CINXE.COM

Effects of Brain-Derived IL-2 Deficiency and the Development of Autoimmunity on Spatial Learning and Fear Conditioning - PMC

<!DOCTYPE html> <html lang="en" > <head > <meta charset="UTF-8" /> <meta http-equiv="X-UA-Compatible" content="IE=edge" /> <meta name="HandheldFriendly" content="True" /> <meta name="MobileOptimized" content="320" /> <meta name="viewport" content="width=device-width, initial-scale=1.0" /> <link rel="stylesheet" href="/static/assets/style-b3a36f11.css" /> <script type="module" crossorigin="" src="/static/assets/base_style-d4f8bd56.js"></script> <link rel="stylesheet" href="/static/assets/style-ef962842.css" /> <link rel="stylesheet" href="/static/assets/style-3ade8b5c.css" /> <script type="module" crossorigin="" src="/static/assets/article_style-d757a0dd.js"></script> <style> @media screen and (min-width: 64em) { div.pmc-wm { background: repeat-y; background-image: url("data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' width='20' height='350' xmlns:xlink='http://www.w3.org/1999/xlink'%3E%3Cdefs%3E%3Cfilter x='-.02' y='0' width='1.05' height='1' id='c'%3E%3CfeFlood flood-color='%23FFF'/%3E%3CfeComposite in='SourceGraphic'/%3E%3C/filter%3E%3Ctext id='b' font-family='Helvetica' font-size='11pt' style='opacity:1;fill:%23005ea2;stroke:none;text-anchor:middle' x='175' y='14'%3EAuthor Manuscript%3C/text%3E%3Cpath id='a' style='fill:%23005ea2' d='M0 8h350v3H0z'/%3E%3C/defs%3E%3Cuse xlink:href='%23a' transform='rotate(90 10 10)'/%3E%3Cuse xlink:href='%23b' transform='rotate(90 10 10)' filter='url(%23c)'/%3E%3C/svg%3E"); padding-left: 3rem; } } </style> <link rel="apple-touch-icon" sizes="180x180" href="/static/img/favicons/apple-touch-icon.png" /> <link rel="icon" type="image/png" sizes="48x48" href="/static/img/favicons/favicon-48x48.png" /> <link rel="icon" type="image/png" sizes="32x32" href="/static/img/favicons/favicon-32x32.png" /> <link rel="icon" type="image/png" sizes="16x16" href="/static/img/favicons/favicon-16x16.png" /> <link rel="manifest" href="/static/img/favicons/site.webmanifest" /> <link rel="mask-icon" href="/static/img/favicons/safari-pinned-tab.svg" color="#0071bc" /> <meta name="msapplication-config" content="/static/img/favicons/browserconfig.xml" /> <meta name="theme-color" content="#ffffff" /> <title> Effects of Brain-Derived IL-2 Deficiency and the Development of Autoimmunity on Spatial Learning and Fear Conditioning - PMC </title> <!-- Logging params: Pinger defaults --> <meta name="ncbi_app" content="cloudpmc-viewer" /> <meta name="ncbi_db" content="pmc" /> <meta name="ncbi_phid" content="993C15D57B326C330D15D50036E58B37.m_1" /> <!-- Logging params: Pinger custom --> <meta name="ncbi_pdid" content="article" /> <link rel="preconnect" href="https://www.google-analytics.com" /> <link rel="preconnect" href="https://cdn.ncbi.nlm.nih.gov" /> <!-- Include USWDS Init Script --> <script src="/static/assets/uswds-init.js"></script> <meta name="ncbi_domain" content="nihpa"> <meta name="ncbi_type" content="fulltext"> <meta name="ncbi_pcid" content="manuscript"> <link rel="canonical" href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4423554/"> <meta name="robots" content="INDEX,NOFOLLOW,NOARCHIVE"> <meta name="citation_journal_title" content="Journal of neurological disorders"> <meta name="citation_title" content="Effects of Brain-Derived IL-2 Deficiency and the Development of Autoimmunity on Spatial Learning and Fear Conditioning"> <meta name="citation_author" content="John M Petitto"> <meta name="citation_author_institution" content="Department of Psychiatry and Neuroscience, McKnight Brain Institute, University of Florida, Gainesville FL, USA"> <meta name="citation_author" content="Jesse D Cushman"> <meta name="citation_author_institution" content="Department of Psychiatry and Neuroscience, McKnight Brain Institute, University of Florida, Gainesville FL, USA"> <meta name="citation_author" content="Zhi Huang"> <meta name="citation_author_institution" content="Department of Psychiatry and Neuroscience, McKnight Brain Institute, University of Florida, Gainesville FL, USA"> <meta name="citation_publication_date" content="2014 Dec 12"> <meta name="citation_volume" content="3"> <meta name="citation_issue" content="1"> <meta name="citation_firstpage" content="196"> <meta name="citation_doi" content="10.4172/2329-6895.1000196"> <meta name="citation_pmid" content="25961067"> <meta name="citation_abstract_html_url" content="https://pmc.ncbi.nlm.nih.gov/articles/PMC4423554/"> <meta name="citation_fulltext_html_url" content="https://pmc.ncbi.nlm.nih.gov/articles/PMC4423554/"> <meta name="citation_pdf_url" content="https://pmc.ncbi.nlm.nih.gov/articles/PMC4423554/pdf/nihms682950.pdf"> <meta name="description" content="Interleukin-2 (IL-2) has been implicated in neurological disorders including multiple sclerosis and Alzheimer’s disease. Peripheral IL-2 deficiency in gene-deleted mice results in T cell mediated autoimmunity that begins to develop slowly after ..."> <meta name="og:title" content="Effects of Brain-Derived IL-2 Deficiency and the Development of Autoimmunity on Spatial Learning and Fear Conditioning"> <meta name="og:type" content="article"> <meta name="og:site_name" content="PubMed Central (PMC)"> <meta name="og:description" content="Interleukin-2 (IL-2) has been implicated in neurological disorders including multiple sclerosis and Alzheimer’s disease. Peripheral IL-2 deficiency in gene-deleted mice results in T cell mediated autoimmunity that begins to develop slowly after ..."> <meta name="og:url" content="https://pmc.ncbi.nlm.nih.gov/articles/PMC4423554/"> <meta name="og:image" content="https://cdn.ncbi.nlm.nih.gov/pmc/cms/images/pmc-card-share.jpg?_=0"> <meta name="twitter:card" content="summary_large_image"> <meta name="twitter:site" content="@ncbi"> </head> <body > <a class="usa-skipnav " href="#main-content"> Skip to main content </a> <section class="usa-banner " aria-label="Official website of the United States government" > <div class="usa-accordion"> <header class="usa-banner__header"> <div class="usa-banner__inner"> <div class="grid-col-auto"> <img aria-hidden="true" class="usa-banner__header-flag" src="/static/img/us_flag.svg" alt="" /> </div> <div class="grid-col-fill tablet:grid-col-auto" aria-hidden="true"> <p class="usa-banner__header-text"> An official website of the United States government </p> <span class="usa-banner__header-action">Here's how you know</span> </div> <button type="button" class="usa-accordion__button usa-banner__button " aria-expanded="false" aria-controls="gov-banner-default" data-testid="storybook-django-banner" > <span class="usa-banner__button-text">Here's how you know</span> </button> </div> </header> <div class="usa-banner__content usa-accordion__content" id="gov-banner-default" hidden> <div class="grid-row grid-gap-lg"> <div class="usa-banner__guidance tablet:grid-col-6"> <img class="usa-banner__icon usa-media-block__img" src="/static/img/icon-dot-gov.svg" alt="" aria-hidden="true" /> <div class="usa-media-block__body"> <p> <strong>Official websites use .gov</strong> <br /> A <strong>.gov</strong> website belongs to an official government organization in the United States. </p> </div> </div> <div class="usa-banner__guidance tablet:grid-col-6"> <img class="usa-banner__icon usa-media-block__img" src="/static/img/icon-https.svg" alt="" aria-hidden="true" /> <div class="usa-media-block__body"> <p> <strong>Secure .gov websites use HTTPS</strong> <br /> A <strong>lock</strong> ( <span class="icon-lock"> <svg xmlns="http://www.w3.org/2000/svg" width="52" height="64" viewBox="0 0 52 64" class="usa-banner__lock-image" role="graphics-symbol" aria-labelledby="banner-lock-description" focusable="false"> <title id="banner-lock-title">Lock</title> <desc id="banner-lock-description"> Locked padlock icon </desc> <path fill="#000000" fill-rule="evenodd" d="M26 0c10.493 0 19 8.507 19 19v9h3a4 4 0 0 1 4 4v28a4 4 0 0 1-4 4H4a4 4 0 0 1-4-4V32a4 4 0 0 1 4-4h3v-9C7 8.507 15.507 0 26 0zm0 8c-5.979 0-10.843 4.77-10.996 10.712L15 19v9h22v-9c0-6.075-4.925-11-11-11z" /> </svg> </span>) or <strong>https://</strong> means you've safely connected to the .gov website. Share sensitive information only on official, secure websites. </p> </div> </div> </div> </div> </div> </section> <div class="usa-overlay"> </div> <header class="usa-header usa-header--extended usa-header--wide" data-testid="header" data-header > <div class="ncbi-header"> <div class="ncbi-header__container"> <a class="ncbi-header__logo-container" href="https://www.ncbi.nlm.nih.gov/"> <img alt=" NCBI home page " class="ncbi-header__logo-image" src="/static/img/ncbi-logos/nih-nlm-ncbi--white.svg" /> </a> <!-- Mobile menu hamburger button --> <button type="button" class="usa-menu-btn ncbi-header__hamburger-button " aria-label="Show menu" data-testid="navMenuButton" > <svg aria-hidden="true" class="ncbi-hamburger-icon" fill="none" focusable="false" height="21" viewBox="0 0 31 21" width="31" xmlns="http://www.w3.org/2000/svg"> <path clip-rule="evenodd" d="M0.125 20.75H30.875V17.3333H0.125V20.75ZM0.125 12.2083H30.875V8.79167H0.125V12.2083ZM0.125 0.25V3.66667H30.875V0.25H0.125Z" fill="#F1F1F1" fill-rule="evenodd" /> </svg> </button> <!-- Desktop buttons--> <div class="ncbi-header__desktop-buttons"> <!-- Desktop search button --> <button type="button" class="usa-button usa-button--unstyled ncbi-header__desktop-button " aria-expanded="false" aria-controls="search-field-desktop-navigation" aria-label="Show search overlay" data-testid="toggleSearchPanelButton" data-toggle-search-panel-button > <svg class="usa-icon " role="graphics-symbol" aria-hidden="true" > <use xlink:href="/static/img/sprite.svg#search" /> </svg> Search </button> <!-- Desktop login dropdown --> <div class="ncbi-header__login-dropdown"> <button type="button" class="usa-button usa-button--unstyled ncbi-header__desktop-button ncbi-header__login-dropdown-button " aria-expanded="false" aria-controls="login-dropdown-menu" aria-label="Show login menu" data-testid="toggleLoginMenuDropdown" data-desktop-login-button > <svg class="usa-icon " role="graphics-symbol" aria-hidden="true" > <use xlink:href="/static/img/sprite.svg#person" /> </svg> <span data-login-dropdown-text>Log in</span> <!-- Dropdown icon pointing up --> <svg class="usa-icon ncbi-header__login-dropdown-icon ncbi-header__login-dropdown-icon--expand-less ncbi-header__login-dropdown-icon--hidden" role="graphics-symbol" aria-hidden="true" data-login-dropdown-up-arrow> <use xlink:href="/static/img/sprite.svg#expand_less" /> </svg> <!-- Dropdown icon pointing down --> <svg class="usa-icon ncbi-header__login-dropdown-icon ncbi-header__login-dropdown-icon--expand-more ncbi-header__login-dropdown-icon--hidden" role="graphics-symbol" aria-hidden="true" data-login-dropdown-down-arrow> <use xlink:href="/static/img/sprite.svg#expand_more" /> </svg> </button> <!-- Login dropdown menu --> <ul class="usa-nav__submenu ncbi-header__login-dropdown-menu" id="login-dropdown-menu" data-desktop-login-menu-dropdown hidden> <li class="usa-nav__submenu-item"> <!-- Uses custom style overrides to render external and document links. --> <a href="https://www.ncbi.nlm.nih.gov/myncbi/" class="usa-link " > Dashboard </a> </li> <li class="usa-nav__submenu-item"> <!-- Uses custom style overrides to render external and document links. --> <a href="https://www.ncbi.nlm.nih.gov/myncbi/collections/bibliography/" class="usa-link " > Publications </a> </li> <li class="usa-nav__submenu-item"> <!-- Uses custom style overrides to render external and document links. --> <a href="https://www.ncbi.nlm.nih.gov/account/settings/" class="usa-link " > Account settings </a> </li> <li class="usa-nav__submenu-item"> <button type="button" class="usa-button usa-button--outline ncbi-header__login-dropdown-logout-button " data-testid="desktopLogoutButton" data-desktop-logout-button > Log out </button> </li> </ul> </div> </div> </div> </div> <!-- Search panel --> <div class="ncbi-search-panel ncbi--show-only-at-desktop" data-testid="searchPanel" data-header-search-panel hidden> <div class="ncbi-search-panel__container"> <form action="https://www.ncbi.nlm.nih.gov/search/all/" aria-describedby="search-field-desktop-navigation-help-text" autocomplete="off" class="usa-search usa-search--big ncbi-search-panel__form" data-testid="form" method="GET" role="search"> <label class="usa-sr-only" data-testid="label" for="search-field-desktop-navigation"> Search… </label> <input class="usa-input" data-testid="textInput" id="search-field-desktop-navigation" name="term" placeholder="Search NCBI" type="search" value="" /> <button type="submit" class="usa-button " data-testid="button" > <span class="usa-search__submit-text"> Search NCBI </span> </button> </form> </div> </div> <nav aria-label="Primary navigation" class="usa-nav"> <p class="usa-sr-only" id="primary-navigation-sr-only-title"> Primary site navigation </p> <!-- Mobile menu close button --> <button type="button" class="usa-nav__close ncbi-nav__close-button " aria-label="Close navigation menu" data-testid="navCloseButton" > <img src="/static/img/usa-icons/close.svg" alt="Close" /> </button> <!-- Mobile search component --> <form class="usa-search usa-search--small ncbi--hide-at-desktop margin-top-6" role="search"> <label class="usa-sr-only" for="search-field"> Search </label> <input class="usa-input" id="search-field-mobile-navigation" type="search" placeholder="Search NCBI" name="search" /> <button type="submit" class="usa-button " > <!-- This SVG should be kept inline and not replaced with a link to the icon as otherwise it will render in the wrong color --> <img src="data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIGhlaWdodD0iMjQiIHZpZXdCb3g9IjAgMCAyNCAyNCIgd2lkdGg9IjI0Ij48cGF0aCBkPSJNMCAwaDI0djI0SDB6IiBmaWxsPSJub25lIi8+PHBhdGggZmlsbD0iI2ZmZiIgZD0iTTE1LjUgMTRoLS43OWwtLjI4LS4yN0E2LjQ3MSA2LjQ3MSAwIDAgMCAxNiA5LjUgNi41IDYuNSAwIDEgMCA5LjUgMTZjMS42MSAwIDMuMDktLjU5IDQuMjMtMS41N2wuMjcuMjh2Ljc5bDUgNC45OUwyMC40OSAxOWwtNC45OS01em0tNiAwQzcuMDEgMTQgNSAxMS45OSA1IDkuNVM3LjAxIDUgOS41IDUgMTQgNy4wMSAxNCA5LjUgMTEuOTkgMTQgOS41IDE0eiIvPjwvc3ZnPg==" class="usa-search__submit-icon" alt="Search" /> </button> </form> <!-- Primary navigation menu items --> <!