bl/6 mice (Rall et al., 1997) as previously described (Banker and Goslin, 1991; Pasick et al., 1994; Rall et al., 1995), with the exception that neurons were maintained in serum-free neurobasal medium (Life Technologies, Grand Island, NY) supplemented with B27 supplement (Life Technologies), glutamate (4 μg/ml), penicillin (100 U/ml), streptomycin (100 ng/ml), and glutamine (2 mM) in the absence of an astrocyte feeder layer. These cultures are routinely >95% pure, as assessed by MAP-2 immunostaining. Primary mouse embryonic fibroblasts (MEF) were isolated from the same embryos and maintained in complete DMEM medium (DMEM supplemented with 10% fetal calf serum, 2 mM L-glutamine, 100 U/ml penicillin, and 100 ng/ml streptomycin). Briefly, liver tissue was excised and discarded, and the remaining tissue was then dissociated in 0.4% trypsin, followed by trituration with a 10 ml pipette. The suspension was incubated for 10 minutes at 37°C; 5 ml fresh trypsin was then added and the suspension was incubated for an additional 10 minutes at 37°C. The suspension was added to a 15 ml conical tube, in which undigested tissue was allowed to settle for 2 minutes. The supernatant (containing MEF) was mixed with complete DMEM medium and centrifuged at 400×g for 5 minutes. The resulting pellet was resuspended in complete DMEM medium and plated into culture flasks. All cells were maintained at 37°C, 5% CO2 in a humidified incubator. “Continual” IFNγ treatment Neurons were plated on poly-L-lysine (Sigma, St. Louis, MO) coated glass coverslips or poly-L-lysine coated tissue culture plastic at a density of 560 cells/mm2, and cultured for 5 days (unless specified otherwise). MEF were plated at a density of 280 cells/mm2 one day prior to treatment. On the day of treatment, the culture medium was supplemented with either recombinant mouse IFNγ (BD Biosciences Pharmingen, San Jose, CA; 100 U/ml in Dulbecco’s phosphate buffered saline (DPBS)), or with an equal volume of DPBS alone. Cells were incubated for the indicated times, and then lysed for protein or RNA isolation (described below). “Pulsed” IFNγ treatment Neurons and MEF were plated and treated as described above, with the exception that cells were incubated with or without IFNγ (100U/ml) for only 30 min. After incubation, cells were washed 10 times with DPBS, to ensure removal of exogenously-added IFNγ. Unsupplemented conditioned culture medium was then added back to the cells, which were incubated for the indicated times. At each timepoint, whole cell lysates were collected for immunoblot analysis or RNA isolation (described below). IL-6 treatment Neurons and MEF were prepared as above, and treated with 250 ng/ml IL-6 (Invitrogen, Carlsbad, CA) for the indicated times before lysis (described below). Immunoblots Untreated and IFNγ-treated cells cultured on tissue culture plastic were lysed directly with Tri reagent (Sigma, St. Louis, MO) or protein solubilization buffer (106 mM Tris HCl, 141 mM Tris Base, 0.51 mM EDTA, 2% SDS). For the cells lysed in Tri reagent, total protein was isolated as per the manufacturer’s protocol, and quantified using the DC protein assay (Bio-Rad Laboratories, Hercules, CA) and a plate reader (SpectraMax, Molecular Devices, Sunnyvale, CA), using bovine serum albumin as a standard. Where indicated, 20 μg of total protein (or protein isolated from 5.32×105 cells) per sample were separated on a NuPAGE 7% Tris-Acetate gel (Invitrogen), and transferred (semi-dry) to PVDF (Bio-Rad). Within an experiment, corresponding samples from neurons and MEF were run on the same gel, to allow direct comparisons to be made. The blots were blocked overnight in PBS containing 0.1% Tween-20 (PBS-T) and 5% BSA. The blots were subsequently incubated in primary antibody solution (anti-STAT1 C-terminus (1:1000), anti-phospho-specific STAT1 (pY701; 1:1000), both from BD Biosciences Pharmingen; anti-STAT3 (1:200), anti-phospho-specific STAT3 (pY705; 1:200), both from Santa Cruz Biotechnology Inc., Santa Cruz, CA; and anti-glyceraldehyde-3-phosphate dehydrogenase (GAPDH; 1:200; Chemicon International Inc., Temecula, CA) diluted in PBS-T containing 3% BSA) for 1 h at room temperature. After three washes in PBS-T (5 min each), the blots were incubated in secondary antibody solution (goat anti-rabbit horseradish peroxidase (HRP; 1:1000; Vector Laboratories Inc.) for anti-STAT1 and anti-STAT3, goat anti-mouse HRP (1:2000; Santa Cruz Biotechnology Inc.) for anti-STAT1pY701 and anti-STAT3pY705; all diluted in PBS-T) for 1 h at room temperature. The blots were washed as described above, incubated in ECL detection solution (Amersham Biosciences, Little Chalfont, Buckinghamshire UK), and exposed to autoradiography film until a suitable image was obtained. For quantitative analysis of immunoblots, densitometric analysis of autoradiography films was performed using NIH Image (v.1.63) or ImageJ (v.1.36b) software. When necessary, blots were stripped by