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Abstract #26: Transcranial, closed-loop termination of temporal lobe seizures: Intersectional Short-Pulse (ISP) stimulation [Meeting Abstract]

Kispal, A; Kozak, G; Voroslakos, M; Nagy, A J; Gyurkovics, T; Buzsaki, G; Berenyi, A
Transcutaneous electric stimulation (TES) using weak currents has been used extensively in attempts to influence brain activity. In vitro and in vivo experiments in rodents and computational modeling suggest that the magnitude of voltage gradient of the induced electric field should exceed 1 mV/mm to instantaneously and reproducibly alter neuronal spiking and consequent brain network patterns. Evidence for immediate and unconditional neuronal effects of TES in the human brain is still lacking, mainly due to the saturation of the recording amplifiers by the large induced electromagnetic fields. For many therapeutic applications, it is desirable to affect neurons in a regionally constrained manner to reach maximum on-target effects and reduce side effects on unintended brain networks. Here, we determine the needed TES currents in human cadavers to achieve 1 mV/mm fields. Scalp stimulation greatly reduced the generated intracerebral electric fields (>50% in cadavers) and these measurements predicted that ~5 mA is needed to achieve 1mV/mm electric field gradient via scalp stimulation. To reach the desired intracerebral field strength without the adverse peripheral effects of >5 mA currents, we introduce a spatially focused multiple site, Intersectional Short-Pulse (ISP) stimulation. We demonstrate the instantaneous entraining effect of ISP on alpha waves in human subjects and on neuronal spiking in rats. Immediate effects of TES can be best utilized in disorders with sudden, major electrographic changes such as epileptic seizures. We showed earlier that thalamocortical seizures can be quickly terminated by temporally targeted, diffuse transcranial stimulation, however secondarily generalized temporal lobe seizures are more resistant to these diffuse interference interventions. ISP also has the capacity to spatially focus its effect, thus it is capable to overcome the unwanted mirror effect (anodal vs cathodal) of the traditional TES protocols. We report here a novel stimulation pattern, that can simultaneously entrain both hippocampi. To evaluate its utility, temporal lobe seizures were induced in rats by electrical kindling, and each electrically kindled seizures were automatically detected and silenced by a closed loop ISP stimulation. By comparing to closed-loop diffuse TES, we found that ISP with bilateral foci is more effective in early seizure termination. Lastly, we introduce our prototyping efforts to implement an implantable, minimal-invasive, transcranial closed-loop seizure termination device, aiming for human clinical applications.
EMBASE:2001481933
ISSN: 1876-4754
CID: 3634892

Proximodistal Organization of the CA2 Hippocampal Area

Fernandez-Lamo, Ivan; Gomez-Dominguez, Daniel; Sanchez-Aguilera, Alberto; Oliva, Azahara; Morales, Aixa Victoria; Valero, Manuel; Cid, Elena; Berenyi, Antal; Menendez de la Prida, Liset
The proximodistal axis is considered a major organizational principle of the hippocampus. At the interface between the hippocampus and other brain structures, CA2 apparently breaks this rule. The region is involved in social, temporal, and contextual memory function, but mechanisms remain elusive. Here, we reveal cell-type heterogeneity and a characteristic expression gradient of the transcription factor Sox5 within CA2 in the rat. Using intracellular and extracellular recordings followed by neurochemical identification of single cells, we find marked proximodistal trends of synaptic activity, subthreshold membrane potentials, and phase-locked firing coupled to theta and gamma oscillations. Phase-shifting membrane potentials and opposite proximodistal correlations with theta sinks and sources at different layers support influences from different current generators. CA2 oscillatory activity and place coding of rats running in a linear maze reflect proximodistal state-dependent trends. We suggest that the structure and function of CA2 are distributed along the proximodistal hippocampal axis.
PMID: 30759386
ISSN: 2211-1247
CID: 3684962

Immediate neurophysiological effects of transcranial electrical stimulation

Liu, Anli; Voroslakos, Mihaly; Kronberg, Greg; Henin, Simon; Krause, Matthew R; Huang, Yu; Opitz, Alexander; Mehta, Ashesh; Pack, Christopher C; Krekelberg, Bart; Berenyi, Antal; Parra, Lucas C; Melloni, Lucia; Devinsky, Orrin; Buzsaki, Gyorgy
Noninvasive brain stimulation techniques are used in experimental and clinical fields for their potential effects on brain network dynamics and behavior. Transcranial electrical stimulation (TES), including transcranial direct current stimulation (tDCS) and transcranial alternating current stimulation (tACS), has gained popularity because of its convenience and potential as a chronic therapy. However, a mechanistic understanding of TES has lagged behind its widespread adoption. Here, we review data and modelling on the immediate neurophysiological effects of TES in vitro as well as in vivo in both humans and other animals. While it remains unclear how typical TES protocols affect neural activity, we propose that validated models of current flow should inform study design and artifacts should be carefully excluded during signal recording and analysis. Potential indirect effects of TES (e.g., peripheral stimulation) should be investigated in more detail and further explored in experimental designs. We also consider how novel technologies may stimulate the next generation of TES experiments and devices, thus enhancing validity, specificity, and reproducibility.
PMID: 30504921
ISSN: 2041-1723
CID: 3609212