-- This usa-nav__inner wrapper is required to correctly style the navigation items on Desktop --> <div class="ncbi-nav__mobile-login-menu ncbi--hide-at-desktop" data-mobile-login-menu hidden> <p class="ncbi-nav__mobile-login-menu-status"> Logged in as: <strong class="ncbi-nav__mobile-login-menu-email" data-mobile-login-email-text></strong> </p> <ul class="usa-nav__primary usa-accordion"> <li class="usa-nav__primary-item"> <a href="https://www.ncbi.nlm.nih.gov/myncbi/" class="usa-link " > Dashboard </a> </li> <li class="usa-nav__primary-item"> <a href="https://www.ncbi.nlm.nih.gov/myncbi/collections/bibliography/" class="usa-link " > Publications </a> </li> <li class="usa-nav__primary-item"> <a href="https://www.ncbi.nlm.nih.gov/account/settings/" class="usa-link " > Account settings </a> </li> </ul> </div> <button type="button" class="usa-button ncbi-nav__mobile-login-button ncbi--hide-at-desktop " data-testid="mobileLoginButton" data-mobile-login-button > Log in </button> </nav> </header> <section class="pmc-header pmc-header--basic" aria-label="PMC Header with search box"> <div class="pmc-nav-container"> <div class="pmc-header__bar"> <div class="pmc-header__logo"> <a href="/" title="Home" aria-label="PMC Home"></a> </div> <button type="button" class="usa-button usa-button--unstyled pmc-header__search__button" aria-label="Open search" data-ga-category="search" data-ga-action="PMC" data-ga-label="pmc_search_panel_mobile" > <svg class="usa-icon width-4 height-4 pmc-icon__open" aria-hidden="true" focusable="false" role="img"> <use xlink:href="/static/img/sprite.svg#search"></use> </svg> <svg class="usa-icon width-4 height-4 pmc-icon__close" aria-hidden="true" focusable="false" role="img"> <use xlink:href="/static/img/sprite.svg#close"></use> </svg> </button> </div> <div class="pmc-header__search"> <form class="usa-search usa-search--extra usa-search--article-right-column pmc-header__search__form" autocomplete="off" role="search"> <label class="usa-sr-only" for="pmc-search">Search PMC Full-Text Archive</label> <span class="autoComplete_wrapper flex-1"> <input class="usa-input width-full maxw-none" required="required" placeholder="Search PMC Full-Text Archive" id="pmc-search" type="search" name="term" data-autocomplete-url="https://pmc.ncbi.nlm.nih.gov/autocomp/search/autocomp/"/> </span> <button class="usa-button" type="submit" formaction="https://www.ncbi.nlm.nih.gov/pmc/" data-ga-category="search" data-ga-action="PMC" data-ga-label="PMC_search_button" > <span class="usa-search__submit-text">Search in PMC</span> <img src="/static/img/usa-icons-bg/search--white.svg" class="usa-search__submit-icon" alt="Search" /> </button> </form> <ul class="pmc-header__search__menu"> <li> <a class="usa-link" href="https://www.ncbi.nlm.nih.gov/pmc/advanced/" data-ga-action="featured_link" data-ga-label="advanced_search"> Advanced Search </a> </li> <li> <a class="usa-link" href="/journals/" data-ga-action="featured_link" data-ga-label="journal list"> Journal List </a> </li> <li> <a class="usa-link" href="/about/userguide/" data-ga-action="featured_link" data-ga-label="user guide"> User Guide </a> </li> </ul> </div> </div> </section> <div class="usa-section padding-top-0 desktop:padding-top-6 pmc-article-section" data-article-db="pmc" data-article-id="4423554"> <div class="grid-container pmc-actions-bar" aria-label="Actions bar" role="complementary"> <div class="grid-row"> <div class="grid-col-fill display-flex"> <div class="display-flex"> <ul class="usa-list usa-list--unstyled usa-list--horizontal"> <li class="margin-right-2 mobile-lg:margin-right-4 display-flex mob"> <button type="button" class="usa-button pmc-sidenav__container__open usa-button--unstyled width-auto display-flex" aria-label="Open resources" data-extra-class="is-visible-resources" data-ga-category="resources_accordion" data-ga-action="click" data-ga-label="mobile_icon" > <svg class="usa-icon width-4 height-4" aria-hidden="true" focusable="false" role="img"> <use xlink:href="/static/img/sprite.svg#more_vert"></use> </svg> </button> </li> <li class="margin-right-2 mobile-lg:margin-right-4 display-flex mob"> <a href="https://doi.org/10.4172/2329-6895.1000196" class="usa-link display-flex usa-tooltip" role="button" target="_blank" rel="noreferrer noopener" title="View on publisher site" data-position="bottom" aria-label="View on publisher site" data-ga-category="actions" data-ga-action="click" data-ga-label="publisher_link_mobile" > <svg class="usa-icon width-4 height-4" aria-hidden="true" focusable="false" role="img"> <use xlink:href="/static/img/sprite.svg#launch"></use> </svg> </a> </li> <li class="margin-right-2 mobile-lg:margin-right-4 display-flex"> <a href="pdf/nihms682950.pdf" class="usa-link display-flex usa-tooltip" role="button" title="Download PDF" data-position="bottom" aria-label="Download PDF" data-ga-category="actions" data-ga-action="click" data-ga-label="pdf_download_mobile" > <svg class="usa-icon width-4 height-4" aria-hidden="true" focusable="false" role="img"> <use xlink:href="/static/img/sprite.svg#file_download"></use> </svg> </a> </li> <li class="margin-right-2 mobile-lg:margin-right-4 display-flex"> <button class="usa-button usa-button--unstyled usa-tooltip collections-dialog-trigger collections-button display-flex collections-button-empty" title="Add to Collections" data-position="bottom" aria-label="Save article in MyNCBI collections." data-ga-category="actions" data-ga-action="click" data-ga-label="collections_button_mobile" data-collections-open-dialog-enabled="false" data-collections-open-dialog-url="https://account.ncbi.nlm.nih.gov/?back_url=https%3A%2F%2Fpmc.ncbi.nlm.nih.gov%2Farticles%2FPMC4423554%2F%23open-collections-dialog" data-in-collections="false" > <svg class="usa-icon width-4 height-4 usa-icon--bookmark-full" aria-hidden="true" focusable="false" role="img" hidden> <use xlink:href="/static/img/action-bookmark-full.svg#icon"></use> </svg> <svg class="usa-icon width-4 height-4 usa-icon--bookmark-empty" aria-hidden="true" focusable="false" role="img" hidden> <use xlink:href="/static/img/action-bookmark-empty.svg#icon"></use> </svg> </button> </li> <li class="margin-right-2 mobile-lg:margin-right-4 display-flex"> <button role="button" class="usa-button usa-button--unstyled usa-tooltip citation-dialog-trigger display-flex" aria-label="Open dialog with citation text in different styles" title="Cite" data-position="bottom" data-ga-category="actions" data-ga-action="open" data-ga-label="cite_mobile" data-all-citations-url="/resources/citations/4423554/" data-citation-style="nlm" data-download-format-link="/resources/citations/4423554/export/" > <svg class="usa-icon width-4 height-4 usa-icon--bookmark-empty" aria-hidden="true" focusable="false" role="img" hidden> <use xlink:href="/static/img/sprite.svg#format_quote"></use> </svg> </button> </li> <li class="pmc-permalink display-flex"> <button type="button" class="usa-button usa-button--unstyled usa-tooltip display-flex" title="Permalink" data-position="bottom" aria-label="Show article permalink" aria-expanded="false" aria-haspopup="true" data-ga-category="actions" data-ga-action="open" data-ga-label="permalink_mobile" > <svg class="usa-icon width-4 height-4" aria-hidden="true" focusable="false" role="img"> <use xlink:href="/static/img/sprite.svg#share"></use> </svg> </button> <div class="pmc-permalink__dropdown" hidden> <div class="pmc-permalink__dropdown__container"> <h2 class="usa-modal__heading margin-top-0 margin-bottom-2">PERMALINK</h2> <div class="pmc-permalink__dropdown__content"> <input type="text" class="usa-input" value="https://pmc.ncbi.nlm.nih.gov/articles/PMC4423554/" aria-label="Article permalink"> <button class="usa-button display-inline-flex pmc-permalink__dropdown__copy__btn margin-right-0" title="Copy article permalink" data-ga-category="save_share" data-ga-action="link" data-ga-label="copy_link"> <svg class="usa-icon" aria-hidden="true" focusable="false" role="img"> <use xlink:href="/static/img/sprite.svg#content_copy"></use> </svg> <span class="margin-left-1">Copy</span> </button> </div> </div> </div> </li> </ul> </div> <button type="button" class="usa-button pmc-sidenav__container__open usa-button--unstyled width-auto display-flex" aria-label="Open article navigation" data-extra-class="is-visible-in-page" data-ga-category="actions" data-ga-action="open" data-ga-label="article_nav_mobile" > <svg class="usa-icon width-4 height-4" aria-hidden="true" focusable="false" role="img"> <use xlink:href="/static/img/sprite.svg#list"></use> </svg> </button> </div> </div> </div> <div class="grid-container desktop:padding-left-6"> <div id="article-container" class="grid-row grid-gap"> <div class="grid-col-12 desktop:grid-col-8 order-2 pmc-layout__content"> <div class="grid-container padding-left-0 padding-right-0"> <div class="grid-row desktop:margin-left-neg-6"> <div class="grid-col-12"> <div class="pmc-layout__disclaimer" role="complementary" aria-label="Disclaimer note"> As a library, NLM provides access to scientific literature. Inclusion in an NLM database does not imply endorsement of, or agreement with, the contents by NLM or the National Institutes of Health.<br/> Learn more: <a class="usa-link" data-ga-category="Link click" data-ga-action="Disclaimer" data-ga-label="New disclaimer box" href="/about/disclaimer/">PMC Disclaimer</a> | <a class="usa-link" data-ga-category="Link click" data-ga-action="PMC Copyright Notice" data-ga-label="New disclaimer box" href="/about/copyright/"> PMC Copyright Notice </a> </div> </div> </div> <div class="grid-row pmc-wm desktop:margin-left-neg-6"> <!-- Main content --> <main id="main-content" class="usa-layout-docs__main usa-layout-docs grid-col-12 pmc-layout pmc-prose padding-0" > <section class="pmc-journal-banner text-center line-height-none" aria-label="Journal banner"><img src="https://cdn.ncbi.nlm.nih.gov/pmc/banners/logo-nihpa.png" alt="NIHPA Author Manuscripts logo" usemap="#pmc-banner-imagemap" width="500" height="75"><map name="pmc-banner-imagemap"><area alt="Link to NIHPA Author Manuscripts" title="Link to NIHPA Author Manuscripts" shape="default" href="https://www.hhs.gov/open/public-access-guiding-principles/index.html" target="_blank" rel="noopener noreferrer"></map></section><article lang="en"><section aria-label="Article citation and metadata"><section class="pmc-layout__citation font-secondary font-xs"><div> <div class="display-inline-block"><button type="button" class="cursor-pointer text-no-underline bg-transparent border-0 padding-0 text-left margin-0 text-normal text-primary" aria-controls="journal_context_menu">J Neurol Disord</button></div>. Author manuscript; available in PMC: 2015 May 7.</div> <div> <em>Published in final edited form as: </em>J Neurol Disord. 2014 Dec 12;3(1):196. doi: <a href="https://doi.org/10.4172/2329-6895.1000196" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">10.4172/2329-6895.1000196</a> </div> <nav id="journal_context_menu" hidden="hidden"><ul class="menu-list font-family-ui" role="menu"> <li role="presentation"><a href="https://www.ncbi.nlm.nih.gov/pmc/?term=%22J%20Neurol%20Disord%22%5Bjour%5D" class="usa-link" role="menuitem">Search in PMC</a></li> <li role="presentation"><a href="https://pubmed.ncbi.nlm.nih.gov/?term=%22J%20Neurol%20Disord%22%5Bjour%5D" lang="en" class="usa-link" role="menuitem">Search in PubMed</a></li> <li role="presentation"><a href="https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22J%20Neurol%20Disord%22%5BTitle%20Abbreviation%5D" class="usa-link" role="menuitem">View in NLM Catalog</a></li> <li role="presentation"><a href="?term=%22J%20Neurol%20Disord%22%5Bjour%5D" class="usa-link" role="menuitem" data-add-to-search="true">Add to search</a></li> </ul></nav></section><section class="front-matter"><div class="ameta p font-secondary font-xs"> <hgroup><h1>Effects of Brain-Derived IL-2 Deficiency and the Development of Autoimmunity on Spatial Learning and Fear Conditioning</h1></hgroup><div class="cg p"> <a href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Petitto%20JM%22%5BAuthor%5D" class="usa-link" aria-describedby="id1"><span class="name western">John M Petitto</span></a><div hidden="hidden" id="id1"> <h3><span class="name western">John M Petitto</span></h3> <div class="p"> <sup>1</sup>Department of Psychiatry and Neuroscience, McKnight Brain Institute, University of Florida, Gainesville FL, USA</div> <div class="p">Find articles by <a href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Petitto%20JM%22%5BAuthor%5D" class="usa-link"><span class="name western">John M Petitto</span></a> </div> </div> <sup>1,</sup><sup>*</sup>, <a href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Cushman%20JD%22%5BAuthor%5D" class="usa-link" aria-describedby="id2"><span class="name western">Jesse D Cushman</span></a><div hidden="hidden" id="id2"> <h3><span class="name western">Jesse D Cushman</span></h3> <div class="p"> <sup>1</sup>Department of Psychiatry and Neuroscience, McKnight Brain Institute, University of Florida, Gainesville FL, USA</div> <div class="p">Find articles by <a href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Cushman%20JD%22%5BAuthor%5D" class="usa-link"><span class="name western">Jesse D Cushman</span></a> </div> </div> <sup>1</sup>, <a href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Huang%20Z%22%5BAuthor%5D" class="usa-link" aria-describedby="id3"><span class="name western">Zhi Huang</span></a><div hidden="hidden" id="id3"> <h3><span class="name western">Zhi Huang</span></h3> <div class="p"> <sup>1</sup>Department of Psychiatry and Neuroscience, McKnight Brain Institute, University of Florida, Gainesville FL, USA</div> <div class="p">Find articles by <a href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Huang%20Z%22%5BAuthor%5D" class="usa-link"><span class="name western">Zhi Huang</span></a> </div> </div> <sup>1</sup> </div> <ul class="d-buttons inline-list"> <li><button class="d-button" aria-controls="aip_a" aria-expanded="false">Author information</button></li> <li><button class="d-button" aria-controls="anp_a" aria-expanded="false">Article notes</button></li> <li><button class="d-button" aria-controls="clp_a" aria-expanded="false">Copyright and License information</button></li> </ul> <div class="d-panels font-secondary-light"> <div id="aip_a" class="d-panel p" style="display: none"> <div class="p" id="A1"> <sup>1</sup>Department of Psychiatry and Neuroscience, McKnight Brain Institute, University of Florida, Gainesville FL, USA</div> <div class="author-notes p"><div class="fn" id="cor1"> <sup>*</sup><p class="display-inline"><strong>Corresponding author:</strong> John Petitto, Dr. McKnight Brain Institute, UF, 100 South Newell Drive, Gainesville, USA, Tel: 352-392-3681; <span>jpetitto@ufl.edu</span></p> </div></div> </div> <div id="anp_a" class="d-panel p" style="display: none"><div class="notes p"><section id="historyarticle-meta1" class="history"><p>Issue date 2015.