The Journal of Neuroscience, August 6, 2003, 23(18):7155-7159
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BRIEF COMMUNICATION
Substance P Acts through Local Circuits within the Rat Dorsal Raphe Nucleus to Alter Serotonergic Neuronal Activity
Rita J. Valentino,
Vincent Bey,
Luise Pernar, and
Kathryn G. Commons
The Children's Hospital of Philadelphia, Abramson Pediatric Research
Center, Philadelphia, Pennsylvania 19104
 |
Abstract
|
|---|
Basic and clinical studies suggest that neurokinin 1 (NK1) receptor
antagonists have efficacy in the treatment of affective disorders through
effects on the dorsal raphe nucleus (DR), a source of forebrain-projecting
serotonin (5-HT) neurons that has also been implicated in affective disorders.
To investigate the regulation of the DR-5-HT system by NK1 receptors, the
effects of substance P (an NK1 agonist) on rat DR neuronal activity were
characterized. Most of the DR neurons (83%; n = 47 total) were
inhibited by substance P microinfusion into the DR, and in some cases (17%)
this was preceded by a brief activation. Pure excitation was observed in a
small population of neurons (17%) that were localized in the dorsal DR, where
NK1 receptors are most dense. Sendide, a selective NK1 antagonist, attenuated
the effects of substance P, indicating that they were mediated by NK1 receptor
activation. The selective 5-HT1A antagonist, WAY 100635,
administered systemically or into the DR, prevented the inhibitory effects of
substance P, implicating DR 5-HT1A receptors in this response.
Finally, microinfusion of the excitatory amino acid antagonist, kynurenic
acid, into the DR prevented both excitatory and inhibitory effects. The
results suggest that NK1 receptor activation in the DR excites a population of
5-HT neurons via glutamatergic transmission. This results in 5-HT release
throughout the DR, activation of 5-HT1A receptors, and subsequent
inhibition. Interactions between NK1 and 5-HT1A receptors within DR
neural networks may contribute to the mechanism of action of novel
antidepressants acting at NK1 receptors.
Key words: serotonin; neurokinin 1; anxiety; glutamate; substance P; dorsal raphe nucleus; sendide
 |
Introduction
|
|---|
Substance P, acting primarily at the neurokinin 1 (NK1) receptor, has been
well studied for its role in pain
(Severini et al., 2002
).
Substance P neurotransmission has also been associated with aversion and
anxiety in several behavioral models
(Gradin et al., 1992
;
Aguiar and Brandao, 1994
),
however, and recent interest has focused on the potential utility of NK1
receptor antagonists as antidepressants and anxiolytics
(Kramer et al., 1998
;
Rupniak and Kramer, 1999
;
Stout et al., 2001
).
Evidence suggests that the potential therapeutic effects of NK1 antagonists
are mediated by the dorsal raphe nucleus (DR), a major source of forebrain
serotonin (5-HT) that has been implicated in affective disorders. Thus, NK1
receptor immunoreactivity is robustly expressed in dendrites in the DR
(Maeno et al., 1993
;
Froger et al., 2001
;
Commons and Valentino, 2002
).
NK1 receptor disruption, either by antagonist treatment or by genetic
alteration, results in desensitization of the autoinhibitory 5-HT1A
receptor and enhanced serotonergic neurotransmission
(Froger et al., 2001
;
Santarelli et al., 2001
).
Because these effects are similar to those produced by administration of
classic antidepressants that directly interact with serotonergic
neurotransmission, it has been suggested that they are integral to the
therapeutic efficacy of these drugs
(Froger et al., 2001
;
Haddjeri and Blier, 2001
;
Santarelli et al., 2001
).
Given evidence that NK1 antagonists exhibit anti-anxiety/antidepressant
potential through activation of the DR-5-HT system, it might be predicted that
anxiogenic effects associated with NK1 receptor activation are mediated by
inhibition of this system; however, few studies have examined the effects of
NK1 receptor activation on the DR-5-HT system. One recent study demonstrated
that NK1 receptor activation increased the frequency of EPSCs in DR neurons
in vitro through an excitatory amino acid mechanism
(Liu et al., 2002
). Although
this is consistent with the reported localization of NK1 receptor
immunoreactivity on glutamatergic neurons in the DR
(Commons and Valentino, 2002
),
it suggests that NK1 agonists activate rather than inhibit the DR-5-HT system.