Coding of self-motion-induced and self-independent visual motion in the rat dorsomedial striatum

Nagy, Anett J; Takeuchi, Yuichi; Berényi, Antal
Evolutionary development of vision has provided us with the capacity to detect moving objects. Concordant shifts of visual features suggest movements of the observer, whereas discordant changes are more likely to be indicating independently moving objects, such as predators or prey. Such distinction helps us to focus attention, adapt our behavior, and adjust our motor patterns to meet behavioral challenges. However, the neural basis of distinguishing self-induced and self-independent visual motions is not clarified in unrestrained animals yet. In this study, we investigated the presence and origin of motion-related visual information in the striatum of rats, a hub of action selection and procedural memory. We found that while almost half of the neurons in the dorsomedial striatum are sensitive to visual motion congruent with locomotion (and that many of them also code for spatial location), only a small subset of them are composed of fast-firing interneurons that could also perceive self-independent visual stimuli. These latter cells receive their visual input at least partially from the secondary visual cortex (V2). This differential visual sensitivity may be an important support in adjusting behavior to salient environmental events. It emphasizes the importance of investigating visual motion perception in unrestrained animals.
PMCID:6034886
PMID: 29939998
ISSN: 1545-7885
CID: 3225832

Chronic Transcranial Electrical Stimulation and Intracortical Recording in Rats

Kozák, Gábor; Földi, Tamás; Berényi, Antal
Transcranial electrical stimulation (TES) is a powerful and relatively simple approach to diffusely influence brain activity either randomly or in a closed-loop event-triggered manner. Although many studies are focusing on the possible benefits and side-effects of TES in healthy and pathologic brains, there are still many fundamental open questions regarding the mechanism of action of the stimulation. Therefore, there is a clear need for a robust and reproducible method to test the acute and the chronic effects of TES in rodents. TES can be combined with regular behavioral, electrophysiological, and imaging techniques to investigate neuronal networks in vivo. The implantation of transcranial stimulation electrodes does not impose extra constraints on the experimental design while it offers a versatile, flexible tool to manipulate brain activity. Here we provide a detailed, step-by-step protocol to fabricate and implant transcranial stimulation electrodes to influence brain activity in a temporally constrained manner for months.
PMCID:6101175
PMID: 29806839
ISSN: 1940-087x
CID: 4336282

Entorhinal-CA3 Dual-Input Control of Spike Timing in the Hippocampus by Theta-Gamma Coupling

Fernandez-Ruiz, Antonio; Oliva, Azahara; Nagy, Gergo A; Maurer, Andrew P; Berenyi, Antal; Buzsaki, Gyorgy
Theta-gamma phase coupling and spike timing within theta oscillations are prominent features of the hippocampus and are often related to navigation and memory. However, the mechanisms that give rise to these relationships are not well understood. Using high spatial resolution electrophysiology, we investigated the influence of CA3 and entorhinal inputs on the timing of CA1 neurons. The theta-phase preference and excitatory strength of the afferent CA3 and entorhinal inputs effectively timed the principal neuron activity, as well as regulated distinct CA1 interneuron populations in multiple tasks and behavioral states. Feedback potentiation of distal dendritic inhibition by CA1 place cells attenuated the excitatory entorhinal input at place field entry, coupled with feedback depression of proximal dendritic and perisomatic inhibition, allowing the CA3 input to gain control toward the exit. Thus, upstream inputs interact with local mechanisms to determine theta-phase timing of hippocampal neurons to support memory and spatial navigation.
PMCID:5373668
PMID: 28279355
ISSN: 1097-4199
CID: 2491962

Spatial coding and physiological properties of hippocampal neurons in the Cornu Ammonis subregions

Oliva, Azahara; Fernandez-Ruiz, Antonio; Buzsaki, Gyorgy; Berenyi, Antal
It is well-established that the feed-forward connected main hippocampal areas, CA3, CA2, and CA1 work cooperatively during spatial navigation and memory. These areas are similar in terms of the prevalent types of neurons; however, they display different spatial coding and oscillatory dynamics. Understanding the temporal dynamics of these operations requires simultaneous recordings from these regions. However, simultaneous recordings from multiple regions and subregions in behaving animals have become possible only recently. We performed large-scale silicon probe recordings simultaneously spanning across all layers of CA1, CA2, and CA3 regions in rats during spatial navigation and sleep and compared their behavior-dependent spiking, oscillatory dynamics and functional connectivity. The accuracy of place cell spatial coding increased progressively from distal to proximal CA1, suddenly dropped in CA2, and increased again from CA3a toward CA3c. These variations can be attributed in part to the different entorhinal inputs to each subregions, and the differences in theta modulation of CA1, CA2, and CA3 neurons. We also found that neurons in the subregions showed differences in theta modulation, phase precession, state-dependent changes in firing rates and functional connectivity among neurons of these regions. Our results indicate that a combination of intrinsic properties together with distinct intra- and extra-hippocampal inputs may account for the subregion-specific modulation of spiking dynamics and spatial tuning of neurons during behavior. (c) 2016 Wiley Periodicals, Inc.
PMID: 27650887
ISSN: 1098-1063
CID: 2367062

