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eLife logoLink to eLife
. 2024 Jan 9;13:e85753. doi: 10.7554/eLife.85753

MTL neurons phase-lock to human hippocampal theta

Daniel R Schonhaut 1,, Aditya M Rao 2, Ashwin G Ramayya 3, Ethan A Solomon 4, Nora A Herweg 2, Itzhak Fried 5,6, Michael J Kahana 2,
Editors: Caleb Kemere7, Laura L Colgin8
PMCID: PMC10948143  PMID: 38193826

Abstract

Memory formation depends on neural activity across a network of regions, including the hippocampus and broader medial temporal lobe (MTL). Interactions between these regions have been studied indirectly using functional MRI, but the bases for interregional communication at a cellular level remain poorly understood. Here, we evaluate the hypothesis that oscillatory currents in the hippocampus synchronize the firing of neurons both within and outside the hippocampus. We recorded extracellular spikes from 1854 single- and multi-units simultaneously with hippocampal local field potentials (LFPs) in 28 neurosurgical patients who completed virtual navigation experiments. A majority of hippocampal neurons phase-locked to oscillations in the slow (2–4 Hz) or fast (6–10 Hz) theta bands, with a significant subset exhibiting nested slow theta × beta frequency (13–20 Hz) phase-locking. Outside of the hippocampus, phase-locking to hippocampal oscillations occurred only at theta frequencies and primarily among neurons in the entorhinal cortex and amygdala. Moreover, extrahippocampal neurons phase-locked to hippocampal theta even when theta did not appear locally. These results indicate that spike-time synchronization with hippocampal theta is a defining feature of neuronal activity in the hippocampus and structurally connected MTL regions. Theta phase-locking could mediate flexible communication with the hippocampus to influence the content and quality of memories.

Research organism: Human

Introduction

The hippocampus is the operational hub of a spatially distributed episodic memory system that enables us to remember past experiences in rich detail, together with the place and time at which they occurred (Eichenbaum, 2000; Moscovitch et al., 2016). To serve in this capacity, the hippocampus must maintain precise but flexible connections with the rest of the memory system. Understanding the mechanisms that govern connections among regions supporting episodic memory is a major concern of systems neuroscience, and could accelerate efforts to develop treatments for memory disorders and age-related memory decline.

A leading hypothesis is that theta (2–10 Hz) oscillations within the hippocampus facilitate interactions between the hippocampus and other brain regions (Buzsáki, 2010; Fell and Axmacher, 2011; Moscovitch et al., 2016). Hippocampal neurons are more receptive to synaptic excitation at specific theta phases (Kamondi et al., 1998), so well-timed inputs can more effectively drive activity than inputs at random phases (Fries, 2005). Long-term potentiation and long-term depression in the rodent hippocampus also depend on theta phase (Pavlides et al., 1988; Huerta and Lisman, 1995; Hyman et al., 2003), offering a possible link between the phase at which inputs arrive and the strength of their encoding. Experimental evidence for this hypothesis comes largely from studies in the rat medial prefrontal cortex (mPFC), a downstream target of hippocampal area CA1. mPFC neurons phase-lock to hippocampal theta during short-term memory tasks (Siapas et al., 2005; Hyman et al., 2005; Sirota et al., 2008), and stronger phase-locking predicts better performance (Jones and Wilson, 2005; Hyman et al., 2010; Benchenane et al., 2010; Fujisawa and Buzsáki, 2011) and greater information transfer between mPFC and hippocampal neurons (Ito et al., 2018; Padilla-Coreano et al., 2019). Phase-locking to hippocampal theta is also prevalent among cells in many other regions, including the entorhinal cortex (EC), amygdala, parietal cortex, thalamic nucleus reuniens, and some subcortical and brainstem nuclei (Kocsis and Vertes, 1992; Sirota et al., 2008; Fujisawa and Buzsáki, 2011; Bienvenu et al., 2012; Fernández-Ruiz et al., 2017; Ito et al., 2018). Theta phase-synchronization could thus be a general mechanism for relaying information between the hippocampus and a broad network of memory-related regions.

In humans, macroelectrode LFP recordings in epilepsy patients have revealed sporadically occurring theta oscillations in the hippocampus and cortex during spatial navigation and episodic memory engagement (Ekstrom et al., 2005; Watrous et al., 2011; Lega et al., 2012; Watrous et al., 2013a; Zhang and Jacobs, 2015; Vass et al., 2016; Aghajan et al., 2017; Stangl et al., 2021). Macroscale theta phase-synchronization within the MTL and PFC has consistently correlated with better memory performance (Babiloni et al., 2009; Watrous et al., 2013b; Solomon et al., 2017; Zheng et al., 2019; Kunz et al., 2019). Considerably less is known about how oscillations relate to neuronal firing in humans than in rodents. An early study in epilepsy patients found that a large percentage of MTL and neocortical neurons phase-locked to locally recorded theta oscillations (among other frequencies) as subjects navigated through a virtual environment (Jacobs et al., 2007), and another study found that MTL neurons phase-locked more strongly to locally recorded theta oscillations while subjects viewed images that they later recognized than those that they forgot (Rutishauser et al., 2010). These findings indicate that neural activity within the human episodic memory system is organized in part by a theta phase code. However, few studies in humans have examined interregional relations between spiking and LFP oscillation phase. A recent study found that increased coupling between spikes and distal theta oscillations in the MTL during an associative image encoding task predicted better subsequent recognition (Roux et al., 2022). Yet it remains unclear if distal spike–LFP interactions are mediated by, or occur independently of, phase-locking to locally recorded oscillations. Regional differences in phase-locking prevalence to hippocampal oscillations are also underexplored. To address these questions, we leveraged the rare opportunity to record single- and multi-neuron activity simultaneously with LFP oscillations in multiple brain regions, including the hippocampus, in 28 neurosurgical patients implanted with intracranial electrodes.

Results

Subjects were implanted with depth electrodes in the hippocampus, EC, amygdala, parahippocampal gyrus (PHG), superior temporal gyrus (STG), orbitofrontal cortex (OFC), and anterior cingulate cortex (ACC). From microwires that extended from the tips of these depth probes, we recorded extracellular spikes from 1,854 single- and multi-units (hereafter called ‘neurons’ Table 1) as subjects navigated through a virtual environment while completing one of several spatial memory tasks whose data we pooled for this analysis (see ‘Materials and methods’). In total, we identified 10–71 (median = 30.0) neurons per session across 55 recording sessions, and the firing rates of these neurons were log-normally distributed (median = 2.0 Hz). In addition, every subject had at least one microwire bundle implanted in the hippocampus, permitting neuronal firing to be analyzed simultaneously with oscillatory activity in the hippocampal LFP.

Table 1. Neurons by region.

Table shows how many subjects had at least one neuron in each brain region, how many neurons were recorded in each region, and the median, lower-, and upper-quartile firing rates for these neurons.

Region Subjects Neurons Firing rate (Hz)
Hippocampus 27 391 1.6 (0.6, 4.7)
Entorhinal cortex 19 341 2.3 (1.0, 5.5)
Amygdala 23 439 1.5 (0.6, 3.7)
Parahippocampal gyrus 15 217 2.2 (0.8, 4.5)
Superior temporal gyrus 5 139 3.4 (1.4, 8.6)
Orbitofrontal cortex 15 193 2.0 (0.9, 4.9)
Anterior cingulate cortex 8 134 3.1 (1.4, 6.8)
Total 28 1854 2.0 (0.8, 5.0 )

Identifying oscillations in hippocampal microwire LFPs

Earlier studies that have reported oscillatory properties of the human hippocampus during navigation have primarily utilized implanted macroelectrodes that integrate activity over hundreds of thousands of neurons (Ekstrom et al., 2005; Watrous et al., 2011; Aghajan et al., 2017; Vass et al., 2016). As the microwires used in the present study record at far smaller spatial scales, we first considered whether microwires exhibit oscillatory properties comparable to those observed in macroelectrode LFPs. We focused on 1–30 Hz signals for this analysis, avoiding higher frequencies at which spike-related artifacts can complicate LFP interpretation (Manning et al., 2009; Buzsáki et al., 2012; Ray, 2015). Many individual electrodes showed peaks in spectral power that rose above the background 1/f line in session-averaged LFP spectrograms (Figure 1A), indicating the potential presence of oscillatory activity (Donoghue et al., 2020). The frequency and magnitude of these spectral peaks varied considerably across subjects (compare Figure 1A subpanels) yet appeared nearly exclusively between 2–20 Hz.

Figure 1. Neural oscillations in the hippocampus.

(A) Spectral power across the recording session is shown for hippocampal local field potentials (LFPs) from three example subjects. Arrows indicate spectral peaks above the background 1/f spectrum. (B) A hippocampal LFP trace (gray line = raw LFP, cyan line = 6 Hz–filtered LFP) is shown immediately before and during a Better OSCillation (BOSC)–detected theta oscillation, highlighted in pink. (C) Mean ± SEM percent time, across 28 subjects, that BOSC-detected oscillations were present in hippocampal LFPs at each frequency from 1 to 30 Hz.

Figure 1.

Figure 1—figure supplement 1. Neural oscillations outside the hippocampus.

Figure 1—figure supplement 1.

Subpanels show the mean ± SEM percent time, across n subjects, that Better OSCillation (BOSC)–detected oscillations were present in each region at 1–30 Hz frequencies. Regions in which neurons were recorded from fewer subjects exhibit greater variance across subjects, so y-axis scaling varies among subpanels to accommodate the visualization of differing variances.
Figure 1—figure supplement 2. Oscillatory bout co-occurrence and waveform asymmetry at 3 Hz, 7 Hz, and 15 Hz.

Figure 1—figure supplement 2.

(A) LFP traces show the mean waveform of the first three cycles of hippocampal oscillatory bouts at 3 Hz, 7 Hz, and 15 Hz, respectively. (B) Mean ± SEM asymmetry index of hippocampal oscillatory bouts at 3 Hz, 7 Hz, and 15 Hz. (C) Dice similarity coefficients show the overlap between 3 Hz, 7 Hz, and 15 Hz oscillatory bouts, respectively, and oscillatory bouts at all other examined frequencies in the hippocampal LFP. All figure panels show across-subject means after first aggregating each measure within-subject. Error bars and error shading show SEM across the 28 participants.

To determine if spectral peaks were associated with sustained oscillations versus asynchronous, high-amplitude events, we used the BOSC (Better OSCillation) detection method to identify time-resolved oscillatory ‘bouts’ in each hippocampal microwire recording (Whitten et al., 2011). Briefly, BOSC (alternatively called ‘Pepisode’) defines an oscillatory bout according to two threshold criteria: Spectral power at a given frequency must exceed (1) a statistically defined amplitude above the 1/f spectrum, for (2) a minimum defined duration (we used 3 cycles; see ‘Materials and methods’ for more details). Figure 1B shows an example hippocampal LFP in which an initially aperiodic, ‘1/f-like’ signal transitioned into a strong, 6 Hz oscillation that persisted for 6 cycles, with the BOSC-defined oscillatory bout highlighted in pink.