incubation in stripping buffer (100 mM 2-mercaptoethanol, 2% SDS, 62.5 mM Tris-HCl pH 6.7) at 50°C for 30 min, then reprobed with the appropriate antibody as described above. Reverse transcriptase quantitative real-time PCR (RT-qPCR) RNA was purified from whole cell lysates using the RNeasy Mini kit (Qiagen, Valencia, CA). Contaminating DNA in RNA preparations was removed using TURBO DNA-free™ (Ambion, Austin, TX). RNA was quantified using the Agilent 2100 BioAnalyzer in combination with a RNA 6000 Nano LabChip. RNA was reverse-transcribed using M-MLV reverse transcriptase (Ambion) and a mixture of anchored oligo-dT and random decamers. For each sample, 2 RT reactions were performed with inputs of 100 and 20 ng. An aliquot of the cDNA was used for 5’-nuclease assays using Taqman chemistry. Assay-on-Demand Mm00445235_m1 (CXCL10), Mm00515191_m1 (IRF1), Mm00782550_s1 (SOCS1), Mm00545913_s1 (SOCS3), Mm00599890_m1 (IFNγR1), and Mm00492626_m1 (IFNγR2) in combination with Universal Master mix were run on a 7900 HT sequence detection system (Applied Biosystems, Foster City, CA). Cycling conditions were 95°C, 15 min followed by 40 (2-step) cycles (95°C, 15 sec; 60°C, 60 sec). Relative quantification to the control was done using the comparative Ct method. The values plotted are the average from 2 PCR reactions. 3. RESULTS The kinetics of IFNγ-stimulated STAT1 phosphorylation in neurons is distinct from that in MEF To explore the response of CNS neurons to IFNγ, we determined baseline levels of STAT1 expression and monitored the kinetics of STAT1 phosphorylation following IFNγ exposure (Figure 1a
When the blot was probed with an antibody against the carboxy-terminus of total STAT1, the protein was barely detectable in untreated neurons, as compared to robust expression in unstimulated MEFs (Figure 1a, i Importantly, when phospho-STAT1 was normalized to total STAT1 and GAPDH to determine the kinetics of STAT1 phosphorylation on a “per-STAT1 molecule” basis, no significant differences between the two cell types were seen (Figure 1b To gain a more detailed picture of the kinetics of STAT1 phosphorylation in neurons and MEF, we quantified STAT1 phosphorylation every 2 h post-IFNγ addition, up to 48 h (Figure 1c Neuronal STAT1 activation kinetics are not dependent on differentiation stage Cultured primary hippocampal neurons differentiate for up to 72-96 h post-plating, during which time functional synapses are formed and the expression of neuron-specific markers is initiated (Banker and Goslin, 1991; Pasick et al., 1994). To control for the possibility that the observed alterations in IFNγ-stimulated STAT1 phosphorylation were a function of neuronal culture age, we examined STAT1 phosphorylation in response to continual IFNγ treatment over a 24 h time course in neurons that had been cultured for 1, 5, and 8 d, and compared it to IFNγ-induced STAT1 phosphorylation in MEF. As shown in Figure 1d IFNγ-stimulated STAT3 phosphorylation in neurons is undetectable Although IFNγ signals predominantly via STAT1 activation and nuclear translocation (reviewed in Stark et al., 1998), it has been reported that STAT1-deficient MEF treated with IFNγ utilize STAT3 for the transduction of the IFNγ signal (Qing and Stark, 2004). As constitutive STAT1 expression was markedly reduced in neurons (Figure 1a
The expression of IFNγR2, but not IFNγR1, is equivalent in neurons and MEF To compare the expression of the IFNγ receptor subunits in neurons to that in MEF, we used quantitative RT-qPCR to examine the levels of R1 and R2 subunit transcripts in total RNA isolated from untreated neurons and MEF. Although no differences were observed in the expression of the R2 subunit between the two cell types, we found that expression of the R1 subunit was approximately 8-fold lower in neurons as compared to MEF (Figure 3
The responsiveness of IFNγ-stimulated gene transcription is attenuated in neurons as compared to MEF during continual IFNγ exposure To address whether the marked differences in signaling between neurons and MEF resulted in differences in downstream IFNγ-responsive gene expression, RNA purified from cells treated with IFNγ over a 48-h time course was examined by RT-qPCR to measure the levels of four representative IFNγ-responsive transcripts (CXCL10, IRF-1, SOCS-1, and SOCS-3) (Figure 4a-d
The duration of STAT1 phosphorylation is sustained in neurons pulsed with IFNγ It has been well-established that the IFNγ signaling pathway has an extensive negative feedback system which acts via multiple mediators, including members of the suppressors of cytokine signaling (SOCS) and SH2-containing protein tyrosine phosphatase (SHP) families of proteins (reviewed in Wang and Campbell, 2002; Wormald and Hilton, 2004). To establish whether the observed dampening and delay in neuronal STAT1 signaling following IFNγ treatment was due to a strong negative feedback response, we characterized the duration of STAT1 phosphorylation in neurons and MEF following a 30-min “pulse” of IFNγ. Cells were exposed to IFNγ for 30 min, and then were extensively washed to eliminate any remaining IFNγ. To confirm that the IFNγ was washed out, washes were tested on untreated MEF, which demonstrated no significant STAT1 phosphorylation after 30 min of exposure (data not shown). Whole cell lysates were collected at the indicated timepoints post-pulse (Figure 5a