</p></section></div></div> <div id="clp_a" class="d-panel p" style="display: none"> <div> <strong>Copyright:</strong> © 2015 Petitto J, et al.</div> <p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</p> <div class="p"><a href="/about/copyright/" class="usa-link">PMC Copyright notice</a></div> </div> </div> <div>PMCID: PMC4423554  NIHMSID: NIHMS682950  PMID: <a href="https://pubmed.ncbi.nlm.nih.gov/25961067/" class="usa-link">25961067</a> </div> <div class="ra xbox p" role="complementary" aria-label="Related or updated information about this article"><div>The publisher's version of this article is available at <a href="https://doi.org/10.4172/2329-6895.1000196" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">J Neurol Disord</a> </div></div> </div></section></section><section aria-label="Article content"><section class="body main-article-body"><section class="abstract" id="abstract1"><h2>Abstract</h2> <p id="P1">Interleukin-2 (IL-2) has been implicated in neurological disorders including multiple sclerosis and Alzheimer’s disease. Peripheral IL-2 deficiency in gene-deleted mice results in T cell mediated autoimmunity that begins to develop slowly after weaning and progressively increases through adulthood. Loss of brain-derived IL-2 results in neurobiological and behavioral abnormalities, and may contribute to the development of CNS autoimmunity by modifying the neuroimmunological milieu of the brain. We have shown previously that IL-2 knockout (KO) mice have altered learning acquisition in the Morris water-maze. Hypothesizing that the learning acquisition deficits in IL-2KO would be associated largely with the loss of brain-derived IL-2, the present study sought to determine if these cognitive alterations are due to the loss the IL-2 gene in the brain and/or autoimmunity resulting from loss of the gene in the peripheral immune system. We found that SCID congenic mice (mice free of IL-2 deficiency induced peripheral autoimmunity) without brain IL-2 (two IL-2KO alleles) did not differ from SCID congenic mice with normal brain IL-2 (two WT IL-2 alleles); thus, contrary to our hypothesis, loss of brain-derived IL-2 did not affect learning acquisition in the water-maze. Compared to adult WT littermates (9 weeks), adult IL-2KO mice with autoimmunity exhibited alterations in learning acquisition in the Morris water-maze whereas younger pre-autoimmune IL-2KO mice (5 weeks) had performance comparable to younger WT littermates, suggesting that the water-maze learning deficits in IL-2KO mice were associated with the development of peripheral autoimmunity. As IL-2KO mice have cytoarchitectural alterations in the dentate gyrus, circuitry involved in the differentiation of contexts (versus places), we also compared IL-2KO mice and littermates in a contextual fear discrimination paradigm. IL-2KO mice were found to have reduced conditioned fear discrimination that was not related to age-associated autoimmunity. Together, these findings suggest that complex interactions between IL-2 deficiency in the brain and immune system may modify brain processes involved in different modalities of learning and memory.</p> <section id="kwd-group1" class="kwd-group"><p><strong>Keywords:</strong> IL-2, Learning, Water-maze, Fear conditioning, Autoimmunity, Gene-deletion, Knockout</p></section></section><section id="S1"><h2 class="pmc_sec_title">Introduction</h2> <p id="P2">Dysregulation of interleukin-2 (IL-2) has been implicated in the pathogenesis of neurological and neuropsychiatric disorders including multiple sclerosis, Alzheimer’s disease and schizophrenia [<a href="#R1" class="usa-link" aria-describedby="R1">1</a>,<a href="#R2" class="usa-link" aria-describedby="R2">2</a>]. In the immune system, IL-2 is essential for immune homeostasis, normal T regulatory cell function, and self-tolerance [<a href="#R3" class="usa-link" aria-describedby="R3">3</a>,<a href="#R4" class="usa-link" aria-describedby="R4">4</a>]. Loss of the cytokine in IL-2 knockout (KO) mice leads to peripheral autoimmunity that begins to develop slowly after weaning and progressively increases as mice enter adulthood, where increased T cell trafficking occurs into immune organs including the spleen and gut, and to a lesser degree in non-immune organs such as the brain [<a href="#R5" class="usa-link" aria-describedby="R5">5</a>–<a href="#R8" class="usa-link" aria-describedby="R8">8</a>]. We have found that brain T lymphocyte levels in IL-2KO mice are positively correlated with the degree of peripheral autoimmunity [<a href="#R6" class="usa-link" aria-describedby="R6">6</a>]. In the central nervous system (CNS), brain-derived IL-2 is expressed by neurons, and brain IL-2 receptors are enriched in the septohippocampal system where the cytokine has been shown to have trophic effects on fetal septal and hippocampal neurons, and potent modulatory effects on acetylcholine release from septohippocampal cholinergic projection neurons [<a href="#R9" class="usa-link" aria-describedby="R9">9</a>–<a href="#R15" class="usa-link" aria-describedby="R15">15</a>].</p> <p id="P3">Our lab has shown previously that IL-2KO mice have altered learning acquisition in the Morris water-maze and related septohippocampal changes including fewer infrapyramidal granule cells, reductions in hippocampal infrapyramidal mossy fiber length, alterations in neurotrophin levels, and marked phenotypic loss of choline acetyltransferase (ChAT)-positive neurons in the medial septum/vertical diagonal band of Broca (MS/vDB) that occurs between weaning and adulthood [<a href="#R16" class="usa-link" aria-describedby="R16">16</a>–<a href="#R19" class="usa-link" aria-describedby="R19">19</a>]. Moreover, we have found that loss of brain IL-2 gene expression results in dysregulation of the brain’s endogenous neuroimmunological milieu (e.g., increasing chemokines that attract autoreactive T cells into the brain), and may be involved in initiating processes that lead to the progression of CNS autoimmunity [<a href="#R6" class="usa-link" aria-describedby="R6">6</a>,<a href="#R20" class="usa-link" aria-describedby="R20">20</a>–<a href="#R23" class="usa-link" aria-describedby="R23">23</a>]. In the present study, we sought to determine whether cognitive alterations in IL-2KO mice are due to the loss the IL-2 gene in the brain and/or autoimmunity resulting from loss of the gene in the peripheral immune system. Given the aforementioned effects of IL-2 deficiency in the septohippocampal system, and the recent the finding from our lab that loss of brain-derived IL-2 (rather than peripheral of loss of IL-2 and autoimmunity) underlies the phenotypic loss of ChAT-positive cholinergic MS/vDB neurons in mice [<a href="#R19" class="usa-link" aria-describedby="R19">19</a>], we postulated that alterations in learning acquisition in IL-2KO would be associated largely with the loss of brain-derived IL-2. Therefore, Experiment 1 compared the water-maze performance of IL-2 congenic mice on the severe combined immunodeficient (SCID) background that we have bred in our colony, and have used in previous studies to disentangle the effects of the loss of brain-derived IL-2 from peripheral IL-2 on nerve injury and sensorimotor function [<a href="#R15" class="usa-link" aria-describedby="R15">15</a>,<a href="#R23" class="usa-link" aria-describedby="R23">23</a>]. SCID mice have defective peripheral T and B cells, and IL-2 gene deletion in the peripheral immune system of SCID background mice does not result in the development autoimmunity (as it does in WT mice). We made congenic SCID background mice (without peripheral IL-2) that have either two IL-2KO alleles in the brain (C57BL/6scid-IL-2−/−, referred to as IL2-KO/SCID) or two normal IL-2 WT alleles in the brain (C57BL/6scid-IL-2+/+, referred to as WT/SCID). IL2-KO/SCID mice do not produce IL-2 in either the brain or peripherally, whereas WT/SCID mice produce IL-2 in the brain exclusively. Thus, Experiment 1 was designed to test our working hypothesis that learning acquisition abnormalities of IL-2KO mice are largely the result of the loss of brain-derived IL-2. Experiment 2 then sought to determine if the learning deficits in IL-2KO mice were associated with peripheral autoimmunity, by comparing the performance of IL-2KO mice with WT littermates in the Morris water-maze at 9 weeks of age versus 5 weeks of age; ages of IL-2KO mice that we have shown previously to be with and without overt autoimmunity, respectively [<a href="#R6" class="usa-link" aria-describedby="R6">6</a>]. Previous research from our lab has found that IL-2KO mice have alterations in dentate gyrus cytoarchitecture and neurogenesis [<a href="#R16" class="usa-link" aria-describedby="R16">16</a>,<a href="#R17" class="usa-link" aria-describedby="R17">17</a>,<a href="#R20" class="usa-link" aria-describedby="R20">20</a>]. Recent evidence indicates that the dentate gyrus facilitates the differentiation of contexts (versus places) and suggests that contextual discrimination tasks are sensitive in detecting cognitive alterations that may not be elicited by Morris water-maze testing [<a href="#R24" class="usa-link" aria-describedby="R24">24</a>]. Experiment 3 therefore sought to determine if IL-2KO mice have deficits in fear-related learning in a contextual fear discrimination paradigm, and if fear-conditioning abnormalities were associated with peripheral autoimmunity and whether one or both IL-2 gene alleles are deleted.</p></section><section id="S2"><h2 class="pmc_sec_title">Materials and Methods</h2> <section id="S3"><h3 class="pmc_sec_title">Animals and breeding</h3> <p id="P4">Mice used in these experiments were cared for in accordance with the NIH Guide for the Care and Use of Laboratory Animals and housed under specific pathogen-free conditions. The IL-2KO mice were originally derived from ten generations of backcrossing onto the C57BL/6 background. IL-2KO mice were bred in our colony using IL-2 heterozygote (IL-2Het) by IL-2Het crosses as described previously [<a href="#R22" class="usa-link" aria-describedby="R22">22</a>,<a href="#R23" class="usa-link" aria-describedby="R23">23</a>]. The breeding of these congenic mice was performed as described previously by our lab [<a href="#R15" class="usa-link" aria-describedby="R15">15</a>,<a href="#R23" class="usa-link" aria-describedby="R23">23</a>]. The original breeders for the colony were from Jackson labs. Briefly, the breeding strategy was as follows. In the initial step, C57BL/6-IL-2+/− heterozygous and C57BL/6scid (homozygous for the SCID mutation) mice were crossed, resulting in mice heterozygous for both IL-2 and SCID, and then those mice were then backcrossed to SCID mice. Mice heterozygous for IL-2 and homozygous for the SCID mutation were then used as breeders to generate C57BL/6scid-IL-2−/− knockout (referred to as IL2-KO/ SCID) and C57BL/6scid-IL-2+/+ (referred to as WT/SCID) littermates. The polymerase chain reaction (PCR) was used to genotype the offspring post-weaning for IL-2 and immunoglobulin determinations were made to confirm the SCID mutation (Isostrip, Boehringer Mannheim). Male and female mice were used and the subject groups were balanced for sex and age. The mice used for Morris water-maze testing in the first two experiments were 9.1 + 1.5 weeks of age, except for the younger mice used in the second experiment, which were all 5 weeks of age. The mice for fear conditioning in the third experiment were 8.7 + 1.2 weeks of age.</p></section><section id="S4"><h3 class="pmc_sec_title">Morris water-maze</h3> <p id="P5">Water-maze testing was performed as described previously [<a href="#R18" class="usa-link" aria-describedby="R18">18</a>,<a href="#R25" class="usa-link" aria-describedby="R25">25</a>]. The water maze consists of a circular pool (diameter, 120 cm; height, 45 cm) filled with opaque water containing an escape platform, either visible or submerged, which the mouse must locate beginning from one of four starting points (the starting point is changed randomly for each trial). For the experiment with the SCID background mice only, the diameter of the pool was 150 cm. During each trial, the latency (in seconds) to reach the platform and the swim-path length (in centimeters) required to reach the platform were measured by using an overhead video tracking system (Chromotrack; San Diego Instruments). To assess the mice for gross physical, sensory, motor, or motivational impairments, the mice were first trained in a task with a visible escape platform for eight trials per day on 2 successive days. This was followed by a task with a submerged escape platform (eight trials per day on 4 successive days) and a 60-s post-acquisition probe trial with no escape platform (ninth trial on day 6 of testing), where the percentage of the swim time in each of the four pool quadrants was assessed.