Across subjects, hippocampal oscillatory bouts were present ∼1–6% of the time at the examined frequencies (Figure 1C; Figure 1—figure supplement 2 shows oscillatory prevalence in other regions for comparison). The prevalence of these oscillations was not uniform across frequencies, but instead clustered around three, well-separated bands with peaks at 3 Hz, 7 Hz, and 15 Hz. These frequencies are consistent with the hippocampal slow theta (alternatively ‘delta’ 2–4 Hz), fast theta (6–10 Hz), and beta band rhythms (13–20 Hz) previously described in macroelectrode recordings, and the prevalence of oscillatory bouts in our data was comparable to these earlier studies (Ekstrom et al., 2005; Lega et al., 2012; Watrous et al., 2013a; Goyal et al., 2020).

As peaks at 3 Hz, 7 Hz, and 15 Hz could reflect harmonic resonance or waveform asymmetries of a single oscillation, we sought to verify whether oscillatory bouts at these frequencies occurred independently. Mean LFP waveforms during the first three cycles of each oscillatory bout showed symmetrical, sinusoidal shapes at each peak frequency, without any apparent harmonics (Figure 1—figure supplement 1A). We computed an asymmetry index for each waveform and confirmed that, on average across subjects, the 3 Hz and 7 Hz oscillations were nearly perfectly symmetrical, while the 15 Hz oscillation showed a very small asymmetry associated with a longer (by <1 ms) ascending than descending period (Figure 1—figure supplement 1B). Finally, we examined the extent to which oscillatory bouts at each peak frequency occurred at overlapping times, measuring the Dice similarity coefficient between oscillatory bouts at each peak frequency and all remaining frequencies. We found that the 3 Hz, 7 Hz, and 15 Hz oscillations occurred at largely separable times (Figure 1—figure supplement 1C). We concluded that hippocampal oscillatory bouts occur in three independent bands, centered at 3 Hz, 7 Hz, and 15 Hz.

Oscillatory prevalence varied between these frequency bands (χ2(2)=13.9, p<0.0001, likelihood ratio test between linear mixed-effects models testing frequency band as a fixed effect and holding subject as a random effect), such that slow theta was more prevalent than fast theta (z=2.4, p=0.0336, post-hoc pairwise z-tests, Bonferroni-Holm–corrected for multiple comparisons) or beta oscillations (z=3.9, p=0.0002), while fast theta and beta oscillations occurred at similar rates (z=1.5, p=0.1218). These findings indicate that the human hippocampus exhibits several distinct, low-frequency oscillations that are conserved across spatial scales spanning several orders of magnitude, from microwire to macroelectrode fields. Moreover, theta oscillations are the predominant oscillatory component of the hippocampal LFP during virtual navigation.

Individual neuron phase-locking to hippocampal oscillations

Having confirmed the presence of hippocampal theta and beta oscillations, we next asked how these oscillations interacted with the timing of neuronal firing throughout recorded regions (Table 1). We quantified the phase-locking strength of individual neurons to ipsilateral hippocampal oscillations at a range of frequencies, 1–30 Hz. A neuron’s phase-locking strength was defined as the mean resultant length (MRL) of hippocampal LFP phases across spike times at a given frequency, z-scored against a null distribution of MRLs obtained by circularly shifting the neuron’s spike train 10,000 times at random (see ‘Materials and methods’). To control for the possibility that some neurons might phase-lock to asynchronous events in the hippocampal LFP, such as sharp waves or interictal discharges (Skelin et al., 2021; Reed et al., 2020), we restricted our analysis to spikes that coincided with BOSC-detected oscillatory bouts at each frequency, excluding 11% of neurons for which the number of included spikes did not suffice to accurately gauge phase-locking (see ‘Materials and methods’).

Figure 2A illustrates the phase-locking of an EC neuron whose spikes appear in raster format above a simultaneously recorded, 3 s hippocampal LFP trace exhibiting slow theta rhythmicity. The neuron fired in bursts of 2–8 spikes on a majority of theta cycles, with each burst generally aligned with the theta cycle peak, while nearly no spikes occurred near the theta trough. Next, we examined the population phase-locking statistics for this neuron across the recording session (Figure 2C). Computing the mean hippocampal LFP trace surrounding each spike (the ‘spike-triggered average LFP’), we confirmed that the neuron preferentially fired just after the theta peak, with synchronous theta oscillations extending more than a full cycle before and after spike onset (Figure 2C, left subpanel, blue line). As a control, we also examined a spike-triggered average LFP drawn at random from the null distribution, which showed a nearly flat line consistent with absent phase-locking (Figure 2C, left subpanel, gray line). Graphing this neuron’s phase-locking strength at frequencies from 1 to 30 Hz revealed that phase-locking to hippocampal oscillations occurred only in the slow theta band, peaking at 3 Hz (Figure 2C, middle subpanel). Finally, the circular histogram of spike-coincident, 3 Hz hippocampal LFP phases showed that most spikes occurred within a quarter-cycle after the theta peak (Figure 2C, right subpanel). Figure 2B and D–J applies this analysis to representative neurons in the hippocampus, EC, amygdala, and OFC that phase-locked to LFP oscillations in the hippocampus. Most neurons exhibited unimodal peaks in phase-locking strength, most commonly in the theta range.

Figure 2. Example phase-locking to hippocampal oscillations.

Figure 2.

(A) Spikes from an EC neuron (top, vertical lines) are shown alongside local field potential (LFP) activity in the hippocampus during a slow theta oscillation (gray line = raw LFP, cyan line = 3 Hz–filtered LFP). Panel (C) shows phase-locking statistics for this neuron across the recording session. (B–J) Shown are nine neurons in the HPC (left column), EC (middle column), AMY (right column, top two rows), and OFC (right column, bottom row) that phase-locked to oscillatory signals in the hippocampus while subjects navigated through a virtual environment. The left subpanel for each neuron shows the mean hippocampal LFP centered on the time of each spike. The middle subpanel shows the phase-locking strength at each frequency relative to a null distribution of circularly shifted spikes. The right subpanel shows the spike–phase distribution at the maximum phase-locking frequency. Dark gray (HPC), blue (EC), red (AMY), and purple (OFC) lines correspond to true spike times, while light gray lines correspond to circularly shifted spike times from a single draw from the null distribution. HPC = hippocampus; EC = entorhinal cortex; AMY = amygdala; OFC = orbitofrontal cortex.

Regional differences in hippocampal phase-locking

We next examined phase-locking at the population level, first considering the percentage of neurons in each region that significantly phase-locked to ipsilateral hippocampal LFP oscillations, irrespective of frequency. For each neuron, we derived an empirical phase-locking p-value by comparing the neuron’s maximum phase-locking strength, across frequencies, to its null distribution of maximum phase-locking strengths (see ‘Materials and methods’). We then applied false discovery rate (FDR) correction at α=0.05 to the distribution of p-values within each region. Finally, for each region outside the hippocampus, we performed the same analyses and statistical corrections with respect to LFP oscillations in each neuron’s local region, proximal to the electrode from which a neuron was recorded. This last step allowed us to directly compare phase-locking rates to local versus remote hippocampal oscillations.

Figure 3A illustrates these analyses. As expected, neurons within the hippocampus phase-locked to hippocampal oscillations at the highest rate among recorded regions, with 59% of hippocampal neurons significantly phase-locked after FDR correction. High phase-locking rates to the hippocampus were also found for neurons in the EC (41%) and amygdala (29%), with phase-locking rates in the EC significantly higher than those in the amygdala (z=3.6, p=0.0004, post-hoc pairwise z-test from a logistic mixed-effects model testing neuron region as a fixed effect and holding subject as a random effect). Whereas amygdala neurons phase-locked to local oscillations at significantly higher rates (46%) than to oscillations in the hippocampus (χ2(1)=32.6, p<0.0001), neurons in the EC phase-locked to local (40%) and hippocampal oscillations at indistinguishable rates (χ2(1)=0.2, p=0.6672, likelihood ratio tests between logistic mixed-effects models testing oscillation region as a fixed effect and holding subject as a random effect).

Figure 3. Phase-locking to hippocampal oscillations by region and frequency.

(A) Bars show the percentage of neurons in each region that phase-locked to locally recorded local field potential (LFP) oscillations (light gray) and hippocampal LFP oscillations (dark gray). (Note that local and hippocampal LFP is identical for hippocampal neurons.) Phase-locking significance was set at false discovery rate (FDR)–corrected p<0.05 within each bar group. (B) Heatmaps show the phase-locking strength (z-MRL; color scale intensity) by hippocampal LFP oscillation frequency (x-axis) for all significantly phase-locked neurons (y-axis; each row = one neuron) in the HPC, EC, AMY, and remaining regions (CTX), respectively. Neurons in each region are sorted from top to bottom by frequency of maximum phase-locking strength. Neurons depicted match the dark gray bars in (A). (C) Mean ± SEM phase-locking strength by hippocampal oscillation frequency is shown for all neurons in each region, regardless of their individual phase-locking significance as depicted in (A) and (B). HPC = hippocampus; EC = entorhinal cortex; AMY = amygdala; PHG = parahippocampal gyrus; STG = superior temporal gyrus; OFC = orbitofrontal cortex; ACC = anterior cingulate cortex.

Figure 3.

Figure 3—figure supplement 1. Phase-locking to local oscillations.

Figure 3—figure supplement 1.

Heatmaps show the phase-locking strength (z-MRL; color scale intensity) by local oscillation frequency (x-axis) for all significantly phase-locked neurons (y-axis; each row = one neuron) in each region, respectively. Within the heatmap for each region, the order of neurons from top to bottom follows increasing preferred phase-locking frequency. The population of neurons depicted in these heatmaps matches the population represented by the light gray bars in Figure 3A.

These results stood in stark contrast to all remaining regions, where phase-locking to the hippocampus occurred at rates below 5%. Phase-locking to local oscillations was nonetheless prevalent in the PHG (24%) and STG (49%), indicating that many of these neurons fired at specific phases of LFP oscillations — just not those recorded in the hippocampus. In two regions of the prefrontal cortex, local phase-locking rates were relatively low (16% of OFC neurons and 6% of ACC neurons) although still significantly higher than phase-locking rates to the hippocampus (OFC: χ2(1)=20.9, p<0.0001; ACC: χ2(1)=5.6, p=0.0178; likelihood ratio tests between logistic mixed-effects models, as above). Altogether, these results highlight a triad of regions — the hippocampus, EC, and amygdala — that features strong spike-time synchronization to hippocampal oscillations, while neurons in more remote, cortical regions that are known to interact with hippocampus-dependent processes (Eichenbaum, 2000; Squire, 2011; Ranganath and Ritchey, 2012) phase-locked minimally to hippocampal rhythms.

Frequencies of hippocampal phase-locking

Individual neuron examples suggested that phase-locking to the hippocampus occurred most commonly at theta frequencies (Figure 2), although our analysis of hippocampal LFPs revealed oscillations extending up to ∼20 Hz (Figure 1). Does this observation of preferential theta phase-locking hold at the population level, and does the frequency of hippocampal phase-locking vary by a neuron’s region of origin? To answer these questions, we generated heatmaps of phase-locking strength by frequency for all neurons that phase-locked significantly to hippocampal oscillations at any frequency, as defined in the previous section (Figure 3B; these neurons correspond to the dark gray bars in Figure 3A). We made separate heatmaps for neurons in the hippocampus, EC, amygdala, and remaining regions, sorting the neurons in each region by frequency of maximum phase-locking strength. Figure 3—figure supplement 1 shows analogous heatmaps for neurons in each region with respect to local, rather than hippocampal, oscillations, matching the population of neurons represented by the light gray bars in Figure 3A.