To further elucidate the regulation of the DR-5-HT system by the NK1 receptor
that may contribute to the pathophysiology of affective disorders, the present
study characterized the effects of the endogenous NK1 agonist, substance P, on
activity of rat DR neurons in vivo.
 |
Materials and Methods
|
|---|
Subjects. Adult male Sprague Dawley rats (Taconic Farms,
Germantown, NY) (300 gm) were housed three to a cage (20°C, 12 hr
light/dark cycle; lights on at 6:00 A.M.) with food and water available ad
libitum. Protocols for care and use of animals were approved by the
Children's Hospital of Philadelphia Institutional Animal Care and Use
Committee and in accordance with the NIH Guide for the Use and Care of
Laboratory Animals.
Surgery. Rats were anesthetized with a 1-1.5% halothane/air
mixture and positioned in a stereotaxic instrument with the head at a
20o angle, nose down. Body temperature was maintained at
36.5-37°C. The skull was exposed and a hole was drilled, exposing the dura
and associated superficial transverse and sagittal sinuses. The sagittal sinus
and dura were ligated, transected, and reflected to allow for a midline
approach toward the DR with minimal blood loss.
Recording and microinfusion. Double-barrel micropipettes were used
to record single-unit neuronal discharge and simultaneously microinfuse
substance P. This technique has been characterized previously
(Akaoka et al., 1992
). The
recording pipette was filled with 2% Pontamine Sky Blue (PSB) dye in 0.5
M sodium acetate. The infusion pipette was angled
(30-45o) with its tip adjacent to the tip of the recording pipette
but 100 µm dorsal. This was filled with substance P [1 mg/ml in artificial
CSF (ACSF)] and connected to a source of solenoid-activated pneumatic pressure
(Picospritzer, General Valve, Fairfield, NJ). This infusion pipette was
calibrated such that 1 mm displacement = 60 nl volume. To examine interactions
between substance P and sendide, kynurenic acid, or WAY 100635 within the DR,
triple-barrel micropipettes, constructed in a manner similar to that described
above, were used.
Micropipettes were advanced toward the DR. Microelectrode signals were
filtered and amplified and monitored with an oscilloscope and audio monitor.
DR neurons were identified during recording by their relatively slow and
regular spontaneous discharge rate. When a stable, unitary action potential
was isolated, an amplitude trigger was used to convert the occurrence of each
action potential into a digital pulse that was integrated on-line into a
recording of mean frequency using a Cambridge Electronics Design 1401 data
analysis system and Spike-2 software.
Experimental protocol. DR discharge rate was recorded for 5-10 min
before substance P microinfusion (10-30 nl). Intraraphe microinfusions were
made by applying pressure pulses (10-30 psi, 20-40 msec duration) to the
infusion pipette. Movement of solution through the calibrated pipette was
observed during pressure application to assure that it was being ejected.
Typically, effects occurred immediately after application of only one or two
pulses of pressure, amounting to one-half of a division or less (
30 nl).
Neuronal activity was recorded until recovery (usually 5-10 min). At this time
substance P was again microinfused to assess reproducibility or an antagonist
was administered, and the effects of substance P were determined 5-10 min
after antagonist administration. Triple-barrel micropipettes were used to
examine the interaction between substance P and different antagonists locally
within the DR. Kynurenic acid (3 mM, 30 nl), sendide (10 pg/nl, 30
nl), WAY 100635 (0.1 µM), or ACSF was microinfused into the DR 5
min before substance P, as described above. In some cases (n = 4), a
solution containing both substance P (1 ng/nl) and WAY 100635 (0.1
M) was microinfused into the DR. The effects of systemic
administration of WAY 100635 (1 mg/kg, s.c.), 5 min before microinfusion of
substance P, were also examined. The mean discharge rates (expressed as a
percentage of the baseline rate) were calculated during five 1 min time epochs
after the injection, corresponding to a time when substance P had its peak
effect.