</p></section><section id="S5"><h3 class="pmc_sec_title">Contextual fear discrimination</h3> <p id="P6">Contextual discrimination involves training a shock association with one context while training another context to be associated with no shock [<a href="#R26" class="usa-link" aria-describedby="R26">26</a>,<a href="#R27" class="usa-link" aria-describedby="R27">27</a>]. The test chamber consists of four 26.5 × 37.5 cm clear Plexiglas walls forming an enclosure. Two rows of 16 photocell beams measure horizontal activity, one row being located front to back and the other side to side. These beams are 2.5 cm above the floor and spaced .76 cm apart. The chamber is modified in two ways, denoted context A and context B, which are modified to present distinctly different auditory, olfactory, tactile and visual cues. Context A has a floor consisting of stainless steel rods (0.6 cm in diameter) spaced 1.09 cm apart connected to a scrambled shock generator. It is cleaned with lemon scented soap, three walls are white, and the fourth has a striped pattern and small fan providing background noise. Context B has a Plexiglas floor, is cleaned with a vinegar solution and has blue walls and a blue floor. Day 1 is the habituation trial where all animals are exposed to both chambers for five minutes. Days 2 through 4 consist of three and a half minute trials for both chambers. A brief one second 0.6 mA shocks is administered in Context A at two and a half and then three minutes. The order of exposure to the contexts is counterbalanced so that half of each group is exposed to context A first and the other half to context B first. Total horizontal movements were recorded throughout each session, and the percent reduction in movements in the shock-context relative to the non-shock context on day 4 was computed and used as the dependent variable for statistical analyses. As IL-2KO mice had less overall motor activity including horizontal movements across contexts, differences in baseline levels of movements between the subject groups where controlled for using the percent reduction in movements between the shock and non-shock contexts.</p></section><section id="S6"><h3 class="pmc_sec_title">Statistical analyses</h3> <p id="P7">Statistical analyses for these studies were performed using analysis of variance (ANOVA), and post-hoc comparisons were performed using Fisher’s post-hoc analysis.</p></section></section><section id="S7"><h2 class="pmc_sec_title">Results</h2> <p id="P8">In Experiment 1, contrary to our hypothesis that IL2-KO/SCID would have alterations in learning acquisition associated with the loss of brain-derived IL-2, we did not find any differences between the IL2-KO/SCID and WT/SCID mice in Morris water-maze performance. The results of Experiment 2 are depicted in <a href="#F1" class="usa-link">Figure 1</a>. Experiment 2 compared the performance of IL-2KO mice with WT littermates in the water-maze at 9 weeks of age versus 5 weeks of age, ages of IL-2KO mice that we have shown previously to be with and without overt autoimmunity, respectively [<a href="#R6" class="usa-link" aria-describedby="R6">6</a>]. As can be seen in the left panel of <a href="#F1" class="usa-link">Figure 1</a>, younger IL-2KO mice did not differ from littermates in the visible platform test, indicating that the IL-2KO mice did not evidence gross physical, sensory, motor, or motivational impairments. In the submerged platform test, the young IL-2KO mice did not differ from WT littermates (shown in <a href="#F1" class="usa-link">Figure 1</a> as escape latencies to the submerged platform).</p> <figure class="fig xbox font-sm" id="F1"><h3 class="obj_head">Figure 1.</h3> <p class="img-box line-height-none margin-x-neg-2 tablet:margin-x-0 text-center"><a class="tileshop" target="_blank" href="https://www.ncbi.nlm.nih.gov/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Click%20on%20image%20to%20zoom&amp;p=PMC3&amp;id=4423554_nihms682950f1.jpg"><img class="graphic zoom-in" src="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/417c/4423554/1108b5b67245/nihms682950f1.jpg" loading="lazy" height="356" width="1050" alt="Figure 1"></a></p> <div class="p text-right font-secondary"><a href="figure/F1/" class="usa-link" target="_blank" rel="noopener noreferrer">Open in a new tab</a></div> <figcaption><p id="P16">Comparison of Morris water-maze performance between younger (5 weeks) versus adult (older, 9 weeks) IL2Hom and IL2Wt mice. Each point represents the mean + S.E.M of n=9 mice/group for younger IL2Hom and IL2Wt mice (left panel), and n=17 older IL2Hom and n=19 older IL2Wt mice/group (right panel). *p&lt;0.05</p></figcaption></figure><p id="P9">The right panel of <a href="#F1" class="usa-link">Figure 1</a> shows the results of water-maze testing that compared adult IL-2KO and WT littermates. It can be seen that whereas adult IL-2KO mice did not differ from littermates in the visible platform test, there were significant differences in the submerged platform test. Repeated measure ANOVA revealed that there was a significant effect of subject group across all eight trials of submerged platform testing for the adult mice [F(1,34)=4.41, p&lt;0.05]. Repeated measures ANOVA confirmed that whereas adult IL-2KO and WT mice did not differ across the first four trials of submerged platform testing, there were significant difference between the subject groups for the last four trials of submerged platform testing [F(1,34)=5.19, p&lt;0.05]. As seen in the right panel of <a href="#F1" class="usa-link">Figure 1</a>, during the second half of submerged platform testing, the adult IL-2KO mice exhibited significantly longer latencies to reach the submerged platform than WT littermates. There were no significant differences between the subject groups of either age in the probe test, although examination of the means showed that the percentage of time that the adult IL-2KO mice spent in the reference quadrant in the probe trial (the quadrant from which the platform was removed) was lower than the mean of the WT mice (IL-2KO=28.4 vs. WT 32.6).</p> <p id="P10"><a href="#F2" class="usa-link">Figure 2</a> is a photomicrograph showing T cells in the dentate gyrus of representative mice of the four subject groups for Experiment 2. It can be seen that adult IL-2KO mice (9 weeks) exhibited more T cells in the dentate gyrus than younger IL-2KO mice (5 weeks), whereas both the older (9 week) and younger (5 week) WT groups were largely free of T cells. For Experiment 3, ANOVA revealed that there was a significant effect of subject group [F(2,49)=3.17, p=0.05]. The results of Experiment 3 are shown in <a href="#F3" class="usa-link">Figure 3</a>. Post-hoc analysis confirmed that compared to WT and IL-2Het mice, IL-2KO mice exhibited a significantly smaller reduction in movements in the shock context relative to the non-shock context. There was not a significant effect of age, or a group × age interaction.</p> <figure class="fig xbox font-sm" id="F2"><h3 class="obj_head">Figure 2.</h3> <p class="img-box line-height-none margin-x-neg-2 tablet:margin-x-0 text-center"><a class="tileshop" target="_blank" href="https://www.ncbi.nlm.nih.gov/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Click%20on%20image%20to%20zoom&amp;p=PMC3&amp;id=4423554_nihms682950f2.jpg"><img class="graphic zoom-in" src="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/417c/4423554/300d14ebc9e4/nihms682950f2.jpg" loading="lazy" height="758" width="1050" alt="Figure 2"></a></p> <div class="p text-right font-secondary"><a href="figure/F2/" class="usa-link" target="_blank" rel="noopener noreferrer">Open in a new tab</a></div> <figcaption><p id="P17">Immunohistochemistry for CD3+ T cells in the dentate gyrus of 5 and 9-week-old IL-2Wt (A &amp; B) and IL-2Hom (C &amp; D) mice. High power magnification of T cells are shown in the inset of C and D. CD3+ T cells were immunostained brown and are indicated by arrows, while neuronal and glial cell bodies were counterstained with cresyl violet and are shown in blue. Scale bar=50 µm. Inset scale bar=20 µm.</p></figcaption></figure><figure class="fig xbox font-sm" id="F3"><h3 class="obj_head">Figure 3.</h3> <p class="img-box line-height-none margin-x-neg-2 tablet:margin-x-0 text-center"><a class="tileshop" target="_blank" href="https://www.ncbi.nlm.nih.gov/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Click%20on%20image%20to%20zoom&amp;p=PMC3&amp;id=4423554_nihms682950f3.jpg"><img class="graphic zoom-in" src="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/417c/4423554/7a4d9d15dec7/nihms682950f3.jpg" loading="lazy" height="727" width="1050" alt="Figure 3"></a></p> <div class="p text-right font-secondary"><a href="figure/F3/" class="usa-link" target="_blank" rel="noopener noreferrer">Open in a new tab</a></div> <figcaption><p id="P18">Comparison of contextual fear discrimination between IL2Wt (n=13), IL2Het (n=18), and IL2Hom (n=21) littermates. *p&lt;0.05</p></figcaption></figure></section><section id="S8"><h2 class="pmc_sec_title">Discussion</h2> <p id="P11">Our hypothesis that alterations in learning acquisition in IL-2KO would be associated largely with the loss of brain-derived IL-2 was not confirmed in Experiment 1, as the congenic IL-2KO/SCID and WT/SCID littermates did not differ in Morris water-maze performance. That hypothesis was based on a series of studies from our lab where we found that there is a marked phenotypic loss of the ChAT-positive neurons in the MS/vDB of IL-2KO mice that occurs between weaning and adulthood that results from the absence of brain-derived IL-2 during development [<a href="#R16" class="usa-link" aria-describedby="R16">16</a>,<a href="#R17" class="usa-link" aria-describedby="R17">17</a>,<a href="#R19" class="usa-link" aria-describedby="R19">19</a>]. Although the loss of brain-derived IL-2 in IL-2KO/SCID mice was not associated with alterations in spatial learning in the Morris water-maze, the results of Experiment 2 suggest that autoimmunity associated with peripheral IL-2 gene deletion altered learning acquisition in adult IL-2KO mice. We have shown that brain T cell levels in IL-2KO mice at 5 weeks of age are comparable to brain T cells levels of IL-2KO mice at weaning (3 weeks), whereas adult IL-2KO mice between 9–14 weeks of age have 2.5 to 3.5 times higher levels of T cells in the septum and hippocampus as younger IL-2KO mice at 5 weeks of age [<a href="#R6" class="usa-link" aria-describedby="R6">6</a>].</p> <p id="P12">In the dentate gyrus (<a href="#F2" class="usa-link">Figure 2</a>) we saw a similar pattern where adult IL-2KO mice (9 weeks) exhibited more T cells in the dentate gyrus than younger IL-2KO mice (5 weeks), whereas both the older (9 week) and younger (5 week) WT groups were largely free of T cells. It is noteworthy that these are not particularly high levels of T cells in the dentate gyrus in the IL-2KO mice even at 9 weeks of age. Therefore, it is possible that the notable peripheral autoimmunity in adult IL-2KO mice may be a more significant factor that could affecting brain function and cognitive behavior (e.g., feedback from proinflammatory cytokines such as IL-1 and IL-6) [<a href="#R5" class="usa-link" aria-describedby="R5">5</a>–<a href="#R8" class="usa-link" aria-describedby="R8">8</a>,<a href="#R20" class="usa-link" aria-describedby="R20">20</a>–<a href="#R22" class="usa-link" aria-describedby="R22">22</a>]. Although the most parsimonious interpretation of the first two experiments is that the slower learning acquisition seen in adult IL-2KO mice is due to autoimmunity from the loss of peripheral IL-2, the potential contribution of the absence of brain-derived IL-2 to this behavioral alteration in adult IL-2KO cannot be determined without further study. As noted earlier, research from our lab suggests brain IL-2 deficiency appears to contribute to the development of brain autoimmunity by modifying the neuroimmunological milieu of the brain (e.g., alterations in proinflammatory cytokines, increasing the expression of chemokines that attract autoreactive T cells into the CNS) [<a href="#R20" class="usa-link" aria-describedby="R20">20</a>–<a href="#R22" class="usa-link" aria-describedby="R22">22</a>]. When we used an experimental approach that combined mouse congenic breeding and immune reconstitution, we showed that congenic immunodeficient mice on the recombination activating gene-2 KO (RAG2-KO) background without brain IL-2 (two IL-2 KO alleles) that were reconstituted with a normal WT immune system had two-fold higher levels of T cell trafficking into the septum and hippocampus as congenic mice with two WT brain IL-2 alleles reconstituted with a WT immune system. In Experiment 1 of the present study, although the congenic IL-2KO/SCID and WT/SCID mice differed in brain-derived IL-2, they did not have a functional immune system. Extrapolating from our previous work noted above, it would be expected that loss of brain-derived IL-2 in the adult IL-2KO mice in Experiment 2 would attract significantly higher numbers of autoreactive T cells from the peripheral immune system into the brain. Higher levels of autoreactive T cells in the brains of adult IL-2KO mice resulting from the loss of brain-derived IL-2 could therefore be a significant factor contributing to the behavioral differences in submerged platform testing in the Morris water-maze. Thus, future studies will be required to dissect further the effects of central versus peripheral IL-2 deficiency on neurobehavioral performance in the Morris water-maze.</p> <p id="P13">The reduce fear discrimination of IL-2KO mice was not associated with age, or the number of copies of IL-2KO alleles as WT and IL-2Het mice did not differ from one another. These data indicate that alterations in contextual fear discrimination in IL-2KO mice were not related to age-related autoimmunity as they were in the Morris water-maze. Reduced activity in the shocked context relative to the nonshock context in WT and IL-2Het mice indicates that they successfully discriminated the two contexts and expressed a higher level of conditional fear in the dangerous relative to the safe context. IL-2KO mice showed significantly less disparity in movement between the contexts, indicating reduce contextual discrimination. Although adult IL-2KO mice showed deficits relative to WT littermates in both the contextual fear and Morris water-maze learning paradigms, they did appear nonetheless to exhibit some evidence of learning in both paradigms. This was particularly notable in the Morris water-maze where the IL-2KO mice did not differ from WT littermates in the probe test where the escape platform was removed from the reference quadrant. In Experiment 2, as can be seen in <a href="#F1" class="usa-link">Figure 1</a>, adult IL-2KO mice exhibited comparable learning slopes in the first half of the submerged platform testing. They differed significantly from WT mice, however, in the second half of the submerged platform test where their performance plateaued and then gradually trended downward. In a previous study of Morris water-maze performance in IL-2KO we found a similar plateau and slight rise mid-way through submerged platform testing, however, there were significant differences IL-2KO and WT mice in the probe test in that study [<a href="#R18" class="usa-link" aria-describedby="R18">18</a>]. In that study, the WT controls were not littermate controls which could account for the above noted differences between that study and Experiment 2.