In the hippocampus, neurons phase-locked to local oscillations predominantly between 2–20 Hz. Only a few neurons phase-locked weakly at higher frequencies, which may be largely attributable to false discoveries (Figure 3B, far-left subpanel). Within the 2–20 Hz range, phase-locking was not unimodal, but instead clustered around three distinct peaks in the slow theta, fast theta, and beta bands. Most hippocampal neurons phase-locked only to a single band, with the exception of neurons that phase-locked maximally to beta oscillations, which also showed a near-universal tendency to phase-lock strongly to slow theta (see for example Figure 2H). These neurons may best be classified as nested slow theta × beta phase-locking neurons, which to our knowledge have not previously been reported. In contrast, we did not observe nested phase-locking between fast theta and beta oscillations or between any other pair of frequency bands.

Among neurons outside the hippocampus, phase-locking to hippocampal oscillations occurred within a more constrained frequency range, between 2–10 Hz (Figure 3B, right three subpanels). In the EC, similar numbers of neurons showed preferential phase-locking to slow and fast hippocampal theta, respectively. In the amygdala and remaining cortical regions, this balance shifted: Only a few neurons phase-locked to fast hippocampal theta, while most neurons coupled exclusively to slow theta. Thus, while hippocampal neurons phase-locked to both theta and beta bands, for neurons outside the hippocampus, spike-time synchronization with hippocampal oscillations was restricted to theta frequencies.

We confirmed these conclusions in a secondary analysis that examined the mean phase-locking strength at each frequency across all neurons in each region, regardless of individual phase-locking significance (Figure 3C). This approach benefited from not requiring an explicit significance threshold to be defined. Instead, we assumed that if the neurons in a given region did not phase-lock measurably to the hippocampus, then the mean phase-locking strength across these neurons would approach zero with increasing sample size, since they would exhibit no difference against the null distribution. Indeed, population phase-locking strengths were close to zero across frequencies for neurons in the PHG, STG, OFC, and ACC, consistent with the relative absence of individually phase-locked neurons in these regions. In contrast, neurons in both the EC and the amygdala phase-locked strongly to slow hippocampal theta frequencies, while neurons in the EC, but not the amygdala, exhibited a secondary rise in phase-locking strength to fast hippocampal theta. Finally, neurons in the hippocampus showed stronger phase-locking to hippocampal oscillations at all frequencies than neurons in any other region, with peaks in phase-locking strength at all three oscillatory bands: slow theta, fast theta, and beta.

Local oscillation effects on remote hippocampal phase-locking

Our data reveal that neurons not only within the hippocampus, but in remote regions — particularly the entorhinal cortex and amygdala — phase-lock to hippocampal theta oscillations. How do these remote spike–phase associations occur? One possibility, given the strength of phase-locking to local oscillations (Figure 3—figure supplement 1), is that phase-locking to the hippocampus is an indirect phenomenon, facilitated by transient phase coupling between oscillations in different regions (Figure 4—figure supplement 1, blue arrows). In rodents, however, neurons in some regions phase-lock to hippocampal theta even in the absence of a local theta rhythm (Siapas et al., 2005), suggesting that interregional oscillatory coupling is not a strict requirement for remote spike–phase associations (Figure 4—figure supplement 1, red arrow).

To examine how interregional oscillatory coupling contributed to remote spike–phase associations, we first considered the co-occurrence of oscillatory bouts in the hippocampus and in each extrahippocampal region. We reasoned that if remote spike–phase associations were mediated by oscillatory coupling, then regions where neurons phase-locked to the hippocampus at higher rates should also show higher levels of oscillatory co-occurrence. Consistent with this hypothesis, hippocampal oscillations overlapped more with oscillations in the EC and amygdala than with oscillations in the STG, OFC, and ACC at most frequencies (Figure 4A; overlap calculated using the Dice similarity coefficient). However, hippocampal and PHG oscillations also overlapped strongly despite the relative absence of PHG neuron phase-locking to the hippocampus (Figure 3A) and abundant PHG neuron phase-locking to local theta (Figure 3—figure supplement 1). Moreover, the overlap between local and hippocampal oscillations never exceeded 20% in any region at any frequency, indicating that neurons could, in principle, phase-lock to hippocampal oscillations independent of local oscillations, and vice versa. Overall, these results provide a mixed view for the hypothesis that interregional oscillatory coupling and remote spike–phase associations are interchangeable.

Figure 4. Phase-locking to hippocampal oscillations with and without co-occurring local oscillations.

(A) Mean ± SEM (across 28 subjects) Dice coefficient across subjects shows the percent overlap between oscillatory bouts in the hippocampus and in each extrahippocampal region. (B) Bars show the percentage of neurons in each region that phase-locked to hippocampal oscillations when local oscillations were present (light gray) or absent (dark gray). Phase-locking significance was set at false discovery rate (FDR)-corrected p<0.05 within each bar group. (C) Heatmaps show the phase-locking strength by hippocampal LFP oscillation frequency for all significantly phase-locked neurons in the EC (top row), AMY (middle row), and remaining regions (CTX; bottom row), when hippocampal and local oscillations co-occurred (left column) versus when only hippocampal oscillations occurred (middle column). The right column shows the left column minus middle column values. Neurons in each region are sorted from top to bottom by frequency with the maximum phase-locking strength, and the sorting order is constant across columns within each row. Neurons depicted match the union of light gray and dark gray bars in (B). (D) Phase-locking to the hippocampus is shown during co-occurring local and hippocampal oscillations (left) or only hippocampal oscillations (right). Each subpanel shows the mean ± SEM (across 28 subjects) phase-locking strength by hippocampal oscillation frequency for all neurons in each region, regardless of their individual phase-locking significance as depicted in (B) and (C). HPC = hippocampus; EC = entorhinal cortex; AMY = amygdala; PHG = parahippocampal gyrus; STG = superior temporal gyrus; OFC = orbitofrontal cortex; ACC = anterior cingulate cortex.

Figure 4.

Figure 4—figure supplement 1. Two explanations for remote phase-locking to hippocampal theta.

Figure 4—figure supplement 1.

Figure illustration shows two ways in which phase-locking of extrahippocampal neurons to hippocampal theta could occur. In the first scenario, an entorhinal cortex (EC) neuron phase-locks to the local theta rhythm, which in turn exhibits phase-synchrony with hippocampal theta (‘indirect phase-locking,’ blue arrows). In the second scenario, the EC neuron is directly entrained to hippocampal theta, such that phase-locking can occur even absent a local theta rhythm (‘direct phase-locking,’ red arrow).
Figure 4—figure supplement 2. Phase-locking to local oscillations with and without co-occurring hippocampal oscillations.

Figure 4—figure supplement 2.

Bars show the percentage of neurons in each region that phase-locked to local oscillations when hippocampal oscillations were present (light gray) or absent (dark gray). Phase-locking significance was set at false discovery rate (FDR)–corrected p<0.05 within each bar group.

Next, we directly compared how remote phase-locking to the hippocampus varied as a function of local phase-locking effects. For each extrahippocampal neuron, we divided spikes into two categories: (1) spikes that occurred when an oscillation was present in both the hippocampus and a neuron’s local region, and (2) spikes that occurred when an oscillation was present in the hippocampus but not the neuron’s local region. As chance-level phase-locking values depend on sample size, for each neuron we matched the number of spikes in each group, at each frequency, excluding neurons with insufficient sample size (<50 spikes at any frequency; see ‘Materials and methods’). We then applied the same methods for determining phase-locking strength and significance as described in the previous section.

Figure 4B shows the results from these analyses. FDR-corrected phase-locking rates during co-occurring local and hippocampal oscillations were comparable to phase-locking rates when all spikes were included (see Figure 3A), with high phase-locking to hippocampal oscillations among neurons in the EC and amygdala and minimal phase-locking among neurons in other regions. In contrast, when hippocampal oscillations occurred without co-occurring local oscillations, phase-locking rates to the hippocampus declined by nearly two-thirds in the EC (from 39% to 14% of neurons) and by half in the amygdala (from 28% to 15%), while phase-locking to the hippocampus in other regions mostly vanished. Phase-locking strength to the hippocampus decreased specifically at theta frequencies, and even neurons that remained significantly phase-locked in the absence of local oscillations showed reduced phase-locking strength (Figure 4C). We also considered the converse question, asking whether phase-locking to local oscillations depended on the presence of co-occurring oscillations in the hippocampus. While hippocampal oscillation presence did not affect local phase-locking rates in the amygdala and neocortex, in the EC the percentage of locally phase-locked neurons was reduced by more than half when hippocampal oscillations were absent (Figure 4—figure supplement 2).

Finally, we confirmed these findings at the population level by computing the mean phase-locking strength across all neurons in each region, without regard to phase-locking significance, while still matching the number of spikes at each frequency between conditions in which local and hippocampal oscillations co-occurred, or in which only hippocampal oscillations occurred. As in Figure 3C, when local and hippocampal oscillations co-occurred, EC and amygdala neurons both phase-locked strongly to slow hippocampal theta, phase-locking to fast hippocampal theta was restricted to EC neurons, and other regions showed negligible phase-locking to hippocampal oscillations at any frequency (Figure 4D, left subpanel). When local theta was absent, the strength of EC and amygdala neuron phase-locking to hippocampal theta was reduced by half, while still remaining well above chance (Figure 4D, right subpanel). Collectively, these results provide direct evidence that interregional LFP–LFP theta coupling augments but is not strictly required for extrahippocampal neuron phase-locking to hippocampal theta.

Discussion

By combining datasets of single- and multi-neuron recordings in human subjects, we provide an empirical test of the hypothesis that LFP oscillations in the hippocampus synchronize the timing of neuronal firing both within the hippocampus and in functionally associated regions. Consistent with prior studies, we identify sporadic, oscillatory bouts in hippocampal LFPs within slow theta (2–4 Hz), fast theta (6–10 Hz), and beta (13–20 Hz) bands while subjects engaged in virtual navigation. Individual hippocampal neurons phase-lock to oscillations in each of these bands, including a previously undiscovered group of neurons that phase-lock to nested slow theta and beta rhythms. Outside the hippocampus, phase-locking to hippocampal oscillations occurs in both a region-specific (primarily EC and amygdala neurons) and frequency-specific (theta-preferring) manner. We further show a dissociation between region and frequency in the selective phase-locking of EC neurons to fast hippocampal theta, whereas neurons in all regions outside the hippocampus show some level of phase-locking to slow hippocampal theta. Finally, we provide the first direct evidence in humans that LFP–LFP coupling enhances spike-time synchronization between regions, as extrahippocampal neurons phase-lock approximately twice as strongly to hippocampal theta when local theta oscillations co-occur, as when local theta is absent. Taken together, these findings reveal a fundamental relationship between MTL neuron firing and hippocampal theta phase that underscores a hypothesized role for theta oscillations in routing the information contents of memory.