Histology. The recording site was marked by iontophoresis of PSB
(-15 mA, 10 min). Rats were injected with pentobarbital (100 mg/kg), and the
brains were removed, frozen in isopentane, and stored at -70°C. Frozen 40
µm sections were cut, mounted on glass slides, and stained with neutral red
for visualization of the PSB spot. The locations of recording sites were
reproduced on corresponding atlas plates of brain maps
(Swanson, 1992
).
Drugs. Substance P (Bachem, Torrance, CA) was dissolved in water
(1 mg/ml), and 10 µl aliquots were concentrated using a Savant Speed Vac
concentrator. The aliquots were stored at -70°C and dissolved in ACSF on
the day of the experiment. Sendide (Bachem) was dissolved in water,
concentrated, and aliquoted as described above. Kynurenic acid (Sigma, St.
Louis, MO) was prepared on the day of the experiment. This was dissolved in 10
µl of 10 M NaOH and diluted with ACSF to a concentration of 100
mM, and the pH was adjusted to 7-8. This stock solution was diluted
with ACSF to 3.0 mM. WAY 100635 (RBI/Sigma, Natick, MA) was
dissolved in saline (1 mg/ml) and administered subcutaneously or was dissolved
in ACSF (0.1 µM) and administered into the DR.
 |
Results
|
|---|
Substance P has heterogeneous effects on DR neuronal activity in
vivo
Activity was recorded from 69 neurons (n = 64 rats), and 47 of
these were localized to the DR (Fig.
1A). The discharge rates of these neurons ranged between
0.3 and 3.1 Hz with a mean frequency of 1.16 ± 0.11 Hz, comparable with
previous reports (Aghajanian et al.,
1968
,
1970
). DR neurons exhibited
three types of responses to substance P microinfusion. The most prevalent
response was a short-onset, pure inhibition that occurred in 31 neurons (66%)
(Fig. 1B). Neuronal
activity often ceased for a short time (n = 12 cells) and then began
to recover within 5 min of the microinfusion (Figs.
2B,C,
3B). Inhibition
produced by substance P was reproducible when tested on the same neuron
(Fig. 2A,C) or on
different neurons in the same electrode track. The mean maximum inhibition
produced by substance P in neurons exhibiting pure inhibition was a 77.8
± 4.3% decrease in discharge rate, and this typically occurred within 2
min after the injection. In some DR neurons (8 of 47) substance P
microinfusion elicited a brief activation followed by a longer period of
inhibition (Figs. 1C,
2A,
3A). Like the pure
inhibitory response, this was reproducible on the same neuron
(Fig. 2A). Finally,
pure excitatory responses were observed in 8 of 47 neurons
(Fig. 1D).

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Figure 1. Topography of effects of substance P on DR neuronal discharge rate.
A, Recording sites were plotted in the caudal (top), middle third
(middle), and rostral third (bottom) of the DR. Atlas representations were
modified from Swanson (1992 ).
The predominant effect was inhibition (black circles) (B). A brief
excitation followed by inhibition (gray triangles) (C) or brief
excitation (open circles) (D) also occurred. Excitatory effects were
observed most often in the dorsal half of the DR. y-axis is firing
rate in Hertz; x-axis is time in seconds. Numbers in the right-hand
corner of B-D indicate the percentages of neurons that
exhibited the shown response.
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Figure 2. The effects of substance P were blocked by the selective NK1 receptor
antagonist sendide. A, Substance P was applied two times (SP-1 and
SP-2), producing a consistent excitation followed by a brief inhibition. After
the antagonist (A-1) sendide was applied, the effect of subsequent substance P
applications was markedly attenuated (SP-3 to SP-5) or blocked (SP-6) after an
additional application of antagonist (A-2). Asterisk indicates recording
artifact. B, Substance P (SP-1) produces a pronounced inhibition,
which is completely blocked by antagonist (A). The asterisks indicate
injection artifacts. C, Vehicle (V) application has no effect on
repeated substance P administration (SP-1 and SP-2).