Neocortical gamma oscillations in idiopathic generalized epilepsy

Benedek, Krisztina; Berenyi, Antal; Gombkoto, Peter; Piilgaard, Henning; Lauritzen, Martin
OBJECTIVE: Absence seizures in patients with idiopathic generalized epilepsy (IGE) may in part be explained by a decrease in phasic GABAA (type-A gamma-aminobutyric acid) receptor function, but the mechanisms are only partly understood. Here we studied the relation between ictal and interictal spike-wave discharges (SWDs) and electroencephalography (EEG) gamma oscillatory activity (30-60 Hz) in patients with IGE. METHODS: EEG recordings were obtained of 14 children with IGE (mean age, 8.5 +/- 5 years) and 14 age- and sex-matched controls. Time-frequency analysis of each seizure and seizure-free control epochs was performed and cross-coherences of neocortical gamma oscillations were calculated to describe interictal and ictal characteristics of generalized seizures. RESULTS: SWDs were characterized with an abrupt increase of oscillatory activity of 3-4 and 13-60 Hz, peaking at 3-4 and 30-60 Hz, and with a simultaneous decrease in the 8-12 Hz frequency band. The rise in EEG gamma oscillations was short-lasting and decreased before activity declined at lower frequency ranges. Compared to control patients, patients with epilepsy also showed higher interictal values of mean coherence of gamma activity, but this interictal increase was not significant after post hoc analysis. SIGNIFICANCE: Our data support the hypothesis that gamma oscillatory activity increase concomitantly with rises in activity of lower EEG frequencies during absence seizures and that the activity starts to cease earlier than lower EEG frequencies. The data did not support a change in gamma activity preceding the 3-4 Hz SWDs. SWDs are hypothetically generated by the synchronous interaction between the thalamus and the cortex, whereas the production of gamma activity is the result of activity in local inhibitory networks. Thus, the modification of SWD by gamma activity may be understood in terms of the cellular and synaptic mechanisms involved.
PMID: 26996827
ISSN: 1528-1167
CID: 2051942

Tools for Probing Local Circuits: High-Density Silicon Probes Combined with Optogenetics

Buzsaki, Gyorgy; Stark, Eran; Berenyi, Antal; Khodagholy, Dion; Kipke, Daryl R; Yoon, Euisik; Wise, Kensall D
To understand how function arises from the interactions between neurons, it is necessary to use methods that allow the monitoring of brain activity at the single-neuron, single-spike level and the targeted manipulation of the diverse neuron types selectively in a closed-loop manner. Large-scale recordings of neuronal spiking combined with optogenetic perturbation of identified individual neurons has emerged as a suitable method for such tasks in behaving animals. To fully exploit the potential power of these methods, multiple steps of technical innovation are needed. We highlight the current state of the art in electrophysiological recording methods, combined with optogenetics, and discuss directions for progress. In addition, we point to areas where rapid development is in progress and discuss topics where near-term improvements are possible and needed.
PMCID:4392339
PMID: 25856489
ISSN: 1097-4199
CID: 1528692

Theta Phase Segregation of Input-Specific Gamma Patterns in Entorhinal-Hippocampal Networks

Schomburg, Erik W; Fernandez-Ruiz, Antonio; Mizuseki, Kenji; Berenyi, Antal; Anastassiou, Costas A; Koch, Christof; Buzsaki, Gyorgy
Precisely how rhythms support neuronal communication remains obscure. We investigated interregional coordination of gamma oscillations using high-density electrophysiological recordings in the rat hippocampus and entorhinal cortex. We found that 30-80 Hz gamma dominated CA1 local field potentials (LFPs) on the descending phase of CA1 theta waves during navigation, with 60-120 Hz gamma at the theta peak. These signals corresponded to CA3 and entorhinal input, respectively. Above 50 Hz, interregional phase-synchronization of principal cell spikes occurred mostly for LFPs in the axonal target domain. CA1 pyramidal cells were phase-locked mainly to fast gamma (>100 Hz) LFP patterns restricted to CA1, which were strongest at the theta trough. While theta phase coordination of spiking across entorhinal-hippocampal regions depended on memory demands, LFP gamma patterns below 100 Hz in the hippocampus were consistently layer specific and largely reflected afferent activity. Gamma synchronization as a mechanism for interregional communication thus rapidly loses efficacy at higher frequencies.
PMCID:4253689
PMID: 25263753
ISSN: 0896-6273
CID: 1259962