We note a particularly striking difference between phase-locking rates to hippocampal theta in the EC and amygdala (∼30–40% of neurons) relative to all other recorded regions, which phase-lock minimally (<5%) despite their associations with hippocampus-dependent processes (Eichenbaum, 2000; Squire, 2011; Ranganath and Ritchey, 2012). This result is consistent with structural anatomy, as the hippocampus maintains strong, reciprocal connections with the EC and amygdala while connections to neocortex are sparser (Amaral, 2011). Still, given evidence in rodents that some mPFC neurons project directly to the hippocampus (Rajasethupathy et al., 2015), phase-lock to hippocampal theta (Siapas et al., 2005; Hyman et al., 2005; Sirota et al., 2008; Ito et al., 2018; Padilla-Coreano et al., 2019), and are critical for memory retrieval (Rajasethupathy et al., 2015; Yadav et al., 2022), we expected ACC and OFC neurons to show stronger associations with hippocampal theta than we observed. One possibility is that strong phase-locking to hippocampal theta occurs in the EC and amygdala at baseline, whereas phase-locking among neurons in the mPFC and other cortical areas is task-dependent. Consistently, a recent study in humans found that ACC and pre-supplementary motor area neurons phase-locked to hippocampal theta during a task-switching experiment in which subjects alternated between making recognition memory-based or categorization-based decisions (Minxha et al., 2017). It will be interesting for future work to consider how phase-locking rates vary by region under different task and stimulus conditions.

We find two differences in hippocampal phase-locking properties between the EC and amygdala. First, as in neocortical regions, amygdala neurons phase-lock at higher rates to local than to hippocampal oscillations, and local and hippocampal phase-locking occur at least somewhat independently. By contrast, EC neurons phase-lock to local and hippocampal theta oscillations at indistinguishable rates, and phase-locking is greatly disrupted when EC and hippocampal theta bouts are asynchronous. It is worth noting that in rodents, EC and hippocampal theta are phase-shifted but otherwise largely interchangeable, with EC inputs playing a major role in hippocampal theta generation (Buzsáki, 2002). Theta phase-synchronization between these regions is critical in explaining many circuit-level phenomena in rodents, including grid cell and place cell interactions, phase precession, and encoding/retrieval phase separation (O’Keefe and Burgess, 2005; Hasselmo, 2005; Burgess et al., 2007; Bonnevie et al., 2013; Fernández-Ruiz et al., 2017). Theta occurs more sporadically in humans and other primates than in rodents, and may differ between mammals in other ways not yet well understood (Eliav et al., 2018; Trimper and Colgin, 2018; Bush and Burgess, 2019). Still, our results indicate that as in rodents, EC and hippocampal neurons in humans retain a uniquely high degree of spike-time synchronization with an overlapping theta rhythm.

The second difference between EC and amygdala neurons concerns the frequency of hippocampal phase-locking, with neurons in both regions phase-locking to slow hippocampal theta but only EC neurons phase-locking measurably to fast theta. This result may be placed in context with recent observations that hippocampal theta frequency varies along the longitudinal axis of the hippocampus, with faster theta occurring more posteriorly (Goyal et al., 2020; Penner et al., 2022), where the density of EC relative to amygdalar afferents is greater (Strange et al., 2014). While most of our hippocampal electrodes were located anteriorly, precluding a direct analysis of EC and amygdala phase-locking by hippocampal electrode position, this hypothesis may be worth examining in a different dataset.

We note an important difference in our methodological approach compared to prior studies that examined spike–LFP phase relations in humans (Jacobs et al., 2007; Rutishauser et al., 2010; Watrous et al., 2018; Kamiński et al., 2020; Minxha et al., 2020; Qasim et al., 2021; Roux et al., 2022). These studies typically analyzed either all spikes or a large majority of spikes during time windows of interest, sometimes excluding spikes when spectral power fell below a predefined threshold — e.g., the bottom 25th percentile. Here, we wished to strictly test the hypothesis that neurons phase-lock to neural oscillations in the hippocampus, as defined by intervals when spectral power exceeds the 1/f spectrum by a significant amount for a sustained duration (Whitten et al., 2011; Donoghue et al., 2022). We considered this approach especially important given the sporadic nature of oscillatory bouts in human LFP recordings and the prevalence of asynchronous, high-power artifacts — interictal discharges (Reed et al., 2020), sharp-wave ripples (Skelin et al., 2021), duplicate spikes across channels (Dehnen et al., 2021), and movement or other non-neural artifacts that escape algorithmic detection. In our experience, phase-locking analyses that did not restrict spikes to verified oscillations produced qualitatively similar group-level results as we report here, but included many individual cases of likely spurious phase-locking to non-oscillatory signals. This methodological difference might explain discrepancies between our results and earlier findings that hippocampal neurons phase-lock to local oscillations at a wider range of frequencies — e.g., 20–30 Hz — that we did not observe (Jacobs et al., 2007).

This study has several important limitations. First, all subjects had pharmacoresistant epilepsy, and we cannot rule out that some results might stem from pathological activity. However, we sought to attenuate this possibility by analyzing spikes only during oscillatory bouts, and we are encouraged by the general agreement between our results and those in rodents. A second limitation concerns the quality of unit isolation, as we recorded spikes from single microwires with limited ability to resolve spiking contributions from different neurons. Although some studies in humans have attempted to distinguish between single-units and multi-units and between excitatory and inhibitory neurons, unit quality metrics from microwires do not instill high confidence in the accuracy with which these distinctions can be made, while the potential for higher-quality unit recordings using tetrodes or Neuropixels may soon provide clarity with respect to differences specific to cell type (Despouy et al., 2020; Chung et al., 2022). In the meantime, we believe it is unlikely that this limitation would change any of our main conclusions, which do not depend on knowing if a unit is truly ‘single’ or a combination of several neighboring cells.

Still little is known about the relations between theta phase-locking and human cognition (Herweg et al., 2020). Prior studies have focused on the behavioral correlates of phase-locking to local theta rhythms within the MTL; according to one, for example, successful image encoding depended on theta phase-locking strength among hippocampal and amygdala neurons (Rutishauser et al., 2010), while another study found that MTL neurons can represent contextual information in their theta firing phase (Watrous et al., 2018). Here, we show that hippocampal theta oscillations also inform the timing of neuronal firing in regions beyond the hippocampus, positioning theta oscillations at the interplay between local circuit computations and interregional communication. In light of these results, brain and behavioral or physiological dissociations between local and interregional phase-locking, and between spike–LFP and LFP–LFP phase-synchronization, merit further investigation. Such analyses could unite findings from animal and human studies and advance a more mechanistic account of hippocampus-dependent processes across multiple scales, from single neurons to macroscopic fields.

Materials and methods

Participants

Subjects were 28patients with pharmacoresistant epilepsy who were implanted with depth electrodes to monitor seizure activity. Clinical teams determined the location and number of implanted electrodes in each patient. We conducted bedside cognitive testing on a laptop computer. Subjects completed one of two experiments (see ‘Spatial navigation tasks’): Yellow Cab (18 subjects) or Goldmine (10 subjects). Demographic information was unavailable for Yellow Cab participants and is given below in aggregate for 11 Goldmine subjects, including the 10 analyzed subjects plus 1 pilot subject for whom technical problems prevented successful data collection.

Sex Race Age
Female 7 Asian 1 20–25 5
Male 4 Black 1 25–31 1
White 6 32–37 2
Unknown or Not Reported 3 38–43 3

All testing was completed under informed consent. Institutional review boards at the University of California, Los Angeles, and the University of Pennsylvania approved all experiments. The number of the UCLA IRB protocol on which the Goldmine experiment was conducted is #10–000973.

Spatial navigation tasks

We analyzed data from 55 recording sessions (1–4 sessions per subject, mean duration = 33.6 min). During each session, subjects played one of two first-person navigation games, Yellow Cab or Goldmine, in which they freely explored a virtual environment and retrieved objects or navigated to specific locations. Previous studies have described the details of these experiments (Ekstrom et al., 2003; Jacobs et al., 2010; Schonhaut et al., 2023); for the present study, we pooled data across these studies to generate a large sample for conducting electrophysiological analyses. We analyzed intervals in which subjects could freely navigate through the virtual environment.

Recording equipment

Each subject was implanted with 6–12 Behnke-Fried depth electrodes that feature macroelectrode contacts for clinical monitoring and 40 µm–diameter, platinum-iridium microwires for measuring microscale LFPs and extracellular action potentials (Fried et al., 1999). Electrode localizations were confirmed by the clinical team from post-operative structural MRIs or post-operative CT scans co-registered to pre-operative structural MRIs. Microwires were packaged in bundles of eight high-impedance recording wires and one low-impedance wire that served as the recording reference. Each microwire bundle was threaded through the center of a depth probe and extended 5 mm from the implanted end. As microwires splay out during implantation and cannot reliably be visualized on post-operative scans, electrode localizations are regarded with a ∼5 mm radius of uncertainty that preclude analyses at the level of regional substructures or hippocampal layers or subfields. Microwire LFPs were amplified and sampled at 28–32 kHz on a Neuralynx Cheetah (Neuralynx, Tucson, AZ) or Blackrock NeuroPort (Blackrock Microsystems, Salt Lake City, UT) recording system.

Spike sorting

We performed semi-automatic spike sorting and quality inspection on each microwire channel using the WaveClus software package in Matlab (Quiroga et al., 2004), as previously described (Ekstrom et al., 2003; Schonhaut et al., 2023). We isolated 0–8 units on each microwire channel, retaining both single-units and multi-units for subsequent analysis while removing units with low-amplitude waveforms relative to the noise floor, non-neuronal waveforms, inconsistent firing across the recording session, or other data quality issues. Spikes that clustered into separate clouds in reduced dimensional space were retained as separate units, while spikes that clustered into single clouds were merged. Repeated testing sessions occurred on different days, and we spike-sorted and analyzed these data separately.

LFP preprocessing and spectral feature extraction

Microwire LFPs were downsampled to 1000 Hz, bandpass-filtered between 0.1–80 Hz using a zero-phase Hann window, and notch-filtered at 60 Hz to remove electrical line noise. Bandpass frequencies were selected to reduce signal drift at the low end and spike waveform artifacts (or other high-amplitude noise) at the high end, while maintaining sufficient distance from frequencies of interest for analysis. Lastly, we identified and removed a small number of dead or overly noisy channels, identified as those for which the mean, cross-frequency spectral power differed by >2 standard deviations from the mean spectral power across channels in each microwire bundle. The remaining LFP channels were manually inspected prior to further analysis as a secondary quality inspection step. Lastly, we extracted instantaneous spectral power and phase estimates for each preprocessed LFP channel by convolving the time domain signal with five-cycle complex wavelets at 30 frequencies, linearly spaced from 1 to 30 Hz.

Oscillatory bout identification

For each LFP channel, we identified time-resolved oscillatory bouts at the 30 frequencies defined in the previous section using the BOSC (Better OSCillation) detection method, as described previously (Whitten et al., 2011). BOSC defines an oscillatory bout according to two threshold criteria: a power threshold, PT, and a duration threshold, DT.PT is set to the 95th percentile of the theoretical χ2 probability distribution of power values at each frequency, under the null hypothesis that powers can be modeled as a straight power law decaying function (the ‘1/f’ spectrum). Defining PT for each frequency of interest requires first finding a best fit for 1/f. We obtained this fit by implementing the recently developed FOOOF (Fitting Oscillations & One-Over F) algorithm, which uses an iterative fitting procedure to decompose the power spectrogram into oscillatory components and a 1/f background fit (Donoghue et al., 2020). To avoid assuming that the 1/f spectrum was stationary across the recording session, we divided the LFP into 30 s epochs and re-fit 1/f (and PT, by extension) in each epoch. Finally, we set DT=3/f, consistent with the convention used in previous studies (Ekstrom et al., 2005; Watrous et al., 2011; Aghajan et al., 2017) that power at a given frequency f must exceed PT for a minimum of three cycles for an oscillatory bout to be detected.