</p> <p id="P14">The differences in the learning of adult IL-2KO mice in the Morris water-maze compared to the contextual fear discrimination paradigm are consistent with literature showing that contextual discrimination tasks are sensitive in detecting certain functional changes that are not detected by Morris water-maze testing [<a href="#R24" class="usa-link" aria-describedby="R24">24</a>]. The water-maze is less sensitive to subregion-specific manipulations (e.g., dentate neurogenesis) and can be solved using different navigation strategies [<a href="#R28" class="usa-link" aria-describedby="R28">28</a>]. The dentate gyrus facilitates the differentiation of contexts (versus places), and IL-2KO mice have cytoarchitectural alterations in dentate gyrus which could contribute to the altered context discrimination observed in this study [<a href="#R16" class="usa-link" aria-describedby="R16">16</a>,<a href="#R17" class="usa-link" aria-describedby="R17">17</a>,<a href="#R24" class="usa-link" aria-describedby="R24">24</a>,<a href="#R28" class="usa-link" aria-describedby="R28">28</a>]. Together, these findings suggest that the complex interactions between IL-2 deficiency in the brain and immune system may modify brain processes involved in different modalities of cognition. Future studies will need to differentiate further the role of brain versus peripheral IL-2 and the impact of autoimmunity on CNS processes involved learning and memory.</p></section><section id="S9" class="ack"><h2 class="pmc_sec_title">Acknowledgments</h2> <p id="P15">Funding for this study was provided by NIH RO1 NS055018 (JMP).</p></section><section id="ref-list1" class="ref-list"><h2 class="pmc_sec_title">References</h2> <section id="ref-list1_sec2"><ul class="ref-list font-sm" style="list-style-type:none"> <li id="R1"> <span class="label">1.</span><cite>Hanisch UK, Quirion R. Interleukin-2 as a neuroregulatory cytokine. Brain Res Brain Res Rev. 1995;21:246–284. doi: 10.1016/0165-0173(95)00015-1.</cite> [<a href="https://doi.org/10.1016/0165-0173(95)00015-1" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/8806016/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Brain%20Res%20Brain%20Res%20Rev&amp;title=Interleukin-2%20as%20a%20neuroregulatory%20cytokine&amp;author=UK%20Hanisch&amp;author=R%20Quirion&amp;volume=21&amp;publication_year=1995&amp;pages=246-284&amp;pmid=8806016&amp;doi=10.1016/0165-0173(95)00015-1&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R2"> <span class="label">2.</span><cite>Merrill JE. Interleukin-2 effects in the central nervous system. Ann N Y Acad Sci. 1990;594:188–199. doi: 10.1111/j.1749-6632.1990.tb40478.x.</cite> [<a href="https://doi.org/10.1111/j.1749-6632.1990.tb40478.x" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/2165758/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Ann%20N%20Y%20Acad%20Sci&amp;title=Interleukin-2%20effects%20in%20the%20central%20nervous%20system&amp;author=JE%20Merrill&amp;volume=594&amp;publication_year=1990&amp;pages=188-199&amp;pmid=2165758&amp;doi=10.1111/j.1749-6632.1990.tb40478.x&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R3"> <span class="label">3.</span><cite>Nelson BH. IL-, regulatory T cells, and tolerance. J Immunol. 2004;172:3983–3988. doi: 10.4049/jimmunol.172.7.3983.</cite> [<a href="https://doi.org/10.4049/jimmunol.172.7.3983" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/15034008/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=J%20Immunol&amp;title=IL-,%20regulatory%20T%20cells,%20and%20tolerance&amp;author=BH%20Nelson&amp;volume=172&amp;publication_year=2004&amp;pages=3983-3988&amp;pmid=15034008&amp;doi=10.4049/jimmunol.172.7.3983&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R4"> <span class="label">4.</span><cite>Turka LA, Walsh PT. IL-2 signaling and CD4+ CD25+ Foxp3+ regulatory T cells. Front Biosci. 2008;13:1440–1446. doi: 10.2741/2773.</cite> [<a href="https://doi.org/10.2741/2773" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/17981641/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Front%20Biosci&amp;title=IL-2%20signaling%20and%20CD4+%20CD25+%20Foxp3+%20regulatory%20T%20cells&amp;author=LA%20Turka&amp;author=PT%20Walsh&amp;volume=13&amp;publication_year=2008&amp;pages=1440-1446&amp;pmid=17981641&amp;doi=10.2741/2773&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R5"> <span class="label">5.</span><cite>Horak I. Immunodeficiency in IL-2-knockout mice. Clin Immunol Immunopathol. 1995;76:S172–S173. doi: 10.1016/s0090-1229(95)90126-4.</cite> [<a href="https://doi.org/10.1016/s0090-1229(95)90126-4" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/7554463/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Clin%20Immunol%20Immunopathol&amp;title=Immunodeficiency%20in%20IL-2-knockout%20mice&amp;author=I%20Horak&amp;volume=76&amp;publication_year=1995&amp;pages=S172-S173&amp;pmid=7554463&amp;doi=10.1016/s0090-1229(95)90126-4&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R6"> <span class="label">6.</span><cite>Huang Z, Dauer DJ, Ha GK, Lewis MH, Petitto JM. Interleukin-2 deficiency-induced T cell autoimmunity in the mouse brain. Neurosci Lett. 2009;463:44–48. doi: 10.1016/j.neulet.2009.07.013.</cite> [<a href="https://doi.org/10.1016/j.neulet.2009.07.013" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC3482545/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/19595743/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Neurosci%20Lett&amp;title=Interleukin-2%20deficiency-induced%20T%20cell%20autoimmunity%20in%20the%20mouse%20brain&amp;author=Z%20Huang&amp;author=DJ%20Dauer&amp;author=GK%20Ha&amp;author=MH%20Lewis&amp;author=JM%20Petitto&amp;volume=463&amp;publication_year=2009&amp;pages=44-48&amp;pmid=19595743&amp;doi=10.1016/j.neulet.2009.07.013&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R7"> <span class="label">7.</span><cite>Kündig TM, Schorle H, Bachmann MF, Hengartner H, Zinkernagel RM, et al. Immune responses in interleukin-2-deficient mice. Science. 1993;262:1059–1061. doi: 10.1126/science.8235625.</cite> [<a href="https://doi.org/10.1126/science.8235625" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/8235625/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Science&amp;title=Immune%20responses%20in%20interleukin-2-deficient%20mice&amp;author=TM%20K%C3%BCndig&amp;author=H%20Schorle&amp;author=MF%20Bachmann&amp;author=H%20Hengartner&amp;author=RM%20Zinkernagel&amp;volume=262&amp;publication_year=1993&amp;pages=1059-1061&amp;pmid=8235625&amp;doi=10.1126/science.8235625&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R8"> <span class="label">8.</span><cite>Schorle H, Holtschke T, Hünig T, Schimpl A, Horak I. Development and function of T cells in mice rendered interleukin-2 deficient by gene targeting. Nature. 1991;352:621–624. doi: 10.1038/352621a0.</cite> [<a href="https://doi.org/10.1038/352621a0" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/1830926/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Nature&amp;title=Development%20and%20function%20of%20T%20cells%20in%20mice%20rendered%20interleukin-2%20deficient%20by%20gene%20targeting&amp;author=H%20Schorle&amp;author=T%20Holtschke&amp;author=T%20H%C3%BCnig&amp;author=A%20Schimpl&amp;author=I%20Horak&amp;volume=352&amp;publication_year=1991&amp;pages=621-624&amp;pmid=1830926&amp;doi=10.1038/352621a0&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R9"> <span class="label">9.</span><cite>Hanisch UK, Seto D, Quirion R. Modulation of hippocampal acetylcholine release: a potent central action of interleukin-2. J Neurosci. 1993;13:3368–3374. doi: 10.1523/JNEUROSCI.13-08-03368.1993.</cite> [<a href="https://doi.org/10.1523/JNEUROSCI.13-08-03368.1993" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC6576518/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/8340813/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=J%20Neurosci&amp;title=Modulation%20of%20hippocampal%20acetylcholine%20release:%20a%20potent%20central%20action%20of%20interleukin-2&amp;author=UK%20Hanisch&amp;author=D%20Seto&amp;author=R%20Quirion&amp;volume=13&amp;publication_year=1993&amp;pages=3368-3374&amp;pmid=8340813&amp;doi=10.1523/JNEUROSCI.13-08-03368.1993&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R10"> <span class="label">10.</span><cite>Petitto JM, Huang Z. Cloning the full-length IL-2/15 receptor-beta cDNA sequence from mouse brain: evidence of enrichment in hippocampal formation neurons. Regul Pept. 2001;98:77–87. doi: 10.1016/s0167-0115(00)00229-9.</cite> [<a href="https://doi.org/10.1016/s0167-0115(00)00229-9" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/11179782/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Regul%20Pept&amp;title=Cloning%20the%20full-length%20IL-2/15%20receptor-beta%20cDNA%20sequence%20from%20mouse%20brain:%20evidence%20of%20enrichment%20in%20hippocampal%20formation%20neurons&amp;author=JM%20Petitto&amp;author=Z%20Huang&amp;volume=98&amp;publication_year=2001&amp;pages=77-87&amp;pmid=11179782&amp;doi=10.1016/s0167-0115(00)00229-9&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R11"> <span class="label">11.</span><cite>Petitto JM, Huang Z, Raizada MK, Rinker CM, McCarthy DB. Molecular cloning of the cDNA coding sequence of IL-2 receptor-gamma (gammac) from human and murine forebrain: expression in the hippocampus in situ and by brain cells in vitro. Brain research. 1998;53:152–162. doi: 10.1016/s0169-328x(97)00276-3.</cite> [<a href="https://doi.org/10.1016/s0169-328x(97)00276-3" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/9473647/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Brain%20research&amp;title=Molecular%20cloning%20of%20the%20cDNA%20coding%20sequence%20of%20IL-2%20receptor-gamma%20(gammac)%20from%20human%20and%20murine%20forebrain:%20expression%20in%20the%20hippocampus%20in%20situ%20and%20by%20brain%20cells%20in%20vitro&amp;author=JM%20Petitto&amp;author=Z%20Huang&amp;author=MK%20Raizada&amp;author=CM%20Rinker&amp;author=DB%20McCarthy&amp;volume=53&amp;publication_year=1998&amp;pages=152-162&amp;pmid=9473647&amp;doi=10.1016/s0169-328x(97)00276-3&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R12"> <span class="label">12.</span><cite>Sarder M, Saito H, Abe K. Interleukin-2 promotes survival and neurite extension of cultured neurons from fetal rat brain. Brain Res. 1993;625:347–350. doi: 10.1016/0006-8993(93)91080-c.</cite> [<a href="https://doi.org/10.1016/0006-8993(93)91080-c" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/8275319/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Brain%20Res&amp;title=Interleukin-2%20promotes%20survival%20and%20neurite%20extension%20of%20cultured%20neurons%20from%20fetal%20rat%20brain&amp;author=M%20Sarder&amp;author=H%20Saito&amp;author=K%20Abe&amp;volume=625&amp;publication_year=1993&amp;pages=347-350&amp;pmid=8275319&amp;doi=10.1016/0006-8993(93)91080-c&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R13"> <span class="label">13.</span><cite>Seto D, Kar S, Quirion R. Evidence for direct and indirect mechanisms in the potent modulatory action of interleukin-2 on the release of acetylcholine in rat hippocampal slices. Br J Pharmacol. 1997;120:1151–1157. doi: 10.1038/sj.bjp.0701002.</cite> [<a href="https://doi.org/10.1038/sj.bjp.0701002" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC1564566/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/9134229/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Br%20J%20Pharmacol&amp;title=Evidence%20for%20direct%20and%20indirect%20mechanisms%20in%20the%20potent%20modulatory%20action%20of%20interleukin-2%20on%20the%20release%20of%20acetylcholine%20in%20rat%20hippocampal%20slices&amp;author=D%20Seto&amp;author=S%20Kar&amp;author=R%20Quirion&amp;volume=120&amp;publication_year=1997&amp;pages=1151-1157&amp;pmid=9134229&amp;doi=10.1038/sj.bjp.0701002&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R14"> <span class="label">14.</span><cite>Awatsuji H, Furukawa Y, Nakajima M, Furukawa S, Hayashi K. Interleukin-2 as a neurotrophic factor for supporting the survival of neurons cultured from various regions of fetal rat brain. J Neurosci Res. 1993;35:305–311. doi: 10.1002/jnr.490350310.</cite> [<a href="https://doi.org/10.1002/jnr.490350310" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/8350391/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=J%20Neurosci%20Res&amp;title=Interleukin-2%20as%20a%20neurotrophic%20factor%20for%20supporting%20the%20survival%20of%20neurons%20cultured%20from%20various%20regions%20of%20fetal%20rat%20brain&amp;author=H%20Awatsuji&amp;author=Y%20Furukawa&amp;author=M%20Nakajima&amp;author=S%20Furukawa&amp;author=K%20Hayashi&amp;volume=35&amp;publication_year=1993&amp;pages=305-311&amp;pmid=8350391&amp;doi=10.1002/jnr.490350310&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R15"> <span class="label">15.</span><cite>Meola D, Huang Z, Petitto JM. Selective Neuronal and Brain Regional Expession of IL-2 in IL2P 8-GFP Transgenic Mice: Relation to Sensorimotor Gating. J Alzheimers Dis Parkinsonism. 2013;3:1000127. doi: 10.4172/2161-0460.1000127.</cite> [<a href="https://doi.org/10.4172/2161-0460.1000127" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC3931468/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/24563821/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=J%20Alzheimers%20Dis%20Parkinsonism&amp;title=Selective%20Neuronal%20and%20Brain%20Regional%20Expession%20of%20IL-2%20in%20IL2P%208-GFP%20Transgenic%20Mice:%20Relation%20to%20Sensorimotor%20Gating&amp;author=D%20Meola&amp;author=Z%20Huang&amp;author=JM%20Petitto&amp;volume=3&amp;publication_year=2013&amp;pages=1000127&amp;pmid=24563821&amp;doi=10.4172/2161-0460.1000127&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R16"> <span class="label">16.