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Figure 3. 5-HT1A and glutamate antagonists block the effects of substance
P. A, Excitation followed by inhibition produced by substance P
(SP-1) is converted to a brief excitation (SP-2, SP-3) after systemic
administration of WAY 100635 (W). Time break and asterisk indicate recording
artifacts. B, Inhibition produced by substance P (SP-1) is reversed
after systemic administration of WAY 100635 (W), and subsequent administration
of substance P (SP-2 to SP-4) is ineffective. C, Inhibition produced
by substance P (cell #1) was followed by WAY 100635 microinfusion. Activity
from cell 1 was lost (900 sec), and another neuron in the vicinity was
recorded (cell #2). Application of substance P (SP-2) to cell 2 500 sec after
WAY 100635 had no effect but inhibited cell 2 when applied at a much later
time, which is indicative of recovery. D, Inhibition produced by
substance P (SP-1) is blocked at SP-2 after local application of kynurenic
acid (KYN).
|
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Figure 1A shows the
location of the recorded neurons within the DR with respect to responses to
substance P. Neurons that exhibited pure inhibition were generally localized
more ventrally and rostrally. In contrast, DR neurons that exhibited pure
excitation or a mixed response were typically more dorsal.
The effects of substance P were prevented by previous microinfusion of the
NK1 antagonist sendide into the DR. Figure
2A shows a recording from a neuron that exhibited a
reproducible mixed response to substance P (SP-1 and SP-2). A single
microinfusion of sendide did not alter DR discharge but attenuated the effect
of substance P applied 200 sec later and produced a greater attenuation of the
effect of substance P applied 15 min after antagonist administration
(Fig. 2A). In this
case, a second microinfusion of the antagonist was sufficient to completely
prevent the effect. Microinfusion of sendide also prevented effects of
substance P that were purely inhibitory
(Fig. 2B) (n
= 4) or excitatory (data not shown; n = 1). In contrast,
microinfusion of ACSF (30 nl) before substance P did not alter DR responses to
substance P (Fig. 2C)
(n = 4). In all, previous microinfusion of sendide prevented the
effects of substance P on each of six neurons tested in six different rats.
The mean maximum inhibition produced by substance P in subjects pretreated
with sendide versus ACSF was 5 ± 3 and 86 ± 12%,
respectively.
The inhibitory effects of substance P are mediated by 5-HT
1A receptors
The inhibition of DR activity produced by microinfusion of substance P was
antagonized by systemic administration of the 5-HT1A antagonist WAY
100635 in each of six cases (Fig.
3A,B). WAY 100635 both prevented
(Fig. 3A) and reversed
(Fig. 3B) substance
P-elicited inhibition of DR activity, whereas it had less of an effect on the
excitatory component of the response (Fig.
3A). Systemic administration of WAY 100635 produced a
transient increase in DR discharge rate that returned to baseline within
minutes of administration. The mean discharge rate after substance P
administration in subjects systemically administered WAY 100635 was 105
± 11% of the rate determined before substance P administration.
Administration of WAY 100635 directly into the DR also attenuated the
effects of substance P whether it was administered from a separate barrel of
the micropipette 5 min before substance P (n = 6 cells in three rats)
or simultaneously with substance P from the same pipette (n = 4 cells
in four rats). Figure
3C shows a representative example of antagonism of the
inhibitory effect of substance P by locally administered WAY 100635. The mean
maximum inhibition of DR discharge rate after substance P administration in
rats treated with WAY 100635 into the DR was 18 ± 6%.
The effects of substance P are mediated by excitatory amino acid
receptor activation
Previous microinfusion of kynurenic acid prevented the response to
substance P in seven cases and was ineffective in one case.
Figure 3D shows that
substance P elicited inhibition of a DR neuron before administration of
kynurenic acid. Microinfusion of kynurenic acid was associated with a
transient increase in discharge rate, and microinfusion of substance P after
this was ineffective. The mean maximum decrease in DR discharge rate
associated with substance P administration in subjects pretreated with
kynurenic acid was 28 ± 13%.
 |
Discussion
|
|---|
In the present study substance P administration into the DR had complex
effects on DR neuronal activity that depended on the location of the recorded
cell within the nucleus and were sensitive to the selective NK1 antagonist
sendide, implicating this receptor subtype in the responses. The predominant
response was inhibition that required 5-HT1A receptor activation
within the DR because it was attenuated by both systemic and intra-DR
pretreatment with the selective 5-HT1A antagonist WAY 100635.