Oscillatory prevalence was calculated within three frequency bands of interest, defined as slow theta (2–4 Hz), fast theta (6–10 Hz), and beta (13–20 Hz). For each subject, we calculated the average oscillatory bout percentage across recording sessions, hippocampal microwire channels, and frequencies within each band. The resulting matrix provided a single measure of hippocampal LFP oscillation prevalence within each band, from each subject. Differences between bands were assessed using a linear mixed-effects model to account for repeated samples within subjects.

Waveform asymmetry

Waveform asymmetry analyses were confined to oscillatory bouts as identified in the previous section. An inspection of the 3 Hz, 7 Hz, and 15 Hz oscillations averaged during the time windows corresponding to the first three cycles of each bout — 1000 ms, 428 ms, and 200 ms, respectively — qualitatively assessed asymmetries in these waveforms. Then, an asymmetry index was computed in keeping with previously established methods (Roux et al., 2022) for 3 Hz, 7 Hz, and 15 Hz waveforms. After initial preprocessing of the microwire LFPs (see ‘LFP preprocessing and spectral feature extraction’), we applied a bandpass linear-phase Hamming-windowed FIR filter within a window of ±2 Hz centered at the frequency of interest, and identified local maxima and minima in windows equivalent to a half-cycle at this frequency. After aligning these extrema in the filtered LFP trace to the nearest peaks and troughs within a quarter-cycle in the raw, unfiltered LFP trace, we found the average difference between the time taken to ascend from a trough to the next peak and to descend from the peak to the subsequent trough. We normalized this average difference to the range (1,1) by dividing by the cycle length fsf, where fs is the sampling frequency, and f is the frequency of interest, giving the asymmetry index value. The asymmetry index values for each hippocampal recording were averaged first within subjects and then across subjects.

Phase-locking strength and significance

We computed phase-locking strengths at 30 frequencies (1–30 Hz with 1 Hz spacing) between each neuron’s spike times and oscillations in the hippocampus, as well as between each neuron’s spike times and oscillations in the neuron’s local region (other microwires in the same bundle, excluding the neuron’s own recording wire due to spike contamination of the LFP). For both of these comparisons, we retained only spikes that coincided with BOSC-detected oscillatory bouts to avoid reporting spike–phase associations with non-oscillatory LFP phenomena. Phase-locking strength was then calculated as follows. First, at each frequency, we calculated the MRL of hippocampal LFP phases across spike times. The MRL is equal to the sum of phase angle unit vectors divided by the total number of samples, yielding a measure from 0 to 1 that indicates the extent to which the phase distribution is unimodal. This metric depends on sample size, with low n yielding artificially high values due to chance clustering of phases. For this reason, we excluded neurons with <50 spikes at all frequencies of interest. Several other factors can artificially inflate the MRL, including nonuniform phase distributions in an underlying LFP signal, or autocorrelated spike times (Siapas et al., 2005). To control for these potential confounds, we used a permutation-based procedure in which we circularly shifted each neuron’s spike train at random and then recalculated MRLs at each frequency, repeating this process 10,000 times per neuron to generate a null distribution. At each frequency, we then calculated phase-locking strength as the true MRL z-scored against null distribution MRLs at the same frequency.

To determine which neurons phase-locked significantly to local or hippocampal oscillations, we compared a neuron’s maximum phase-locking strength across frequencies to a null distribution of maximum phase-locking strengths generated by taking the maximum of the null MRLs’ z-scores across frequencies. We calculated an empirical p-value for each neuron with the formula p=r+1n+1, where r is the number of permuted values the true value for a given test statistic, and n is the total number of permutations (North et al., 2002). Finally, we FDR–corrected p-values with the adaptive linear step-up procedure, which controls the expected proportion of true null hypotheses among rejected nulls for both independent and positively dependent test statistics, and has greater statistical power than the commonly used Benjamini-Hochberg procedure (Benjamini et al., 2006). FDR correction was applied separately to p-values from each neuron region × LFP region (local or hippocampal) pair to control the expected proportion of false positives within each of these groups. Neurons with FDR-corrected p<0.05 were deemed significantly phase-locked.

Interregional oscillatory co-occurrence

Co-occurrence rates were determined between hippocampal and extrahippocampal oscillatory bouts by quantifying the Dice coefficient between each hippocampal electrode and each ipsilateral, extrahippocampal electrode. The Dice coefficient measures the similarity from 0 to 1 between two sets A and B, with 0 indicating that the sets do not overlap and 1 indicating that A and B are equal: Dice=2|AB||A|+|B|, where |A| and |B| correspond to the number of elements in each set and |AB| is the number of elements common to both sets. We calculated these values using binarized oscillation detection vectors (oscillation present or absent) as defined in ‘Oscillatory bout identification,’ separately at each 1–30 Hz frequency.

Phase-locking to hippocampal oscillations during co-occurring or absent local oscillations

We divided spikes from each extrahippocampal neuron into two groups according to the following criteria: (1) BOSC-detected oscillations were present in both the hippocampus and a neuron’s local region, or (2) BOSC-detected oscillations were present in the hippocampus but not the neuron’s local region (Figure 4). These spike subsets were determined separately for each 1–30 Hz frequency. Phase-locking strengths were then calculated separately within each spike group, at each frequency, and significance determined relative to null distributions as described in ‘Phase-locking strength and significance.’ As chance-level phase-locking values depend on sample size, for each neuron we matched the number of spikes in each group, at each frequency, excluding neurons with insufficient sample size (<50 spikes at any frequency). For example, for neuron i at frequency j, if 200 spikes occurred when local and hippocampal oscillations were both present and 150 spikes occurred when only hippocampal oscillations were present, we selected 150 spikes from the first group at random and proceeded to calculate phase-locking strength in each group. The same analytical approach was applied to a supplemental analysis (Figure 4—figure supplement 2) in which extrahippocampal spikes were subdivided as: (1) local and hippocampal oscillations were both present, or (2) local oscillations were present but hippocampal oscillations were absent.

Statistics

Linear and logistic mixed-effects models with fixed slopes and random intercepts were performed using the lme4 package in R (Baayen et al., 2008). All models included a single random effect of subject and a single fixed effect of interest, as specified in each result. p-values were obtained from likelihood ratio tests between nested models (with versus without inclusion of the fixed effect). We adopted this approach to control for inter-subject differences in our data that conventional methods such as linear regression would overlook, as they assume independence between neurons. This approach was particularly important for comparing effects between regions, as each subject had electrodes in only a subset of the regions that we analyzed. For models in which the independent variable was a categorical measure with three or more levels, if the likelihood ratio test revealed a significant effect (p<0.05), we performed post-hoc, pairwise z-tests on the fitted model terms with Bonferroni-Holm correction for multiple comparisons were noted in the Results.

Software

Mixed-effects models were fit using the lme4 package in R (Baayen et al., 2008). Spike sorting was performed using the Wave_clus software package in Matlab (Quiroga et al., 2004). All additional analyses were performed, and plots were generated, using code that was developed in-house in Python 3, utilizing standard libraries and the following publicly available packages: astropy (The Astropy Collaboration et al., 2022), fooof (Donoghue et al., 2020), matplotlib (Hunter, 2007), mne (Gramfort et al., 2013), numpy (Harris et al., 2020), pandas (McKinney, 2010), seaborn (Waskom, 2021), scipy (Virtanen et al., 2020), statsmodels (Seabold and Perktold, 2010), and xarray (Hoyer and Hamman, 2017).

Acknowledgements

We are grateful to the patients for their participation and thank the hospital staff and researchers who were involved in data acquisition. This work was supported by the National Science Foundation GRFP grant (DRS), NIH U01 (NS113198 to MJK) and NINDS (R01-NS033221 and R01-NS084017 to IF), and Deutsche Forschungsgemeinschaft (DFG) Grant HE 8302/1–1 (NAH).

Funding Statement

The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.

Contributor Information

Daniel R Schonhaut, Email: daniel.schonhaut@gmail.com.

Michael J Kahana, Email: kahana@psych.upenn.edu.

Caleb Kemere, Rice University, United States.

Laura L Colgin, University of Texas at Austin, United States.

Funding Information

This paper was supported by the following grants:

  • National Science Foundation Graduate Research Fellowship Program to Daniel R Schonhaut.

  • National Institutes of Health 1U01NS113198-01 to Michael J Kahana.

  • National Institute of Neurological Disorders and Stroke R01-NS033221 to Itzhak Fried.

  • National Institute of Neurological Disorders and Stroke R01-NS084017 to Itzhak Fried.

  • Deutsche Forschungsgemeinschaft HE 8302/1-1 to Nora A Herweg.

Additional information

Competing interests

No competing interests declared.

Author contributions

Conceptualization, Data curation, Software, Formal analysis, Funding acquisition, Investigation, Visualization, Methodology, Writing - original draft, Writing – review and editing.

Formal analysis, Visualization, Methodology, Writing – review and editing, Aditya Rao was added as an author during the revision process in view of his contributions to the second round of revisions, for which he completed additional data analyses. The remaining authors are in agreement with inclusion and position in the author list.

Conceptualization, Data curation, Methodology, Writing – review and editing.

Conceptualization, Methodology, Writing – review and editing.

Conceptualization, Methodology, Writing – review and editing.

Resources, Data curation, Funding acquisition, Writing – review and editing.

Conceptualization, Resources, Supervision, Funding acquisition, Writing – review and editing.

Ethics

Human subjects: All testing was completed under informed consent. Institutional review boards at the University of California, Los Angeles and the University of Pennsylvania approved all experiments. The number of the UCLA IRB protocol on which the Goldmine experiment was conducted is #10-000973.

Additional files

MDAR checklist

Data availability

The data used in this study is publicly available from the Cognitive Electrophysiology Data Portal. This dataset includes de-identified, raw EEG data, spike-sorted unit data, and preprocessed phase-locking data. Due to size constraints, the data can be accessed via a request form — requests will be evaluated to ensure the correct datasets are made accessible to those who request them. All data analysis code and JupyterLab notebooks can be freely downloaded from Zenodo.

The following dataset was generated:

Schonhaut DR, Rao AM, Ramayya AG, Solomon EA, Herweg NA, Fried I, Kahana MJ. 2024. MTL neurons phase-lock to human hippocampal theta (code and data) Cognitive Electrophysiology Data Portal. SchoEtal24

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Editor's evaluation

Caleb Kemere 1

Large sample size electrophysiology in human brains is rare, and thus this work is an important contribution to the field. The mesoscopic descriptive analyses provide a convincing bridge to work done in other species and will likely further contribute to its long term value to the field.

Decision letter

Editor: Caleb Kemere1
Reviewed by: Antonio Fernandez-Ruiz2

In the interests of transparency, eLife publishes the most substantive revision requests and the accompanying author responses.