IFNγ-responsive gene expression is sustained in neurons pulsed with IFNγ We then determined whether the sustained neuronal response at the level of STAT1 phosphorylation observed following a 30-min pulse of IFNγ affected IFNγ-responsive gene expression. As expected, expression patterns of CXCL10, IRF-1, and SOCS-1 mRNA in IFNγ-pulsed MEF demonstrated a rapid, transient upregulation at 3 h post-pulse, which was attenuated by 6-12 h (Figure 6a-c
4. DISCUSSION Cytokines, such as IFNγ, can contribute to either protective or deleterious outcomes in the CNS, depending on the nature of the injury or antigenic trigger. For example, in many mouse models of neurotropic viral infection, including those caused by measles virus, Sindbis virus, vesicular stomatitis virus, Theiler’s murine encephalomyelitis virus, and West Nile virus, IFNγ is critical for viral clearance and recovery. In contrast, in cerebral malaria caused by the parasite Plasmodium falciparum, IFNγ and other Th1 cytokines have been implicated in the promotion of immunopathology and exacerbation of disease (reviewed in Hunt and Grau, 2003). Moreover, in non-pathogen associated CNS diseases such as experimental autoimmune encephalomyelitis (EAE), a rodent model of multiple sclerosis, IFNγ is considered the key causative factor in the hallmark demyelination (reviewed in Popko et al., 1997). Surely some of the reasons for this differential impact of IFNγ within the CNS include the location, duration and amount of IFNγ produced: in viral infections, for example, production of IFNγ by infiltrating NK and T cells may be brief and focused on a relatively low number of infected cells, whereas in chronic neuroinflammatory diseases such as EAE, unremitting IFNγ production directed at a more ubiquitous antigen (such as an autoantigen) may elicit neurotoxicity. Indeed, IFNγ is known to be directly cytotoxic: gene expression changes consequent to IFNγ exposure can lead to apoptosis (reviewed in Schroder et al., 2004). Moreover, mice that genetically cannot downregulate IFNγ responses die within two to three weeks of birth (Alexander et al., 1999). The CNS has long been considered immune privileged (owing to the relative lack of immune surveillance within the parenchyma), which may serve to protect CNS neurons, a generally non-renewable and therefore vulnerable population. However, it is increasingly appreciated that immune responses do occur in the brain. While advances have been made in the understanding of the way in which IFNγ mediates the clearance of certain neurotropic infections (e.g. Yang et al., 2006), how neurons respond to immune mediators, and what cellular factors may affect the outcome of these cytokine interactions, warrants further study. STAT1 phosphorylation in response to IFNγ treatment has been previously evaluated in neurons (Chesler et al., 2004; Goody et al., 2007; Jiao et al., 2003; Jin et al., 2004; Kaur et al., 2003; Kaur et al., 2005; Wang and Campbell, 2005). However, the potential cell-specific responses to exogenous cytokines - specifically the significance of the timing and intensity of STAT activation -has not yet been explored in unmanipulated primary neurons. To characterize the neuronal response to exogenous IFNγ stimulation, we compared primary hippocampal neuron cultures with MEF at three levels: basal expression of IFNγ receptor subunits; bioavailability and phosphorylation of the key IFNγ signal transducers, STAT1 and STAT3; and gene expression changes in response to IFNγ exposure. We performed standard timecourse assays under conditions of continuous IFNγ exposure and following a brief pulse. In primary neurons treated with IFNγ, as opposed to identically-treated control MEF, we observed i) reduced constitutive levels of IFNγR1 receptor subunit expression and STAT1 expression; ii) delayed and muted STAT1 phosphorylation kinetics following IFNγ exposure; iii) absence of STAT3 expression and phosphorylation; iv) decreased transcriptional response of representative IFNγ-responsive genes; and v) sustained STAT1 phosphorylation and expression of representative IFNγ-responsive genes following a pulse of IFNγ. A number of these observations warrant further discussion. In our detailed timecourse analysis of IFNγ treated neurons (Figure 1c The extended phosphorylation of STAT1 seen in primary neurons following an IFNγ pulse may be the result of differences in any one of several mechanisms. As mentioned, the activity of negative feedback proteins, including the SOCS family, may be