Substance P also activated a population of DR neurons, and this was often
followed by a period of inhibition. The sensitivity of these effects to an
excitatory amino acid antagonist is consistent with the finding that substance
P increases EPSCs in DR neurons in vitro via glutamatergic mechanisms
(Liu et al., 2002
). Taken with
evidence supporting the localization of NK1 receptors on glutamatergic
dendrites in the dorsomedial DR (Commons
and Valentino, 2002
), it is proposed that substance P interacts
with NK1 receptors on glutamate neurons that are poised to excite 5-HT neurons
in the dorsal aspect of the DR (Fig.
4). Release of 5-HT from these neurons can subsequently inhibit
neuronal activity through activation of 5-HT1A receptors. Because
disruption of NK1 receptor function results in 5-HT1A receptor
desensitization and anxiolytic behavior
(Santarelli et al., 2001
), the
effects of substance P reported here may play a role in anxiogenic
behaviors.

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Figure 4. Model of substance P regulation of DR activity. Substance P acting NK1
receptor excites a population of glutamate neurons in the DR that subsequently
drive a population of 5-HT neurons, many located dorsally in the nucleus.
Activation of these neurons then triggers inhibition of neurons throughout the
nucleus via 5-HT1A receptor activation.
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Technical considerations
DR activity was recorded in the halothane-anesthetized state, which may
impact on neuronal activation by substance P. For example, anesthesia
abolishes morphine-induced excitation of the DR-5-HT system
(Tao and Auerbach, 1994
).
Although these findings suggest that the excitatory component of the substance
P response may be more pronounced in the unanesthetized state, it is
noteworthy that robust excitatory responses were still observed in the present
study in halothane-anesthetized rats. Future studies involving simultaneous DR
unit recording and local DR injection in unanesthetized rats would be required
to resolve this issue. An additional caveat of the present study is that the
absolute concentration of microinjected substance that reaches the recorded
neuron can never be known with certainty. The results of the present study
remain notable considering these technical limitations.
Role of NK1 receptors in anxiety
The function of NK1 receptors has become of great interest because of
convergent clinical (Kramer et al.,
1998
) and basic findings suggesting that NK1 antagonists have
anxiolytic and antidepressant potential. Thus, mice with a genetic deletion of
NK1 receptors exhibit anxiolytic effects in several models, including the
elevated plus maze, novelty suppressed feeding, and maternal
separation-induced ultrasonic vocalizations
(Santarelli et al., 2001
).
Additionally, plasma corticosterone levels after exposure to the elevated plus
maze were reduced in mutant compared with wild-type mice. Similar to genetic
disruption of NK1 receptor function, acute NK1 receptor antagonism is
associated with anxiolytic activity in some of the same models and in the
social interaction test (Teixeira et al.,
1996
; File, 1997
;
Kramer et al., 1998
;
Santarelli et al., 2001
).
Conversely, the NK1 receptor agonists have anxiogenic activity in the same
models and induce place aversion (Aguiar and Brandao,
1994
,
1996
;
Teixeira et al., 1996
).
Role of the DR in NK1 receptor-mediated effects
Several findings suggest that the anxiolytic effects associated with the
loss of NK1 receptor function are related to activation of the DR-5-HT system.
NK1 receptor immunoreactivity is abundant in dendrites in the DR
(Santarelli et al., 2001
;
Commons and Valentino, 2002
;
Liu et al., 2002
). DR
discharge rates are elevated in transgenic mice that do not express NK1
receptors (Santarelli et al.,
2001
). Acute systemic administration of NK1 antagonists increases
DR neuronal activity in mice and guinea pigs
(Froger et al., 2001
;
Haddjeri and Blier, 2001
;
Santarelli et al., 2001
;
Conley et al., 2002
), and
repeated administration elevates DR discharge in rats
(Haddjeri and Blier, 2001
).
Substantial evidence suggests that the enhancement of DR activity in mutant
mice and that observed with repeated administration of an NK1 antagonist to
rats are the result of selective desensitization of 5-HT1A
autoreceptors (Froger et al.,
2001
; Haddjeri and Blier,
2001
; Santarelli et al.,
2001
). In contrast, DR activation associated with acute
administration of NK1 antagonists is not related to 5-HT1A
desensitization and has been attributed to effects of the agents outside of
the DR (Conley et al.,
2002
).