Decision letter after peer review:

[Editors’ note: the authors submitted for reconsideration following the decision after peer review. What follows is the decision letter after the first round of review.]

Thank you for submitting your article "Single neurons throughout human memory regions phase-lock to hippocampal theta" for consideration by eLife. Your article has been reviewed by 3 peer reviewers, and the evaluation has been overseen by a Reviewing Editor and Laura Colgin as the Senior Editor. The following individual involved in review of your submission has agreed to reveal their identity: Antonio Fernandez-Ruiz (Reviewer #3).

The reviewers have discussed the reviews with one another and the Reviewing Editor has drafted this decision to help you prepare a revised submission.

As the editors have judged that your manuscript is of interest, but as described below that additional experiments are required before it is published, we would like to draw your attention to changes in our revision policy that we have made in response to COVID-19 (https://elifesciences.org/articles/57162). First, because many researchers have temporarily lost access to the labs, we will give authors as much time as they need to submit revised manuscripts. We are also offering, if you choose, to post the manuscript to bioRxiv (if it is not already there) along with this decision letter and a formal designation that the manuscript is "in revision at eLife". Please let us know if you would like to pursue this option. (If your work is more suitable for medRxiv, you will need to post the preprint yourself, as the mechanisms for us to do so are still in development.)

Summary:

This is a very intriguing paper showing how hippocampal local field potentials couple with the activity of other cortical regions. This mechanism has been and continues to be extensively studied in other mammals, and thus its existence and relevance in humans is exciting. The reviewers were unanimous in their opinion that this work is worthy of publication in eLife, but pointed to key aspects of the paper that they felt were insufficient.

Essential revisions:

1. Hippocampal Data:

A) Critically, the authors should include similar analyses of hippocampal neurons (if they exist) and explain why they don't have them otherwise.

B) The nature of the theta oscillations needs to be explicated – are they short bursts accompanying eye movements or more sustained periods? – and example spectrograms and traces shown.

C) The authors should describe the anatomical locations of the hippocampal LFP electrodes, explain how they were chosen, and whether they varied from subject to subject.

2. New Analyses: The authors focus on linking hippocampal LFP and extra-hippocampal spikes. In addition to hippocampal LFP -> hippocampal spikes (point 1A), it would be valuable to assess hippocampal LFP -> extra-hippocampal LFP. This might include looking at dynamics of theta-band coherence and/or theta-modulation of high γ.

3. Data Analysis Issues:

A) While they explain that many of their spikes are coming from multi-units, they should be more upfront about this, and when possible, try to classify neurons as pyramidal or interneurons, and show results by neuron type / base firing rate.

B) Critically, there is concern that some of the analyses use the same set of data to e.g., pick frequency bands and analyze coupling, rather than using some form of cross-validation.

Reviewer #1:

Hippocampal theta oscillations are among the most prominent rhythms in the mammalian brain. Extensive research in rodents has shown that neurons not only within the hippocampus but in widespread cortical areas can be phase-locked to hippocampal theta. Such cross-regional communication within theta frames has been postulated to be the foundation of many hippocampal operations. While previous studies in humans have documented the relationship between LFP theta and spiking in the hippocampus, coupling between hippocampal LFP and more remote cortical areas have not been demonstrated in human subjects. This is the topic of the present work. The authors show that spikes of single (and mostly multiunit) neurons in multiple cortical regions both in the same and opposite hemipheres are phase locked to transient occurrence of hippocampal theta LFP in the 2-6 Hz range. However, phase-locking is stronger in structure know to be part of the 'limbic system', such as the amygdala and entorhinal cortex. Theta phase locking was stronger to hippocampal than to local LFP and the magnitude of spike phase locking increased when the power of theta increased, associated with increased high frequency power. The results are straightforward and the analysis methods are reliable. The novel information is limited but informative and documents a missing aspect of theta communication in the human brain.

Comments:

1. Given the simple message, the text is a bit long with many repetitions and loose ends. This applies to both Introduction and Discussion. Potential implications to learning, etc are interesting but the findings do not provide additional clues, thus those aspects of the discussion are mainly distractions. Instead, perhaps the authors would like to discuss potential mechanisms of remote unit entrainment. They are talking about multi-synaptic pathways but these are unlikely to be a valid conduit. Instead, the septum, entorhinal cortex or retrosplenial cortex, with their widespread projections, may be responsible for coordinating both hippocampal and neocortical areas.

2. Arguably, the weakest part of the manuscript is the lack of hippocampal neurons. The authors refer to their own previous papers, but in a story which compares hippocampal theta oscillations with remote unit activity, it is strange that the magnitude of theta phase-locking to local hippocampal neurons is not available for comparison.

3. How was the hippocampal LFP reference site chosen and did it vary substantially from subject to subject? Anterior or posterior locations?

4. The authors list 1233 single neurons but in the discussion they make it clear that most of them were multiple neurons. This should be emphasized up front and may be used as an excuse why the authors did not attempt to separate pyramidal cells from interneurons (interneurons have a much higher propensity to be entrained by projected rhythms).

5. Given that units were mixed, a logical extension would be to examine how hippocampal theta phase modulates high γ in neocortical areas. This could potentially yield a much larger data base, targeting the same question.

6. In the Discussion, the authors suggest that cross-regional theta phase coupling could be related to learning and other cognitive performance. However, spike-LFP coupling and coherence is confounded by LFP power increase and the authors cite Herweg et al., 2020 which did not find a relationship between theta power and memory performance. Is it then not logical to assume that cross-regional coupling may also not be related to memory?

7. Line 36. "Long-term potentiation and long-term depression in the rodent hippocampus are also theta phase-dependent (Hyman et al., 2003)." Pavlides et al. (Brain Res 1988) or Huerta and Lisman (Neuron 1995) are perhaps more relevant references here.

8. Line 82: "significant neocortical and contralateral phase-locking suggests". This is a strange phase. Perhaps significant phase locking of neurons in the neocortex in both hemispheres or similar would be a better formulation.

Reviewer #2:

In this study, Schonhaut et al., describe the phase locking statistics of cortical and subcortical neurons with respect to hippocampal local field potential (LFP) recorded in 18 epilepsy patients undergoing seizure monitoring. Nearly 30% of extrahippocampal neurons showed phase locking to some bandpassed hippocampal signal. Amygdalar and entorhinal neurons were more likely to be phase locked, as compared to neurons recorded in other neocortical sites. Most neurons showed the strongest phase locking to hippocampal theta (2-8 Hz), though neocortical and amygdalar neurons tended to phase lock to lower theta bands. Spikes that were phase locked to hippocampal rhythms occurred during local LFP-states that showed moderate correlations with the spectral patterns observed in the hippocampus. These data are interpreted within the broader "communication through coherence" hypothesis.

Large N, multi-region, single unit studies from humans are rare and the kind of mesoscopic descriptive analyses provided here serve as an important bridge between the large rodent literature on hippocampal physiology and human physiology and cognition. That said, there are some weaknesses in the analyses that could be addressed in a revised report. Also, a deeper discussion of the biological origin of human theta is merited in the discussion to address alternate explanations – beyond communication through coherence – of the data.

A similar statistical mistake was made several times. The author's logic goes like this: find the argmax in one sample, take the argument that generated that max, and use that to sample in another condition, and report that the max is higher in the first condition than the second. For example, on pg. 6 "This is difficult to reconcile with our results, in which 248/362 neurons (68.5%) phase-locked more strongly to hippocampal LFPs than to locally-recorded LFPs at their preferred hippocampal phase-locking frequency." The same flaw can be seen in Figure 5, where the spikes are sub-sampled to occur during strong phase locking in one condition, thus almost guaranteeing high power in the frequency bands that generated that strong phase locking (which was observed). This is a case in which cross-validating the data may be useful. The authors could take a subset of the hippocampal data to define the preferred frequency, and then test phase locking on the held out data from the hippocampus and cortex.

The relationship between power and phase locking is not fully controlled in this paper. The phase seems to be calculated irrespective of whether there is any instantaneous power at that frequency band, introducing noise. This will bias away from finding significant phase locking to frequency bands that occur transiently. Therefore, I recommend defining some threshold of the existence of the spectral signal prior to using that signal to calculate phase.

A related point has to do with the nature of the theta rhythm in the human. There has been considerable controversy over the years as to whether this is a comparable signal to that studied in the rodent. Based off the citations in this manuscript, and the nomenclature of the spectral band, the authors seek to make explicit the commonality of the underlying physiology, or function. Rodent theta is a sustained rhythm, while primate theta seems to come in bouts, perhaps even related to sampling statistics, such as saccades, leading to the suggestion that the apparent theta may be better thought of as semi-rhythmic evoked responses. How long were the bouts of high theta power? Was eye movement tracked? If so it would be important to relate the signal to eye movements. If the low frequency signal is phase locked to eye movement and potentially reflects semi-rhythmic information arriving to (from?) the hippocampus, then a stronger case could be made that hidden "third parties" synchronize the apparent communication through coherence observed here, and in fact there may be no communication at all.

The authors dedicate much of their discussion to relating the current result to the communication through coherence analyses. Oddly, LFP coherence was never addressed. A strong prediction of the current framing would be that: when coherence is high, phase locking should by high, and higher than other moments when power in either region is high but coherence is not observed. The authors should directly measure how phase locking is modulated by coherence.

The authors also lump together biological entities that should have difference phase locking behaviors. The amygdala is not a monolithic region, does phase locking differ by nucleus? Also, do fast spiking inhibitory cells differ from excitatory cells? The authors should relate their phase locking measure to mean firing rate to show that it is insensitive to lower level cell statistics. This is important since the conclusions of the study would be quite different if neurons in the entorhinal cortex had high rates which artifactually drove up phase locking values.

Reviewer #3:

The manuscript by Schonhaut et al. presents novel analysis on an impressive dataset of more than 1200 neurons across diverse brain areas in the human brain to investigate their modulation by hippocampal theta oscillations. They found a substantive proportion of cells phase-locked to hippocampal activity, mainly in the theta frequency band, in several areas know to be functionally related to the hippocampus, some of them receiving monosynaptic hippocampal inputs but other only indirect ones. These results extend previous reports in humans showing hippocampal interactions with these structures but at the level of mesoscopic activity and highlight the ubiquity of spike-theta timing and the importance of single-unit studies in humans. Additional analysis, detailed below, will contribute to give a better description of the data, provide stronger support for some of the authors' claims and clarify some issues.

1. I assume that the dataset also includes hippocampal units, why then excluding them from the analysis? Although the main novelty is in the coupling of cells in other structures with hippocampal LFPs, it would be useful to also compare it with the coupling of local hippocampal cells.

2. Include average power spectrum of hippocampal LFPs. Additional examples of raw LFP traces overlaid to spectrograms (perhaps in Supplementary) will help to illustrate the nature of hippocampal oscillations.

3. The authors compared fractions of significantly modulated units and their preferred frequencies across regions. While very informative, these analyses are not sufficient to capture the richness of spike-LFP interactions likely existing in the dataset. Were there differences in the strength of phase-locking across regions? (this analysis could be added to Figure 2). Studies in rodents have shown that theta phase-locked units in different structures have characteristics preferred firing phases (when hippocampal LFP is used as a reference). Authors can easily look if this is also the case in their data. They should include both pooled data statistics of mean phases across regions and single neuron examples of firing probability by LFP phase (such examples could be added to the single unit plots in Figure 1).