impaired in IFNγ-stimulated neurons, thus allowing the receptor-associated JAKs (JAK1 and JAK2) to remain active for an extended period post-stimulation. Alternatively, decreased expression of neuronal protein tyrosine phosphatases may allow the R1 subunits of the receptor complex to remain phosphorylated, thus prolonging the availability of docking sites for STAT1 activation. Finally, the rate of STAT1 inactivation via dephosphorylation (reviewed in Darnell, 1997) in IFNγ-treated neurons may be delayed, allowing the nuclear accumulation of phosphorylated STAT1 over time. Regardless of the mechanism, it is important to note that similar responses have been observed in rat pancreatic islet cells pulsed with IFNγ (Heitmeier et al., 1999). In these treated cells, STAT1 was still phosphorylated and localized to the nucleus 7 days post-pulse, though the reasons for this sustained response were not addressed. Nevertheless, the ability of cells to modulate the duration of response to exogenous cytokines may be an important parameter in understanding cell-specific patterns in host immunity. In our studies, we were surprised to note a substantial difference in neuronal expression levels of the IFNγR1 subunit (Figure 3 An important technical aspect of our study is the use of primary cells. While cell lines have been invaluable for defining key steps in cytokine responsiveness, evaluating otherwise unmanipulated, pure primary cultures may be more powerful in resolving the basis of cellular heterogeneity in cytokine responses. For example, Kaur et al. found that although treatment of a human neuroblastoma cell line with IFNγ for 30 min resulted in weak phosphorylation of STAT3, STAT3 phosphorylation was undetectable in IFNγ-treated primary rat sympathetic neurons (Kaur et al., 2003). Thus, as our studies progress, continued use of primary neurons will be essential, not only to reveal how altered signaling impacts the eventual neuronal response, but also to ascertain whether potential differences exist in distinct neuronal subpopulations. While these data indicate that cell-specific differences in basal expression of key signaling molecules can dramatically alter the cellular response to exogenous cytokines, care must be taken not to over-interpret these findings. For example, recent studies (Hurgin et al., 2007; Jarosinski et al., 2001; Massa et al., 2006) have shown that neurons are recalcitrant to NF-kB activation. As many IFNγ-responsive genes also possess promoter elements to which NF-kB can bind, the convergence of multiple signaling pathways, such as the STAT and NF-kB pathways, likely governs the individual cellular response to exogenous cytokines. While our studies suggest cell-specific differences in STAT signaling, the contribution of other signaling pathways in cytokine responsiveness must also be considered. In summary, we have shown that cell-specific variations in IFNγ signaling pathways, including bioavailability of key signaling effectors, strongly influence gene expression. These data further aid our understanding of why potent cytokines such as IFNγ may have apparently paradoxical effects under different circumstances. For example, perhaps less rapid and robust induction of IFNγ-responsive genes, many of which can be cytotoxic, may be advantageous for CNS neurons, and may afford some degree of protection under circumstances of chronic inflammatory challenges. Obviously, these ex vivo studies require confirmation in vivo, but we speculate that altered signaling pathways may act as a buffer between exogenous cytokines and the neuronal response. These variations in signal transduction span from receptor expression to nuclear localization of transcription factors, ultimately impacting on the initiation, intensity, duration, and profile of downstream gene expression. While the data presented in this paper pertain to the role of STAT1 in type II interferon signaling, STAT1 also plays a central role in target cell response to type I interferons. We would therefore predict that the observations presented here are pertinent to the neuronal response to type I interferons as well. An appreciation of how cells respond to soluble immune mediators will be crucial for the development of immune-based therapies appropriately tailored to the antigenic stimulus. Acknowledgments We would like to thank Drs. Kerry Campbell, Christine Matullo, Maureen Murphy, George Stark, and Virginia Young for helpful comments and discussion. We also thank Dr. Anthony Yeung, director of the Fox Chase Cancer Center Biochemistry and Biotechnology facility, for real-time PCR services. The current study was supported by grants from the NIH to R.W.R. (NS051024) and to G.F.R. (NS40500), and by NIH core grant CA-06927. Footnotes Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errorsmaybe discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. References
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