</span><cite>Beck RD, Jr, King MA, Ha GK, Cushman JD, Huang Z, et al. IL-2 deficiency results in altered septal and hippocampal cytoarchitecture: relation to development and neurotrophins. J Neuroimmunol. 2005;160:146–153. doi: 10.1016/j.jneuroim.2004.11.006.</cite> [<a href="https://doi.org/10.1016/j.jneuroim.2004.11.006" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/15710467/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=J%20Neuroimmunol&amp;title=IL-2%20deficiency%20results%20in%20altered%20septal%20and%20hippocampal%20cytoarchitecture:%20relation%20to%20development%20and%20neurotrophins&amp;author=RD%20Beck&amp;author=MA%20King&amp;author=GK%20Ha&amp;author=JD%20Cushman&amp;author=Z%20Huang&amp;volume=160&amp;publication_year=2005&amp;pages=146-153&amp;pmid=15710467&amp;doi=10.1016/j.jneuroim.2004.11.006&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R17"> <span class="label">17.</span><cite>Beck RD, Jr, King MA, Huang Z, Petitto JM. Alterations in septohippocampal cholinergic neurons resulting from interleukin-2 gene knockout. Brain Res. 2002;955:16–23. doi: 10.1016/s0006-8993(02)03295-x.</cite> [<a href="https://doi.org/10.1016/s0006-8993(02)03295-x" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/12419517/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Brain%20Res&amp;title=Alterations%20in%20septohippocampal%20cholinergic%20neurons%20resulting%20from%20interleukin-2%20gene%20knockout&amp;author=RD%20Beck&amp;author=MA%20King&amp;author=Z%20Huang&amp;author=JM%20Petitto&amp;volume=955&amp;publication_year=2002&amp;pages=16-23&amp;pmid=12419517&amp;doi=10.1016/s0006-8993(02)03295-x&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R18"> <span class="label">18.</span><cite>Petitto JM, McNamara RK, Gendreau PL, Huang Z, Jackson AJ. Impaired learning and memory and altered hippocampal neurodevelopment resulting from interleukin-2 gene deletion. Journal of neuroscience research. 1999;56:441–446. doi: 10.1002/(SICI)1097-4547(19990515)56:4&lt;441::AID-JNR11&gt;3.0.CO;2-G.</cite> [<a href="https://doi.org/10.1002/(SICI)1097-4547(19990515)56:4&lt;441::AID-JNR11&gt;3.0.CO;2-G" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/10340751/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Journal%20of%20neuroscience%20research&amp;title=Impaired%20learning%20and%20memory%20and%20altered%20hippocampal%20neurodevelopment%20resulting%20from%20interleukin-2%20gene%20deletion&amp;author=JM%20Petitto&amp;author=RK%20McNamara&amp;author=PL%20Gendreau&amp;author=Z%20Huang&amp;author=AJ%20Jackson&amp;volume=56&amp;publication_year=1999&amp;pages=441-446&amp;pmid=10340751&amp;doi=10.1002/(SICI)1097-4547(19990515)56:4&lt;441::AID-JNR11&gt;3.0.CO;2-G&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R19"> <span class="label">19.</span><cite>Meola DM, Huang Z, King M, Petitto JM. Loss of cholinergic phenotype in septohippocampal projection neurons: relation to brain versus peripheral IL-2 deficiency. Neuroscience letters. 2013;539:60–64. doi: 10.1016/j.neulet.2013.01.054.</cite> [<a href="https://doi.org/10.1016/j.neulet.2013.01.054" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC3740576/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/23416322/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Neuroscience%20letters&amp;title=Loss%20of%20cholinergic%20phenotype%20in%20septohippocampal%20projection%20neurons:%20relation%20to%20brain%20versus%20peripheral%20IL-2%20deficiency&amp;author=DM%20Meola&amp;author=Z%20Huang&amp;author=M%20King&amp;author=JM%20Petitto&amp;volume=539&amp;publication_year=2013&amp;pages=60-64&amp;pmid=23416322&amp;doi=10.1016/j.neulet.2013.01.054&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R20"> <span class="label">20.</span><cite>Beck RD, Jr, Wasserfall C, Ha GK, Cushman JD, Huang Z, et al. Changes in hippocampal IL-15, related cytokines, and neurogenesis in IL-2 deficient mice. Brain Res. 2005;1041:223–230. doi: 10.1016/j.brainres.2005.02.010.</cite> [<a href="https://doi.org/10.1016/j.brainres.2005.02.010" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/15829231/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Brain%20Res&amp;title=Changes%20in%20hippocampal%20IL-15,%20related%20cytokines,%20and%20neurogenesis%20in%20IL-2%20deficient%20mice&amp;author=RD%20Beck&amp;author=C%20Wasserfall&amp;author=GK%20Ha&amp;author=JD%20Cushman&amp;author=Z%20Huang&amp;volume=1041&amp;publication_year=2005&amp;pages=223-230&amp;pmid=15829231&amp;doi=10.1016/j.brainres.2005.02.010&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R21"> <span class="label">21.</span><cite>Huang Z, Meola D, Petitto JM. Loss of CNS IL-2 gene expression modifies brain T lymphocyte trafficking: response of normal versus autoreactive Treg-deficient T cells. Neuroscience letters. 2011;499:213–218. doi: 10.1016/j.neulet.2011.05.230.</cite> [<a href="https://doi.org/10.1016/j.neulet.2011.05.230" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC3150161/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/21669253/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Neuroscience%20letters&amp;title=Loss%20of%20CNS%20IL-2%20gene%20expression%20modifies%20brain%20T%20lymphocyte%20trafficking:%20response%20of%20normal%20versus%20autoreactive%20Treg-deficient%20T%20cells&amp;author=Z%20Huang&amp;author=D%20Meola&amp;author=JM%20Petitto&amp;volume=499&amp;publication_year=2011&amp;pages=213-218&amp;pmid=21669253&amp;doi=10.1016/j.neulet.2011.05.230&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R22"> <span class="label">22.</span><cite>Huang Z, Meola D, Petitto JM. Dissecting the effects of endogenous brain IL-2 and normal versus autoreactive T lymphocytes on microglial responsiveness and T cell trafficking in response to axonal injury. Neuroscience letters. 2012;526:138–143. doi: 10.1016/j.neulet.2012.08.018.</cite> [<a href="https://doi.org/10.1016/j.neulet.2012.08.018" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC3482546/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/22922129/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Neuroscience%20letters&amp;title=Dissecting%20the%20effects%20of%20endogenous%20brain%20IL-2%20and%20normal%20versus%20autoreactive%20T%20lymphocytes%20on%20microglial%20responsiveness%20and%20T%20cell%20trafficking%20in%20response%20to%20axonal%20injury&amp;author=Z%20Huang&amp;author=D%20Meola&amp;author=JM%20Petitto&amp;volume=526&amp;publication_year=2012&amp;pages=138-143&amp;pmid=22922129&amp;doi=10.1016/j.neulet.2012.08.018&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R23"> <span class="label">23.</span><cite>Petitto JM, Huang Z, Lo J, Streit WJ. IL-2 gene knockout affects T lymphocyte trafficking and the microglial response to regenerating facial motor neurons. J Neuroimmunol. 2003;134:95–103. doi: 10.1016/s0165-5728(02)00422-8.</cite> [<a href="https://doi.org/10.1016/s0165-5728(02)00422-8" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/12507776/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=J%20Neuroimmunol&amp;title=IL-2%20gene%20knockout%20affects%20T%20lymphocyte%20trafficking%20and%20the%20microglial%20response%20to%20regenerating%20facial%20motor%20neurons&amp;author=JM%20Petitto&amp;author=Z%20Huang&amp;author=J%20Lo&amp;author=WJ%20Streit&amp;volume=134&amp;publication_year=2003&amp;pages=95-103&amp;pmid=12507776&amp;doi=10.1016/s0165-5728(02)00422-8&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R24"> <span class="label">24.</span><cite>Garthe A, Kempermann G. An old test for new neurons: refining the Morris water maze to study the functional relevance of adult hippocampal neurogenesis. Front Neurosci. 2013;7:63. doi: 10.3389/fnins.2013.00063.</cite> [<a href="https://doi.org/10.3389/fnins.2013.00063" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC3642504/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/23653589/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Front%20Neurosci&amp;title=An%20old%20test%20for%20new%20neurons:%20refining%20the%20Morris%20water%20maze%20to%20study%20the%20functional%20relevance%20of%20adult%20hippocampal%20neurogenesis&amp;author=A%20Garthe&amp;author=G%20Kempermann&amp;volume=7&amp;publication_year=2013&amp;pages=63&amp;pmid=23653589&amp;doi=10.3389/fnins.2013.00063&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R25"> <span class="label">25.</span><cite>Cushman J, Lo J, Huang Z, Wasserfall C, Petitto JM. Neurobehavioral changes resulting from recombinase activation gene 1 deletion. Clin Diagn Lab Immunol. 2003;10:13–18. doi: 10.1128/CDLI.10.1.13-18.2003.</cite> [<a href="https://doi.org/10.1128/CDLI.10.1.13-18.2003" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC145286/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/12522033/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Clin%20Diagn%20Lab%20Immunol&amp;title=Neurobehavioral%20changes%20resulting%20from%20recombinase%20activation%20gene%201%20deletion&amp;author=J%20Cushman&amp;author=J%20Lo&amp;author=Z%20Huang&amp;author=C%20Wasserfall&amp;author=JM%20Petitto&amp;volume=10&amp;publication_year=2003&amp;pages=13-18&amp;pmid=12522033&amp;doi=10.1128/CDLI.10.1.13-18.2003&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R26"> <span class="label">26.</span><cite>Frankland PW, Cestari V, Filipkowski RK, McDonald RJ, Silva AJ. The dorsal hippocampus is essential for context discrimination but not for contextual conditioning. Behav Neurosci. 1998;112:863–874. doi: 10.1037//0735-7044.112.4.863.</cite> [<a href="https://doi.org/10.1037//0735-7044.112.4.863" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/9733192/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Behav%20Neurosci&amp;title=The%20dorsal%20hippocampus%20is%20essential%20for%20context%20discrimination%20but%20not%20for%20contextual%20conditioning&amp;author=PW%20Frankland&amp;author=V%20Cestari&amp;author=RK%20Filipkowski&amp;author=RJ%20McDonald&amp;author=AJ%20Silva&amp;volume=112&amp;publication_year=1998&amp;pages=863-874&amp;pmid=9733192&amp;doi=10.1037//0735-7044.112.4.863&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R27"> <span class="label">27.</span><cite>Cushman JD, Moore MD, Jacobs NS, Olsen RW, Fanselow MS. Behavioral pharmacogenetic analysis on the role of the alpha4 GABA(A) receptor subunit in the ethanol-mediated impairment of hippocampusdependent contextual learning. Alcohol Clin Exp Res. 2011;35:1948–1959. doi: 10.1111/j.1530-0277.2011.01546.x.</cite> [<a href="https://doi.org/10.1111/j.1530-0277.2011.01546.x" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC3207030/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/21943327/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Alcohol%20Clin%20Exp%20Res&amp;title=Behavioral%20pharmacogenetic%20analysis%20on%20the%20role%20of%20the%20alpha4%20GABA(A)%20receptor%20subunit%20in%20the%20ethanol-mediated%20impairment%20of%20hippocampusdependent%20contextual%20learning&amp;author=JD%20Cushman&amp;author=MD%20Moore&amp;author=NS%20Jacobs&amp;author=RW%20Olsen&amp;author=MS%20Fanselow&amp;volume=35&amp;publication_year=2011&amp;pages=1948-1959&amp;pmid=21943327&amp;doi=10.1111/j.1530-0277.2011.01546.x&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="R28"> <span class="label">28.</span><cite>Nakashiba T, Cushman JD, Pelkey KA, Renaudineau S, Buhl DL, et al. Young dentate granule cells mediate pattern separation, whereas old granule cells facilitate pattern completion. Cell. 2012;149:188–201. doi: 10.1016/j.cell.2012.01.046.</cite> [<a href="https://doi.org/10.1016/j.cell.2012.01.046" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC3319279/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/22365813/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Cell&amp;title=Young%20dentate%20granule%20cells%20mediate%20pattern%20separation,%20whereas%20old%20granule%20cells%20facilitate%20pattern%20completion&amp;author=T%20Nakashiba&amp;author=JD%20Cushman&amp;author=KA%20Pelkey&amp;author=S%20Renaudineau&amp;author=DL%20Buhl&amp;volume=149&amp;publication_year=2012&amp;pages=188-201&amp;pmid=22365813&amp;doi=10.1016/j.cell.2012.01.046&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> </ul></section></section></section></section></article> </main> </div> </div> </div> <!