Together, the studies discussed above suggest that disruption of NK1
receptor function results in activation of the DR-5-HT system. On the other
hand, several studies suggest that activation of NK1 receptors in the DR also
produces effects that are consistent with activation of the DR-5-HT system.
For example, administration of NK1 agonists into the DR increases 5-HT release
and 5-HT-mediated behaviors (Gradin et
al., 1992
). NK1 agonists increase EPSCs in 5-HT neurons in
vitro, and this is mediated by activation of local glutamate neurons
(Liu et al., 2002
), consistent
with the localization of NK1 receptor immunoreactivity within
glutamate-immunoreactive dendrites in the DR
(Commons and Valentino,
2002
).
Model of the NK1 actions in the DR
The present study is the first to characterize the effects of direct
administration of an NK1 agonist on rat DR-5-HT neuronal activity in
vivo and reconciles the incongruous findings discussed above. Substance P
produced both excitatory and inhibitory effects that were prevented by
kynurenic acid, consistent with NK1 receptor localization on glutamatergic
processes (Commons and Valentino,
2002
). The finding that the population of DR neurons that was
excited by substance P were preferentially localized in the dorsal part of the
nucleus, where NK1 receptor immunoreactivity is most dense, is consistent with
in vitro studies demonstrating that substance P increases EPSCs
(Liu et al., 2002
).
Nonetheless, the predominant response to substance P administration was a
5-HT1A-mediated inhibition, which was most apparent in the ventral
part of the nucleus. Together, the results suggest that NK1 receptor
activation of glutamatergic neurons excites synaptically linked DR neurons
(i.e., in the dorsal DR). Subsequent release of 5-HT from these neurons can
cause inhibition after excitation of the same neurons and pure inhibition of
5-HT neurons that are synaptically removed from NK1-expressing glutamatergic
neurons (i.e., in the ventral DR) (Fig.
4). This model might predict that 5-HT1A antagonists
would potentiate excitatory responses to substance P in neurons having a
profile of mixed excitation-inhibition. This was not apparent in the present
study, although the probability of encountering neurons with this profile was
relatively low, and an insufficient number of neurons could be tested to
statistically quantify this. It is also possible that the interaction between
excitatory and inhibitory components of the response to substance P may be
more complex than simple additivity. For example, the responses may be
mediated by cellular mechanisms that are mutually exclusive and have time
courses with limited overlap. In this case, 5-HT1A antagonism would
not alter the excitatory component of the response. This issue may be better
addressed in vitro.
Given that neurons in the dorsal and ventral DR have distinct efferent
projections, the proposed model suggests the compelling hypothesis that
engaging substance P afferents to the DR can regulate 5-HT release in a
regionally selective manner, increasing release in targets of the dorsal
neurons and decreasing release in targets of ventral neurons. In this regard
it is of interest that the central nucleus of the amygdala, which plays a
prominent role in the expression of anxiogenic behaviors, is targeted by the
dorsomedial DR (Commons et al.,
2003
).
The present results support an interaction between NK1 and
5-HT1A receptors at the network level within the DR. This is of
particular interest, given that 5-HT1A receptor desensitization has
been implicated in the therapeutic actions of NK1 antagonists. Moreover, the
findings demonstrating topographically organized effects of substance P on DR
neuronal activity suggest means for regionally selective regulation of 5-HT
release in forebrain that would provide for a unique spectrum of action of NK1
antagonists in the treatment of affective disorders.
 |
Footnotes
|
|---|
Received Dec. 20, 2002;
revised Jun. 10, 2003;
accepted Jun. 16, 2003.
This work was supported by Public Health Service Grants MH58250, DA00463,
DA14329, and MH02006 and a National Alliance for Research on Schizophrenia and
Depression Distinguished Investigator Award.
Correspondence should be addressed to Rita J. Valentino, The Children's
Hospital of Philadelphia, 402 Abramson Pediatric Research Center,
Thirty-fourth Street and Civic Center Boulevard, Philadelphia, PA 19104.
E-mail:
valentino{at}email.chop.edu.
Copyright © 2003 Society for Neuroscience
0270-6474/03/237155-05$15.00/0
 |
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