4. Did phase-locked and non phase-locked units have different properties? The authors can compare if they differ in basic properties such us mean firing rate, waveform width, inter-spike intervals, burstiness, etc., as it has been reported in other studies in non-human primates and rodents. These analyses could be extended to show if units with different properties also differ in their preferred phase-locking frequency, or phase. It would be very interesting if these analyses reveal the existence of heterogeneous cellular populations with different relation to hippocampal theta, even if the single-unit isolation quality is limited due to the low density recordings. In relation to this, authors should also plot unit auto-correlograms. ACGs can be computed for all the spikes, but also only for the strongly phase-locked spikes, to show if, at least during periods of strong oscillatory activity, some units show rhythmicity.

5. To better interpret the results in Figure 4, it would be important to know if the recording sites in both hippocampi were from the same sub-region and similar location along the longitudinal hippocampal axis in each subject and if the degree of synchrony between the LFP in both hemispheres. Coherence or phase-locking between LFPs across hemispheres should be computed and also power spectrum for both of them shown.

6. In Figure 4C-D it seems that phase-locking strength across hemispheres was not correlated but preferred frequency was. This should be quantified and mentioned in text before moving to the correlation in Figure 4E.

7. The analysis in Figure 5D should be complemented by also checking the LFP-LFP phase-locking between the local region and the hippocampus. Were periods of high LFP power correlation also reflect enhanced phase-phase coupling? Were the structures also more phase-synchronous during periods of stronger spike-LFP coupling? These analyses could provide a more direct support for the interpretation of the authors in line with the CTC hypothesis.

8. Was there any relation of the "strongly phase-locked" periods with global variables reflecting brain state (e.g. drowsiness versus attention to the task, etc.) or with the firing dynamics of the units (instantaneous firing rate or inter-spike intervals)?

[Editors’ note: further revisions were suggested prior to acceptance, as described below.]

Thank you for resubmitting your work entitled "MTL neurons phase-lock to human hippocampal theta" for further consideration by eLife. Your revised article has been evaluated by Laura Colgin (Senior Editor) and a Reviewing Editor.

The manuscript has been improved but there are some remaining issues that need to be addressed, as outlined below:

Essential revisions:

Please address the third reviewer's comments regarding (1) the directionality of spike/LFP coupling, (2) assessing whether different frequency bands can be explained as higher-order harmonics, and (3) adding a citation and potentially some discussion of the Roux 2022 paper.

Reviewer #3 (Recommendations for the authors):

1. At several parts in the manuscript the authors suggest that the coupling between extrahippocampal units to hippocampal oscillations is in the direction of LFP -> Spike (lines 168-169; 182-184; 238-239). I was surprised by this, because classically distal spike-LFP coupling is usually interpreted as directional coupling in the opposite direction (Spike -> LFP). This is because the common assumption would be that a if a spike in region A is coupled to the LFP in region B, then this is because the neuron in region A elicits post-synaptic currents in region B, hence spike -> LFP (see Buzsáki and Schomburg, 2015; Liebe et al., 2012; Jacob et al., 2018; see also Roux et al., 2022 for an example in the human MTL). Now, this doesn't mean that coupling in the other direction LFP ◊ Spike is not also possible, but it would require additional steps, whereby the LFP in region A entrains local neurons which then project to region B, where they elicit an LFP in region B which then induces firing of local neurons at specific phases. However, such an explanation is less parsimonious and thus requires additional evidence. Specifically, two additional analyses would be useful in this regard. First, the LFPs in region A and region B would have to be phase coupled. The authors demonstrate a coupling in terms of power, by measuring co-occurrence of 'bouts', but they do not demonstrate whether there is a consistent phase-relationship between the two regions where 'bouts' co-occur. Second, coupling measures which allow inferences about directionality should be applied to the spike and LFP time series. This can be done, for instance, by convolving the spike time series with a gaussian envelope and then applying the phase slope index to both time series (as done in Roux et al., 2022).

2. Oscillatory bouts appear in three frequencies, ~3 Hz, ~7 Hz, ~ 15 Hz, with decreasing density of occurrence (i.e. 3 > 7 > 15 Hz). This could be indicative of an asymmetric 3 Hz oscillation which induces spurious signals at the first and second harmonic. Indeed, the 15 Hz oscillation appears to be coupled to the 3 Hz oscillation which would be consistent with this assumption (although the fact that 7 Hz is not, would not support this argument, but still). To counter this the authors should show how often bouts in the three frequency windows co-occur. If the higher frequencies are a reflection of asymmetric wave shapes then there should be a tight correlation with respect to when the bouts occur. Furthermore, the authors could investigate the waveshape of the 3 Hz oscillation by calculating an asymmetry index (as done in Roux et al., 2022; see Figure 5, figure supplement 1).

3. A recent paper that seems highly relevant to the current one is not mentioned. I am referring to the paper by Roux et al. 2022 who also investigated local and distal (cross-regional) spike-LFP coupling in the human MTL during a memory task. In line with the current study, Roux et al. also show distal coupling of MTL neurons in theta. Furthermore, they demonstrate that this coupling is related to memory whereby coupling at faster frequencies predicts successful formation of associations, whereas coupling to slow frequencies predicts unsuccessful formation of associations. Crucially, and central to the current study, Roux et al. 2022 demonstrate that coupling at theta frequencies was correlated with the latency of co-firing of pairs of distally coupled neurons. Therefore, several statements in the paper should to be revisited in light of that previous study (i.e. lines 398-400; 311-316; 66-75). I assume the reason for why the authors did not include that study is that it appeared late in 2022, likely when this paper was already submitted or close to submission. I also think that the Roux et al. paper does not take away anything in terms of novelty from this paper, as Roux et al. were not able to split up the distal coupling into the different MTL subregions due to a lower yield in neurons. If anything, the two papers nicely complement each other and both support a central role of MTL theta oscillations in routing information in the human brain in the service of memory and navigation.

References:

Buzsáki G, Schomburg EW. 2015. What does γ coherence tell us about inter-regional neural communication? Nature Neuroscience 18:484-489. DOI: https://doi.org/10.1038/nn.3952, PMID: 25706474

Liebe S, Hoerzer GM, Logothetis NK, Rainer G. 2012. Theta coupling between V4 and prefrontal cortex predicts visual short-term memory performance. Nature Neuroscience 15:456-462,. DOI: https://doi.org/10.1038/nn. 3038, PMID: 22286175

Jacob SN, Hähnke D, Nieder A. 2018. Structuring of Abstract working memory content by fronto-parietal synchrony in primate cortex. Neuron 99:588-597.. DOI: https://doi.org/10.1016/j.neuron.2018.07.025, PMID: 30092215

Roux et al. 2022. Oscillations support short latency co-firing of neurons during human episodic memory formation. eLife 2022;11:e78109. DOI: https://doi.org/10.7554/eLife.78109 1 of 27

eLife. 2024 Jan 9;13:e85753. doi: 10.7554/eLife.85753.sa2

Author response


[Editors’ note: the authors resubmitted a revised version of the paper for consideration. What follows is the authors’ response to the first round of review.]

Summary:

This is a very intriguing paper showing how hippocampal local field potentials couple with the activity of other cortical regions. This mechanism has been and continues to be extensively studied in other mammals, and thus its existence and relevance in humans is exciting. The reviewers were unanimous in their opinion that this work is worthy of publication in eLife, but pointed to key aspects of the paper that they felt were insufficient.

Essential revisions:

1. Hippocampal Data:

A) Critically, the authors should include similar analyses of hippocampal neurons (if they exist) and explain why they don't have them otherwise.

In our initial submission, we reported that neurons outside the hippocampus, primarily in the MTL, phase-locked to hippocampal theta. However, we did not examine phase locking of hippocampal neurons, instead citing relevant findings in the literature. We agree that expanding our analyses to include phase locking of hippocampal neurons would enhance our contribution, allowing readers to draw conclusions about how phase-locking to hippocampal theta differs between hippocampal and extrahippocampal neurons. Inclusion of these new analyses also avoids asking readers to make comparisons across studies that used different methods. In an expanded dataset that now includes 391 hippocampal neurons in 27 subjects (Table 1), we describe several new results in hippocampal neurons, as detailed in Results lines 170-172 and 205-214 and Discussion lines 304-306 and 360-377. Our principal findings are:

  • Hippocampal neurons phase-lock to low frequency hippocampal oscillations at substantially higher percentages (60%, compared to 40% phase-locking for EC neurons and 30% for amygdala neurons) than we found for neurons in any extrahippocampal region (Figure 3A).

  • Hippocampal neurons phase-lock to all three oscillations that are present in the hippocampal micro-LFP signal between 1-30Hz (see our response to Essential Revision 1B), corresponding to slow theta (2-4Hz), fast theta (6-10Hz), and β rhythms (13-20Hz) (Figure 2B,E,H and Figure 3B,C). In contrast, phase-locking to hippocampal LFPs by neurons outside the hippocampal is restricted the theta range, with most phase-locking occurring to slow hippocampal theta.

B) The nature of the theta oscillations needs to be explicated – are they short bursts accompanying eye movements or more sustained periods? – and example spectrograms and traces shown.

We agree that characterizing hippocampal theta oscillations in humans is important for interpreting our unit phase-locking results, and our manuscript benefits by addressing this issue directly. The suggestion to examine eye movement-related signals is also interesting, although we unfortunately did not collect eye-tracking data in any portion of our dataset. In response to the reviewers’ concerns, we added a new section of Results (lines 90-128) and corresponding figures (Figure 1 and Figure 1—figure supplement 1) that describe theta and other low frequency oscillations in the hippocampus using complementary approaches. First, following a suggestion by Reviewer 3, Figure 1 now includes several example hippocampal spectrograms and LFP traces from single subjects, along with accompanying description in Results lines 98-102:

“Many individual electrodes showed peaks in spectral power that rose above the background 1/f line in session-averaged LFP spectrograms (Figure 1A), indicating the potential presence of oscillatory activity (Donoghue et al., 2020). The frequency and magnitude of these spectral peaks varied considerably across subjects (compare Figure 1A subpanels) yet were nearly exclusively observed between 2-20Hz.”

We also implemented a well-validated method called Better OSCillation (BOSC) detection, which identifies oscillatory bouts in time-domain LFP traces as intervals with high narrowband LFP power above the background spectrogram that is sustained for a minimum duration to be considered oscillatory. The details of this procedure are described in Methods lines 455-469:

“For each LFP channel, we identified time-resolved oscillatory bouts at the 30 frequencies defined in the previous section using the BOSC (Better OSCillation) detection method, as described previously (Whitten et al., 2011). BOSC defines an oscillatory bout according to two threshold criteria: a power threshold, PT, and a duration threshold, DT. PT is set to the 95th percentile of the theoretical Χ2 probability distribution of power values at each frequency, under the null hypothesis that powers can be modeled as a straight power law decaying function (the ‘1/f’ spectrum). Defining PT for each frequency of interest requires first finding a best fit for 1/f. We obtained this fit by implementing the recently developed FOOOF (Fitting Oscillations & One-Over F) algorithm, which uses an iterative fitting procedure to decompose the power spectrogram into oscillatory components and a 1/f background fit (Donoghue et al., 2020). To avoid assuming that the 1/f spectrum was stationary across the recording session, we divided the LFP into 30s epochs and re-fit 1/f (and PT, by extension) in each epoch. Finally, we set DT = 3/f, consistent with the convention used in previous studies (Ekstrom et al., 2005; Watrous et al., 2011; Aghajan et al., 2017), such that power at a given frequency f must exceed PT for a minimum of 3 cycles for an oscillatory bout to be detected.”