-- Secondary navigation placeholder --> <div class="pmc-sidenav desktop:grid-col-4 display-flex"> <section class="pmc-sidenav__container" aria-label="Article resources and navigation"> <button type="button" class="usa-button pmc-sidenav__container__close usa-button--unstyled"> <img src="/static/img/usa-icons/close.svg" role="img" alt="Close" /> </button> <div class="display-none desktop:display-block"> <section class="margin-top-4 desktop:margin-top-0"> <h2 class="margin-top-0">ACTIONS</h2> <ul class="usa-list usa-list--unstyled usa-list--actions"> <li> <a href="https://doi.org/10.4172/2329-6895.1000196" class="usa-button usa-button--outline width-24 font-xs display-inline-flex flex-align-center flex-justify-start padding-left-1" target="_blank" rel="noreferrer noopener" data-ga-category="actions" data-ga-action="click" data-ga-label="publisher_link_desktop" > <svg class="usa-icon width-3 height-3" aria-hidden="true" focusable="false" role="img" hidden> <use xlink:href="/static/img/sprite.svg#launch"></use> </svg> <span class="display-inline-flex flex-justify-center flex-1 padding-right-2">View on publisher site</span> </a> </li> <li> <a href="pdf/nihms682950.pdf" class="usa-button usa-button--outline width-24 display-inline-flex flex-align-center flex-justify-start padding-left-1" data-ga-category="actions" data-ga-action="click" data-ga-label="pdf_download_desktop" > <svg class="usa-icon width-3 height-3" aria-hidden="true" focusable="false" role="img" hidden> <use xlink:href="/static/img/sprite.svg#file_download"></use> </svg> <span class="display-inline-flex flex-justify-center flex-1">PDF (886.2 KB)</span> </a> </li> <li> <button role="button" class="usa-button width-24 citation-dialog-trigger display-inline-flex flex-align-center flex-justify-start padding-left-1" aria-label="Open dialog with citation text in different styles" data-ga-category="actions" data-ga-action="open" data-ga-label="cite_desktop" data-all-citations-url="/resources/citations/4423554/" data-citation-style="nlm" data-download-format-link="/resources/citations/4423554/export/" > <svg class="usa-icon width-3 height-3" aria-hidden="true" focusable="false" role="img" hidden> <use xlink:href="/static/img/sprite.svg#format_quote"></use> </svg> <span class="display-inline-flex flex-justify-center flex-1 button-label">Cite</span> </button> </li> <li> <button class="usa-button width-24 collections-dialog-trigger collections-button display-inline-flex flex-align-center flex-justify-start padding-left-1 collections-button-empty" aria-label="Save article in MyNCBI collections." data-ga-category="actions" data-ga-action="click" data-ga-label="collections_button_desktop" data-collections-open-dialog-enabled="false" data-collections-open-dialog-url="https://account.ncbi.nlm.nih.gov/?back_url=https%3A%2F%2Fpmc.ncbi.nlm.nih.gov%2Farticles%2FPMC4423554%2F%23open-collections-dialog" data-in-collections="false"> <svg class="usa-icon width-3 height-3 usa-icon--bookmark-full" aria-hidden="true" focusable="false" role="img" hidden> <use xlink:href="/static/img/action-bookmark-full.svg#icon"></use> </svg> <svg class="usa-icon width-3 height-3 usa-icon--bookmark-empty" aria-hidden="true" focusable="false" role="img" hidden> <use xlink:href="/static/img/action-bookmark-empty.svg#icon"></use> </svg> <span class="display-inline-flex flex-justify-center flex-1">Collections</span> </button> </li> <li class="pmc-permalink"> <button type="button" class="usa-button width-24 display-inline-flex flex-align-center flex-justify padding-left-1 shadow-none" aria-label="Show article permalink" aria-expanded="false" aria-haspopup="true" data-ga-category="actions" data-ga-action="open" data-ga-label="permalink_desktop" > <svg class="usa-icon width-3 height-3" aria-hidden="true" focusable="false" role="img" hidden> <use xlink:href="/static/img/sprite.svg#share"></use> </svg> <span class="display-inline-flex flex-justify-center flex-1 button-label">Permalink</span> </button> <div class="pmc-permalink__dropdown" hidden> <div class="pmc-permalink__dropdown__container"> <h2 class="usa-modal__heading margin-top-0 margin-bottom-2">PERMALINK</h2> <div class="pmc-permalink__dropdown__content"> <input type="text" class="usa-input" value="https://pmc.ncbi.nlm.nih.gov/articles/PMC4423554/" aria-label="Article permalink"> <button class="usa-button display-inline-flex pmc-permalink__dropdown__copy__btn margin-right-0" title="Copy article permalink" data-ga-category="save_share" data-ga-action="link" data-ga-label="copy_link"> <svg class="usa-icon" aria-hidden="true" focusable="false" role="img"> <use xlink:href="/static/img/sprite.svg#content_copy"></use> </svg> <span class="margin-left-1">Copy</span> </button> </div> </div> </div> </li> </ul> </section> </div> <section class="pmc-resources margin-top-6 desktop:margin-top-4" data-page-path="/articles/PMC4423554/"> <h2 class="margin-top-0">RESOURCES</h2> <div class="usa-accordion usa-accordion--multiselectable" data-allow-multiple> <h3 class="usa-accordion__heading"> <button type="button" class="usa-accordion__button" aria-expanded="false" aria-controls="resources-similar-articles" data-ga-category="resources_accordion" data-ga-action="open_similar_articles" data-ga-label="/articles/PMC4423554/" data-action-open="open_similar_articles" data-action-close="close_similar_articles" > Similar articles </button> </h3> <div id="resources-similar-articles" class="usa-accordion__content usa-prose" data-source-url="/resources/similar-article-links/25961067/" > </div> <h3 class="usa-accordion__heading"> <button type="button" class="usa-accordion__button" aria-expanded="false" aria-controls="resources-cited-by-other-articles" data-ga-category="resources_accordion" data-ga-action="open_cited_by" data-ga-label="/articles/PMC4423554/" data-action-open="open_cited_by" data-action-close="close_cited_by" > Cited by other articles </button> </h3> <div id="resources-cited-by-other-articles" class="usa-accordion__content usa-prose" data-source-url="/resources/cited-by-links/25961067/" > </div> <h3 class="usa-accordion__heading"> <button type="button" class="usa-accordion__button" aria-expanded="false" aria-controls="resources-links-to-ncbi-databases" data-ga-category="resources_accordion" data-ga-action="open_NCBI_links" data-ga-label="/articles/PMC4423554/" data-action-open="open_NCBI_links" data-action-close="close_NCBI_link" > Links to NCBI Databases </button> </h3> <div id="resources-links-to-ncbi-databases" class="usa-accordion__content usa-prose" data-source-url="/resources/db-links/4423554/" > </div> </div> </section> <section class="usa-in-page-nav usa-in-page-nav--wide margin-top-6 desktop:margin-top-4" data-title-text="On this page" data-title-heading-level="h2" data-scroll-offset="0" data-root-margin="-10% 0px -80% 0px" data-main-content-selector="main" data-threshold="1" hidden ></section> </section> </div> <div class="overlay" role="dialog" aria-label="Citation Dialog" hidden> <div class="dialog citation-dialog" aria-hidden="true"> <div class="display-inline-flex flex-align-center flex-justify width-full margin-bottom-2"> <h2 class="usa-modal__heading margin-0">Cite</h2> <button type="button" class="usa-button usa-button--unstyled close-overlay text-black width-auto" tabindex="1"> <svg class="usa-icon width-3 height-3" aria-hidden="true" focusable="false" role="img"> <use xlink:href="/static/img/sprite.svg#close"></use> </svg> </button> </div> <div class="citation-text-block"> <div class="citation-text margin-bottom-2"></div> <ul class="usa-list usa-list--unstyled display-inline-flex flex-justify width-full flex-align-center"> <li> <button class="usa-button usa-button--unstyled text-no-underline display-flex flex-align-center copy-button dialog-focus" data-ga-category="save_share" data-ga-action="cite" data-ga-label="copy" tabindex="2"> <svg class="usa-icon width-3 height-3" aria-hidden="true" focusable="false" role="img"> <use xlink:href="/static/img/sprite.svg#content_copy"></use> </svg> <span>Copy</span> </button> </li> <li> <a href="#" role="button" class="usa-button usa-button--unstyled text-no-underline display-flex flex-align-center export-button" data-ga-category="save_share" data-ga-action="cite" data-ga-label="download" title="Download a file for external citation management software" tabindex="3"> <svg class="usa-icon width-3 height-3" aria-hidden="true" focusable="false" role="img"> <use xlink:href="/static/img/sprite.svg#file_download"></use> </svg> <span class="display-none mobile-lg:display-inline">Download .nbib</span> <span class="display-inline mobile-lg:display-none">.nbib</span> </a> </li> <li> <div class="display-inline-flex flex-align-center"> <label class="usa-label margin-top-0">Format:</label> <select aria-label="Format" class="usa-select citation-style-selector padding-1 margin-top-0 border-0 padding-right-4" tabindex="4" > <option data-style-url-name="ama" value="AMA" > AMA </option> <option data-style-url-name="apa" value="APA" > APA </option> <option data-style-url-name="mla" value="MLA" > MLA </option> <option data-style-url-name="nlm" value="NLM" selected="selected"> NLM </option> </select> </div> </li> </ul> </div> </div> </div> <div class="overlay" role="dialog" hidden> <div id="collections-action-dialog" class="dialog collections-dialog" aria-hidden="true"> <div class="display-inline-flex flex-align-center flex-justify width-full margin-bottom-2"> <h2 class="usa-modal__heading margin-0">Add to Collections</h2> </div> <div class="collections-action-panel action-panel"> <form id="collections-action-dialog-form" class="usa-form maxw-full collections-action-panel-form action-panel-content action-form action-panel-smaller-selectors" data-existing-collections-url="/list-existing-collections/" data-add-to-existing-collection-url="/add-to-existing-collection/" data-create-and-add-to-new-collection-url="/create-and-add-to-new-collection/" data-myncbi-max-collection-name-length="100" data-collections-root-url="https://www.ncbi.nlm.nih.gov/myncbi/collections/"> <input type="hidden" name="csrfmiddlewaretoken" value="NZQ37ZFsIo9q5kyeaTf9aLOwqrSR1HqH5Wdo624rr453DI2PU57ipFQ1Fb1em5R2"> <fieldset class="usa-fieldset margin-bottom-2"> <div class="usa-radio"> <input type="radio" id="collections-action-dialog-new" class="usa-radio__input usa-radio__input--tile collections-new margin-top-0" name="collections" value="new" data-ga-category="collections_button" data-ga-action="click" data-ga-label="collections_radio_new" /> <label class="usa-radio__label" for="collections-action-dialog-new">Create a new collection</label> </div> <div class="usa-radio"> <input type="radio" id="collections-action-dialog-existing" class="usa-radio__input usa-radio__input--tile collections-existing" name="collections" value="existing" checked="true" data-ga-category="collections_button" data-ga-action="click" data-ga-label="collections_radio_existing" /> <label class="usa-radio__label" for="collections-action-dialog-existing">Add to an existing collection</label> </div> </fieldset> <fieldset class="usa-fieldset margin-bottom-2"> <div class="action-panel-control-wrap new-collections-controls"> <label for="collections-action-dialog-add-to-new" class="usa-label margin-top-0"> Name your collection <abbr title="required" class="usa-hint usa-hint--required text-no-underline">*</abbr> </label> <input type="text" name="add-to-new-collection" id="collections-action-dialog-add-to-new" class="usa-input collections-action-add-to-new" pattern="[^&quot;&amp;=&lt;&gt;/]*" title="The following characters are not allowed in the Name field: &quot;&amp;=&lt;&gt;/" maxlength="" data-ga-category="collections_button" data-ga-action="create_collection" data-ga-label="non_favorties_collection" required /> </div> <div class="action-panel-control-wrap existing-collections-controls"> <label for="collections-action-dialog-add-to-existing" class="usa-label margin-top-0"> Choose a collection </label> <select id="collections-action-dialog-add-to-existing" class="usa-select collections-action-add-to-existing" data-ga-category="collections_button" data-ga-action="select_collection" data-ga-label="($('.collections-action-add-to-existing').val() === 'Favorites') ? 'Favorites' : 'non_favorites_collection'"> </select> <div class="collections-retry-load-on-error usa-input-error-message selection-validation-message"> Unable to load your collection due to an error<br> <a href="#">Please try again</a> </div> </div> </fieldset> <div class="display-inline-flex"> <button class="usa-button margin-top-0 action-panel-submit" type="submit" data-loading-label="Adding..." data-pinger-ignore data-ga-category="collections_button" data-ga-action="click" data-ga-label="add"> Add </button> <button class="usa-button usa-button--outline margin-top-0 action-panel-cancel" aria-label="Close 'Add to Collections' panel" ref="linksrc=close_collections_panel" data-ga-category="collections_button" data-ga-action="click" data-ga-label="cancel"> Cancel </button> </div> </form> </div> </div> </div> </div> </div> </div> <footer class="ncbi-footer ncbi-dark-background " > <div class="ncbi-footer__icon-section"> <div class="ncbi-footer__social-header"> Follow NCBI </div> <div class="grid-container ncbi-footer__ncbi-social-icons-container"> <a href="https://twitter.com/ncbi" class="ncbi-footer__social-icon ncbi-footer__social-icon--gray" target="_blank" rel="noreferrer noopener"> <svg width="40" height="40" viewBox="0 0 40 40" fill="none" xmlns="http://www.w3.org/2000/svg" focusable="false" aria-hidden="true"> <path d="m6.067 8 10.81 13.9L6 33.2h4.2l8.4-9.1 7.068 9.1H34L22.8 18.5 31.9 8h-3.5l-7.7 8.4L14.401 8H6.067Zm3.6 1.734h3.266l16.8 21.732H26.57L9.668 9.734Z"> </path> </svg> <span class="usa-sr-only">NCBI on X (formerly known as Twitter)</span> </a> <a href="https://www.facebook.com/ncbi.nlm" class="ncbi-footer__social-icon ncbi-footer__social-icon--gray" target="_blank" rel="noreferrer noopener"> <svg width="16" height="29" focusable="false" aria-hidden="true" viewBox="0 0 16 29" fill="none" xmlns="http://www.w3.org/2000/svg"> <path d="M3.8809 21.4002C3.8809 19.0932 3.8809 16.7876 3.8809 14.478C3.8809 14.2117 3.80103 14.1452 3.54278 14.1492C2.53372 14.1638 1.52334 14.1492 0.514288 14.1598C0.302626 14.1598 0.248047 14.0972 0.248047 13.8936C0.256034 12.4585 0.256034 11.0239 0.248047 9.58978C0.248047 9.37013 0.302626 9.30224 0.528931 9.3049C1.53798 9.31688 2.54837 9.3049 3.55742 9.31555C3.80103 9.31555 3.8809 9.26097 3.87957 9.00272C3.87158 8.00565 3.85428 7.00592 3.90753 6.00884C3.97142 4.83339 4.31487 3.73115 5.04437 2.78467C5.93095 1.63318 7.15699 1.09005 8.56141 0.967577C10.5582 0.79319 12.555 0.982221 14.5518 0.927641C14.7102 0.927641 14.7462 0.99287 14.7449 1.13664C14.7449 2.581 14.7449 4.02668 14.7449 5.47104C14.7449 5.67604 14.6517 5.68669 14.4946 5.68669C13.4523 5.68669 12.4113 5.68669 11.3703 5.68669C10.3506 5.68669 9.92057 6.10868 9.90593 7.13904C9.89661 7.7647 9.91525 8.39303 9.89794 9.01869C9.88995 9.26364 9.96583 9.31822 10.2015 9.31688C11.7204 9.30623 13.2393 9.31688 14.7595 9.3049C15.0257 9.3049 15.0723 9.3728 15.0444 9.62439C14.89 10.9849 14.7515 12.3467 14.6144 13.7085C14.5691 14.1571 14.5785 14.1585 14.1458 14.1585C12.8386 14.1585 11.5313 14.1665 10.2254 14.1518C9.95119 14.1518 9.89794 14.2317 9.89794 14.4899C9.90593 19.0799 9.89794 23.6752 9.91125 28.2612C9.91125 28.5674 9.8407 28.646 9.53186 28.6433C7.77866 28.6273 6.02414 28.6366 4.27094 28.634C3.82499 28.634 3.87158 28.6992 3.87158 28.22C3.87602 25.9472 3.87913 23.6739 3.8809 21.4002Z"> </path> </svg> <span class="usa-sr-only">NCBI on Facebook</span> </a> <a href="https://www.linkedin.com/company/ncbinlm" class="ncbi-footer__social-icon ncbi-footer__social-icon--gray" target="_blank" rel="noreferrer noopener"> <svg width="25" height="23" viewBox="0 0 26 24" fill="none" xmlns="http://www.w3.org/2000/svg" focusable="false" aria-hidden="true"> <path d="M14.6983 9.98423C15.6302 9.24808 16.5926 8.74754 17.6762 8.51991C19.673 8.09126 21.554 8.30824 23.1262 9.7526C24.2351 10.7723 24.7529 12.1115 25.0165 13.5612C25.1486 14.3363 25.2105 15.1218 25.2015 15.9081C25.2015 18.3043 25.2015 20.6898 25.2082 23.0806C25.2082 23.3468 25.1549 23.444 24.8621 23.4414C23.1297 23.4272 21.3992 23.4272 19.6704 23.4414C19.4041 23.4414 19.3429 23.3588 19.3442 23.1019C19.3535 20.5194 19.3442 17.9368 19.3442 15.3543C19.3442 14.0005 18.3258 12.9448 17.0266 12.9488C15.7273 12.9528 14.6983 14.0071 14.6983 15.361C14.6983 17.9328 14.6917 20.5047 14.6983 23.0753C14.6983 23.3708 14.6198 23.444 14.3296 23.4427C12.6185 23.4294 10.9079 23.4294 9.19779 23.4427C8.93155 23.4427 8.86099 23.3735 8.86232 23.1086C8.8783 19.7619 8.88628 16.4144 8.88628 13.066C8.88628 11.5688 8.87874 10.0708 8.86365 8.57182C8.86365 8.3575 8.90758 8.27896 9.14054 8.28029C10.9048 8.29094 12.6687 8.29094 14.4321 8.28029C14.6464 8.28029 14.6983 8.34818 14.6983 8.54653C14.6903 9.00047 14.6983 9.45441 14.6983 9.98423Z"> </path> <path d="M6.55316 15.8443C6.55316 18.2564 6.55316 20.6699 6.55316 23.082C6.55316 23.3629 6.48127 23.4388 6.19906 23.4374C4.47737 23.4241 2.75568 23.4241 1.03399 23.4374C0.767751 23.4374 0.69986 23.3629 0.701191 23.1006C0.709178 18.2648 0.709178 13.4281 0.701191 8.59053C0.701191 8.34026 0.765089 8.27237 1.01669 8.2737C2.74991 8.28435 4.48048 8.28435 6.20838 8.2737C6.47462 8.2737 6.5465 8.33627 6.54517 8.6065C6.54783 11.0186 6.55316 13.4308 6.55316 15.8443Z"> </path> <path d="M3.65878 0.243898C5.36804 0.243898 6.58743 1.45529 6.58743 3.1406C6.58743 4.75801 5.32145 5.95742 3.60819 5.96807C3.22177 5.97614 2.83768 5.90639 2.47877 5.76299C2.11985 5.61959 1.79344 5.40546 1.51897 5.13334C1.24449 4.86123 1.02755 4.53668 0.881058 4.17902C0.734563 3.82136 0.661505 3.43788 0.666231 3.05141C0.67555 1.42601 1.9362 0.242566 3.65878 0.243898Z"> </path> </svg> <span class="usa-sr-only">NCBI on LinkedIn</span> </a> <a href="https://github.com/ncbi" class="ncbi-footer__social-icon ncbi-footer__social-icon--gray" target="_blank" rel="noreferrer noopener"> <svg width="28" height="27" viewBox="0 0 28 28" fill="none" xmlns="http://www.w3.org/2000/svg" focusable="false" aria-hidden="true"> <path d="M16.7228 20.6334C17.5057 20.5527 18.2786 20.3944 19.0301 20.1608C21.3108 19.4193 22.5822 17.8259 22.963 15.4909C23.1228 14.5112 23.1814 13.5287 22.9883 12.5437C22.8106 11.6423 22.4013 10.8028 21.8007 10.1076C21.7526 10.0605 21.7197 10 21.7064 9.934C21.6931 9.86799 21.7 9.79952 21.7262 9.73748C22.0856 8.6206 21.9711 7.51969 21.601 6.42677C21.582 6.3497 21.5345 6.2827 21.468 6.23923C21.4016 6.19577 21.3211 6.17906 21.2429 6.19248C20.7329 6.21649 20.2313 6.33051 19.7611 6.52928C19.1103 6.7908 18.4899 7.12198 17.9104 7.51703C17.84 7.56996 17.7581 7.60551 17.6713 7.62078C17.5846 7.63605 17.4954 7.6306 17.4112 7.60489C15.2596 7.05882 13.0054 7.06203 10.8554 7.61421C10.7806 7.63586 10.7018 7.63967 10.6253 7.62534C10.5487 7.611 10.4766 7.57892 10.4148 7.53167C9.64788 7.03247 8.85171 6.58918 7.96368 6.33359C7.65781 6.24338 7.34123 6.19458 7.02239 6.18849C6.94879 6.17986 6.87462 6.19893 6.81432 6.242C6.75402 6.28507 6.71191 6.34904 6.69621 6.42145C6.32342 7.51437 6.2209 8.61527 6.56307 9.73348C6.59635 9.84264 6.64694 9.93316 6.54177 10.0516C5.47666 11.2604 5.09988 12.6834 5.19574 14.2676C5.2663 15.4244 5.46201 16.5466 6.01454 17.5769C6.84399 19.1171 8.21664 19.9119 9.85158 20.3352C10.3938 20.4706 10.9444 20.5698 11.4998 20.632C11.5384 20.7492 11.4506 20.7798 11.408 20.8291C11.1734 21.1179 10.9894 21.4441 10.8634 21.7942C10.7622 22.0458 10.8315 22.4039 10.6065 22.5516C10.263 22.7766 9.83827 22.8485 9.42421 22.8871C8.17936 23.0056 7.26471 22.4877 6.6283 21.4348C6.25552 20.8184 5.76956 20.3325 5.08523 20.0663C4.76981 19.9325 4.42139 19.8967 4.08537 19.9638C3.7898 20.029 3.73788 20.1901 3.93891 20.4111C4.03639 20.5234 4.14989 20.6207 4.27575 20.6999C4.9796 21.1318 5.51717 21.7884 5.80152 22.5636C6.37002 23.9973 7.48039 24.5697 8.93825 24.6323C9.43741 24.6575 9.93768 24.615 10.4254 24.5058C10.5892 24.4672 10.6531 24.4872 10.6517 24.6762C10.6451 25.4936 10.6637 26.3123 10.6517 27.131C10.6517 27.6635 10.1684 27.9297 9.58663 27.7393C8.17396 27.2671 6.84977 26.5631 5.66838 25.656C2.59555 23.2891 0.720966 20.1861 0.217704 16.3376C-0.357453 11.9127 0.911353 8.00824 3.98551 4.73881C6.11909 2.42656 8.99932 0.939975 12.1203 0.540191C16.5351 -0.0601815 20.4347 1.14323 23.7232 4.16373C26.2449 6.47869 27.724 9.37672 28.1048 12.7726C28.5828 17.0325 27.3686 20.7945 24.4768 23.9827C22.9762 25.6323 21.0956 26.8908 18.9982 27.6488C18.8783 27.6927 18.7585 27.738 18.636 27.7726C18.0356 27.9404 17.6189 27.6395 17.6189 27.0098C17.6189 25.7452 17.6308 24.4806 17.6295 23.2159C17.6329 22.9506 17.6128 22.6856 17.5696 22.4238C17.4325 21.6664 17.3419 21.484 16.7228 20.6334Z"> </path> </svg> <span class="usa-sr-only">NCBI on GitHub</span> </a> <a href="https://ncbiinsights.ncbi.nlm.nih.gov/" class="ncbi-footer__social-icon ncbi-footer__social-icon--gray" target="_blank" rel="noreferrer noopener"> <svg width="26" height="26" viewBox="0 0 27 27" fill="none" xmlns="http://www.w3.org/2000/svg" focusable="false" aria-hidden="true"> <path d="M23.7778 26.4574C23.1354 26.3913 22.0856 26.8024 21.636 26.3087C21.212 25.8444 21.4359 24.8111 21.324 24.0347C19.9933 14.8323 14.8727 8.80132 6.09057 5.85008C4.37689 5.28406 2.58381 4.99533 0.779072 4.99481C0.202773 4.99481 -0.0229751 4.83146 0.00455514 4.21479C0.0660406 3.08627 0.0660406 1.95525 0.00455514 0.826734C-0.0413285 0.0815827 0.259669 -0.0193618 0.896534 0.00266238C6.96236 0.222904 12.3693 2.24179 16.9889 6.16209C22.9794 11.2478 26.1271 17.7688 26.4372 25.648C26.4629 26.294 26.3179 26.5271 25.6609 26.4684C25.0827 26.417 24.4991 26.4574 23.7778 26.4574Z"> </path> <path d="M14.8265 26.441C14.0924 26.441 13.2371 26.6795 12.6626 26.3786C12.0092 26.0372 12.3781 25.0644 12.246 24.378C11.1154 18.5324 6.6849 14.5497 0.74755 14.1001C0.217135 14.0615 -0.0104482 13.9422 0.0134113 13.3659C0.0519536 12.1454 0.0482829 10.9213 0.0134113 9.69524C-0.00127145 9.14464 0.196946 9.03268 0.703502 9.04736C9.21217 9.27128 16.5994 16.2511 17.2804 24.7231C17.418 26.4446 17.418 26.4446 15.6579 26.4446H14.832L14.8265 26.441Z"> </path> <path d="M3.58928 26.4555C2.64447 26.4618 1.73584 26.0925 1.06329 25.4289C0.39073 24.7653 0.00933763 23.8617 0.0030097 22.9169C-0.00331824 21.9721 0.365937 21.0635 1.02954 20.3909C1.69315 19.7184 2.59675 19.337 3.54156 19.3306C4.48637 19.3243 5.39499 19.6936 6.06755 20.3572C6.7401 21.0208 7.1215 21.9244 7.12782 22.8692C7.13415 23.814 6.7649 24.7226 6.10129 25.3952C5.43768 26.0677 4.53409 26.4491 3.58928 26.4555Z"> </path> </svg> <span class="usa-sr-only">NCBI RSS feed</span> </a> </div> </div> <div data-testid="gridContainer" class="grid-container ncbi-footer__container"> <div class="grid-row ncbi-footer__main-content-container" data-testid="grid"> <div class="ncbi-footer__column"> <p class="ncbi-footer__circled-icons-heading"> Connect with NLM </p> <div class="ncbi-footer__circled-icons-list"> <a href=https://twitter.com/nlm_nih class="ncbi-footer__social-icon ncbi-footer__social-icon--circled" target="_blank" rel="noreferrer noopener"> <svg width="32" height="32" viewBox="0 0 40 40" fill="none" xmlns="http://www.w3.org/2000/svg" focusable="false" aria-hidden="true"> <path d="m6.067 8 10.81 13.9L6 33.2h4.2l8.4-9.1 7.068 9.1H34L22.8 18.5 31.9 8h-3.5l-7.7 8.4L14.401 8H6.067Zm3.6 1.734h3.266l16.8 21.732H26.57L9.668 9.734Z"> </path> </svg> <span class="usa-sr-only">NLM on X (formerly known as Twitter)</span> </a> <a href=https://www.facebook.com/nationallibraryofmedicine class="ncbi-footer__social-icon ncbi-footer__social-icon--circled" target="_blank" rel="noreferrer noopener"> <svg width="13" height="24" viewBox="0 0 13 24" fill="none" xmlns="http://www.w3.org/2000/svg" focusable="false" aria-hidden="true"> <path d="M4.11371 23.1369C4.11371 23.082 4.11371 23.0294 4.11371 22.9745V12.9411H0.817305C0.6709 12.9411 0.670898 12.9411 0.670898 12.8016C0.670898 11.564 0.670898 10.3287 0.670898 9.09341C0.670898 8.97903 0.705213 8.95158 0.815017 8.95158C1.8673 8.95158 2.91959 8.95158 3.97417 8.95158H4.12057V8.83263C4.12057 7.8055 4.12057 6.7738 4.12057 5.74897C4.1264 4.92595 4.31387 4.11437 4.66959 3.37217C5.12916 2.38246 5.94651 1.60353 6.95717 1.1921C7.64827 0.905008 8.3913 0.764035 9.13953 0.778051C10.0019 0.791777 10.8644 0.830666 11.7268 0.860404C11.8869 0.860404 12.047 0.894717 12.2072 0.90158C12.2964 0.90158 12.3261 0.940469 12.3261 1.02968C12.3261 1.5421 12.3261 2.05452 12.3261 2.56465C12.3261 3.16857 12.3261 3.7725 12.3261 4.37642C12.3261 4.48165 12.2964 4.51367 12.1912 4.51138C11.5369 4.51138 10.8804 4.51138 10.2261 4.51138C9.92772 4.51814 9.63058 4.5526 9.33855 4.61433C9.08125 4.6617 8.84537 4.78881 8.66431 4.97766C8.48326 5.16652 8.3662 5.40755 8.32972 5.66661C8.28476 5.89271 8.26027 6.1224 8.25652 6.35289C8.25652 7.19014 8.25652 8.02969 8.25652 8.86923C8.25652 8.89439 8.25652 8.91955 8.25652 8.95615H12.0219C12.1797 8.95615 12.182 8.95616 12.1614 9.10714C12.0768 9.76596 11.9876 10.4248 11.9029 11.0813C11.8312 11.6319 11.7626 12.1824 11.697 12.733C11.6719 12.9434 11.6787 12.9434 11.4683 12.9434H8.26338V22.899C8.26338 22.979 8.26338 23.0591 8.26338 23.1392L4.11371 23.1369Z"> </path> </svg> <span class="usa-sr-only">NLM on Facebook</span> </a> <a href=https://www.youtube.com/user/NLMNIH class="ncbi-footer__social-icon ncbi-footer__social-icon--circled" target="_blank" rel="noreferrer noopener"> <svg width="21" height="15" viewBox="0 0 21 15" fill="none" xmlns="http://www.w3.org/2000/svg" focusable="false" aria-hidden="true"> <path d="M19.2561 1.47914C18.9016 1.15888 18.5699 0.957569 17.2271 0.834039C15.5503 0.678484 13.2787 0.655608 11.563 0.65332H9.43556C7.71987 0.65332 5.4483 0.678484 3.77151 0.834039C2.43098 0.957569 2.097 1.15888 1.74242 1.47914C0.813665 2.32097 0.619221 4.62685 0.598633 6.89384C0.598633 7.31781 0.598633 7.74101 0.598633 8.16345C0.626084 10.4121 0.827391 12.686 1.74242 13.521C2.097 13.8412 2.4287 14.0425 3.77151 14.1661C5.4483 14.3216 7.71987 14.3445 9.43556 14.3468H11.563C13.2787 14.3468 15.5503 14.3216 17.2271 14.1661C18.5676 14.0425 18.9016 13.8412 19.2561 13.521C20.1712 12.6929 20.3725 10.451 20.3999 8.22064C20.3999 7.74025 20.3999 7.25986 20.3999 6.77946C20.3725 4.54907 20.1689 2.30724 19.2561 1.47914ZM8.55942 10.5311V4.65201L13.5601 7.50005L8.55942 10.5311Z" fill="white" /> </svg> <span class="usa-sr-only">NLM on YouTube</span> </a> </div> </div> <address class="ncbi-footer__address ncbi-footer__column"> <p> <a class="usa-link usa-link--external" href="https://www.google.com/maps/place/8600+Rockville+Pike,+Bethesda,+MD+20894/%4038.9959508, -77.101021,17z/data%3D!3m1!4b1!4m5!3m4!1s0x89b7c95e25765ddb%3A0x19156f88b27635b8!8m2!3d38.9959508! 4d-77.0988323" rel="noopener noreferrer" target="_blank">National Library of Medicine <br/> 8600 Rockville Pike<br/> Bethesda, MD 20894</a> </p> </address> <ul class="usa-list usa-list--unstyled ncbi-footer__vertical-list ncbi-footer__column"> <li class="ncbi-footer__vertical-list-item"> <a href="https://www.nlm.nih.gov/web_policies.html" class="usa-link usa-link--alt ncbi-footer__link" > Web Policies </a> </li> <li class="ncbi-footer__vertical-list-item"> <a href="https://www.nih.gov/institutes-nih/nih-office-director/office-communications-public-liaison/freedom-information-act-office" class="usa-link usa-link--alt ncbi-footer__link" > FOIA </a> </li> <li class="ncbi-footer__vertical-list-item"> <a href="https://www.hhs.gov/vulnerability-disclosure-policy/index.html" class="usa-link usa-link--external usa-link--alt ncbi-footer__link" rel="noreferrer noopener" target='_blank' > HHS Vulnerability Disclosure </a> </li> </ul> <ul class="usa-list usa-list--unstyled ncbi-footer__vertical-list ncbi-footer__column"> <li class="ncbi-footer__vertical-list-item"> <a href="https://support.nlm.nih.gov/" class="usa-link usa-link--alt ncbi-footer__link" > Help </a> </li> <li class="ncbi-footer__vertical-list-item"> <a href="https://www.nlm.nih.gov/accessibility.html" class="usa-link usa-link--alt ncbi-footer__link" > Accessibility </a> </li> <li class="ncbi-footer__vertical-list-item"> <a href="https://www.nlm.nih.gov/careers/careers.html" class="usa-link usa-link--alt ncbi-footer__link" > Careers </a> </li> </ul> </div> <div class="grid-row grid-col-12" data-testid="grid"> <ul class="ncbi-footer__bottom-links-list"> <li class="ncbi-footer__bottom-list-item"> <a href="https://www.nlm.nih.gov/" class="usa-link usa-link--alt ncbi-footer__link" > NLM </a> </li> <li class="ncbi-footer__bottom-list-item"> <a href="https://www.nih.gov/" class="usa-link usa-link--alt ncbi-footer__link" > NIH </a> </li> <li class="ncbi-footer__bottom-list-item"> <a href="https://www.hhs.gov/" class="usa-link usa-link--external usa-link--alt ncbi-footer__link" rel="noreferrer noopener" target='_blank' > HHS </a> </li> <li class="ncbi-footer__bottom-list-item"> <a href="https://www.usa.gov/" class="usa-link usa-link--external usa-link--alt ncbi-footer__link" rel="noreferrer noopener" target='_blank' > USA.gov </a> </li> </ul> </div> </div> </footer> <script type="text/javascript" src="https://cdn.ncbi.nlm.nih.gov/core/pinger/pinger.js"> </script> <button class="back-to-top" data-ga-category="pagination" data-ga-action="back_to_top"> <label>Back to Top</label> <svg class="usa-icon order-0" aria-hidden="true" focusable="false" role="img"> <use xlink:href="/static/img/sprite.svg#arrow_upward"></use> </svg> </button> <script type="application/javascript"> window.ncbi = window.ncbi || {}; window.ncbi.pmc = window.ncbi.pmc || {}; window.ncbi.pmc.options = { logLevel: 'INFO', staticEndpoint: '/static/', citeCookieName: 'pmc-cf', }; </script> <script type="module" crossorigin="" src="/static/assets/base-6f05ef93.js"></script> <script type="text/javascript" src="https://cdn.ncbi.nlm.nih.gov/core/jquery/jquery-3.6.0.min.js">&#xA0;</script> <script type="text/javascript"> jQuery.getScript("https://cdn.ncbi.nlm.nih.gov/core/alerts/alerts.js", function () { galert(['div.nav_and_browser', 'div.header', '#universal_header', '.usa-banner', 'body > *:nth-child(1)']) }); </script> <script type="text/javascript">var exports = {};</script> <script src="/static/CACHE/js/output.13b077bc3ffd.js"></script> <script type="module" crossorigin="" src="/static/assets/article-69f9d1ae.js"></script> </body> </html>

Pages: 1 2 3 4 5 6 7 8 9 10