In Figure 1C, we show that BOSC identifies hippocampal oscillations in three frequency bands corresponding to slow theta (2-4Hz), fast theta (6-10Hz), and β oscillations (13-20Hz). Slow theta was the most prevalent oscillation, detected ~6% of the time at the peak frequency of 3Hz, across subjects. These results are broadly consistent with findings from macroelectrode EEG signals in previous studies, and our results constitute the first analysis of hippocampal oscillation prevalence across frequencies in human microwire recordings. We believe that this addition to our manuscript will therefore be of general interest to scientists studying hippocampal physiology in humans, as we confirm broad consistency across greatly differing spatial scales.

C) The authors should describe the anatomical locations of the hippocampal LFP electrodes, explain how they were chosen, and whether they varied from subject to subject.

Electrode placement was determined solely by clinical teams, independent of the goals of our research program. After surgical implantation, we confirmed the location of each depth electrode tip using post-operative structural MRIs or post-operative CT scans coregistered to pre-operative MRIs, as described in Methods lines 407-408 and 420-427. While these depth electrode tips are visible on CT/MRI, it is unfortunately difficult to visualize the microwires that extend 5mm further, and from which our unit recording and LFP signals derive. Microwires are known to splay out unpredictably during implantation, creating a 5mm radius of uncertainty as to the location of any recorded unit or micro-LFP. For this reason, we did not attempt to resolve electrode locations at the level of hippocampal layers or subfields, instead electing to use coarser anatomical labels for which we had a higher degree of confidence. In the revision, we have added a Methods sentence (lines 427-430) that seeks to clarify this limitation. Additionally, while we believe that it would be interesting to examine differences in hippocampal theta properties along the longitudinal axis, a large majority of hippocampal electrodes in our dataset were implanted in the anterior hippocampus, just posterior to the amygdala, due to decisions by the surgical team made on clinical grounds. We unfortunately lacked sufficient sample size to analyze anterior versus posterior hippocampal differences. We have added this explanation as a limitation in the Discussion (lines 356-359).

2. New Analyses: The authors focus on linking hippocampal LFP and extra-hippocampal spikes. In addition to hippocampal LFP -> hippocampal spikes (point 1A), it would be valuable to assess hippocampal LFP -> extra-hippocampal LFP. This might include looking at dynamics of theta-band coherence and/or theta-modulation of high γ.

We agree that assessing relations between hippocampal and extrahippocampal LFPs would enhance the impact and aid interpretation of our findings. We addressed this suggestion by analyzing cortico-hippocampal LFP-LFP relations using a method other than coherence (as the reviewer suggests) that captures the same idea but is more consistent with our method for phase-locking quantification. Specifically, we calculated the Dice coefficient – a measure of overlap percentage, or co-occurrence – between oscillatory bouts in the hippocampus and each extrahippocampal region (see Methods lines 507-515). We find that hippocampal theta oscillations are often accompanied by theta bouts in the EC and (to a lesser extent) in the amygdala, both regions where neuron-LFP phase-locking to hippocampal theta is high. However, we also observe highly overlapping theta oscillations in the hippocampus and parahippocampal gyrus (PHG) despite the relative absence of PHG neuron phase-locking to hippocampal theta. These data suggest that oscillatory synchrony contributes to but does not fully explain the extrahippocampal neuron phase-locking to hippocampal theta phenomenon. The results are visualized in Figure 4A and described in Results lines 247-261.

3. Data Analysis Issues:

A) While they explain that many of their spikes are coming from multi-units, they should be more upfront about this, and when possible, try to classify neurons as pyramidal or interneurons, and show results by neuron type / base firing rate.

We agree with the reviewers and have revised our paper to remove reference to “single-unit” or “single-neuron” activity; instead, we now refer to our analyses of “single- and multi-neuron recordings.” This distinction is clarified in the revised Abstract (line 19), Introduction (line 76), Results (lines 82-85), and Discussion (lines 299-301). While we refer to example “neurons” that phase-lock to oscillatory signals, we now clarify at the top of the Results (lines 82-85) that this term is used as a shorthand reference to single- as well as multi-unit firing patterns, which we do not distinguish between. We expanded the spike-sorting section of our Methods to explain, in greater detail, how we separated spikes from each microwire channel into one or multiple units (lines 433-442). Finally, we added three sentences of discussion explaining our decision not to attempt separating single- from multi-units or excitatory from inhibitory single-units, and how this might influence how our findings are interpreted (lines 381-390):

“A second limitation concerns the quality of unit isolation, as we recorded spikes from single microwires with limited ability to resolve spiking contributions from different neurons. Although some studies in humans have attempted to distinguish between single-units and multi-units and between excitatory and inhibitory neurons, unit quality metrics from microwires do not leave us with high confidence in the accuracy with which these distinctions can be made, while the potential for better quality unit recordings using tetrodes or Neuropixels may soon provide clarity with respect to cell-type-specific differences (Despouy et al., 2020; Chung et al., 2022). In the meantime, we believe it is unlikely that this limitation would change any of our main conclusions, which do not depend on knowing if a unit is truly “single” versus a combination of several neighboring cells.”

B) Critically, there is concern that some of the analyses use the same set of data to e.g., pick frequency bands and analyze coupling, rather than using some form of cross-validation.

We thank the reviewers for catching this error, which introduced bias in favor of finding the stated effect. Specifically, we had reported that neurons outside the hippocampus still phase-locked to hippocampal theta after we controlled for local theta phase-locking effects. However, Reviewer 2 noted that our method used the same data to select a

neuron-specific, peak hippocampal phase-locking frequency and then proceeded to analyze phase-locking strength between local and hippocampal LFPs at that frequency. Through statistical double-dipping, this method introduced bias toward finding greater phase-locking to hippocampal than local LFPs, all else being equal.

In our revision, we have corrected this statistical error. Our revised method leverages the fact that we now distinguish between oscillatory and non-oscillatory intervals by applying a combination of LFP power and duration thresholds to the time-domain LFP (see our reply to Essential Revision 1B). Moreover, we only analyze phase-locking to the hippocampus during ongoing oscillations. To reevaluate whether phase-locking to hippocampal oscillations occurs independently of local LFP phase-locking, we subdivide spikes into two groups: (1) spikes that occurred when local and hippocampal oscillations were both present, and (2) spikes that occurred when only hippocampal oscillations were present. To control for sample size differences between these groups, for each neuron we select the same number of spikes at each frequency. We then calculate phase-locking strength and significance within each group, using identical methods. We also show results from a control analysis in which phase-locking strength to local oscillations is analyzed based on the presence or absence of co-occurring hippocampal oscillations (Figure 4—figure supplement 2). We find that phase-locking to hippocampal theta is approximately twice as strong in the presence versus absence of local theta oscillations (Figure 4). However, significant numbers of EC and amygdala neurons still phase-lock to hippocampal theta when local theta is below the threshold for detection. This result is consistent with our original conclusion that extrahippocampal neuron phase-locking to hippocampal theta cannot be fully explained by local theta phase-locking and LFP-LFP theta synchrony. These analyses are described in Methods lines 516-532 and Results lines 262-297.

Reviewer #1:

Hippocampal theta oscillations are among the most prominent rhythms in the mammalian brain. Extensive research in rodents has shown that neurons not only within the hippocampus but in widespread cortical areas can be phase-locked to hippocampal theta. Such cross-regional communication within theta frames has been postulated to be the foundation of many hippocampal operations. While previous studies in humans have documented the relationship between LFP theta and spiking in the hippocampus, coupling between hippocampal LFP and more remote cortical areas have not been demonstrated in human subjects. This is the topic of the present work. The authors show that spikes of single (and mostly multiunit) neurons in multiple cortical regions both in the same and opposite hemipheres are phase locked to transient occurrence of hippocampal theta LFP in the 2-6 Hz range. However, phase-locking is stronger in structure know to be part of the 'limbic system', such as the amygdala and entorhinal cortex. Theta phase locking was stronger to hippocampal than to local LFP and the magnitude of spike phase locking increased when the power of theta increased, associated with increased high frequency power. The results are straightforward and the analysis methods are reliable. The novel information is limited but informative and documents a missing aspect of theta communication in the human brain.

We thank the reviewer for their positive comments and helpful suggestions. We have made multiple changes to the manuscript to address their concerns.

Comments:

1. Given the simple message, the text is a bit long with many repetitions and loose ends. This applies to both Introduction and Discussion. Potential implications to learning, etc are interesting but the findings do not provide additional clues, thus those aspects of the discussion are mainly distractions. Instead, perhaps the authors would like to discuss potential mechanisms of remote unit entrainment. They are talking about multi-synaptic pathways but these are unlikely to be a valid conduit. Instead, the septum, entorhinal cortex or retrosplenial cortex, with their widespread projections, may be responsible for coordinating both hippocampal and neocortical areas.

We agree with the reviewer and have removed the more speculative aspects of our Discussion, refocusing around topics that are most directly related to and informed by our results. We shortened both the Introduction and Discussion, decreased redundancies, and strove to increase the clarity of our exposition.

2. Arguably, the weakest part of the manuscript is the lack of hippocampal neurons. The authors refer to their own previous papers, but in a story which compares hippocampal theta oscillations with remote unit activity, it is strange that the magnitude of theta phase-locking to local hippocampal neurons is not available for comparison.

We agree that the lack of hippocampal neuron data is a limitation of our original study. In the resubmission, we include phase-locking comparisons between 391 hippocampal units from 27/28 subjects and locally-recorded microwire LFPs (Table 1). Identical methods are used to analyze hippocampal and extrahippocampal neuron phase-locking to permit direct comparison of the results. With respect to both the percentage of phaselocked neurons (~60%;) and mean phase-locking strength at the population level, we find that hippocampal neurons phase-lock more prominently to hippocampal oscillations than do neurons in any other region (Figure 3). By comparison, ~40% of EC neurons and ~30% of amygdala neurons phase-lock to the hippocampus, while minimal phaselocking is observed in more distal regions. Within the 1-30Hz frequency range that we analyze, hippocampal and extrahippocampal neurons both phase-lock predominately to slow theta (2-4Hz, all regions) or fast theta (6-10Hz, EC and hippocampal neurons) oscillations, while only neurons within the hippocampus phase-lock to higher-frequency β oscillations (13-20Hz) that are nested within the slow theta rhythm (Figure 2 and Figure 3B,C). Altogether, these results are consistent with our original findings that suggested a privileged role for hippocampal theta in coordinating spiking within the MTL, while also emphasizing that hippocampal theta entrainment is greatest for neurons within the hippocampus compared to neurons in densely-connected, neighboring regions.

3. How was the hippocampal LFP reference site chosen and did it vary substantially from subject to subject? Anterior or posterior locations?

The placement of electrodes was determined by the surgical team and was not related to our research goals. After surgery, we confirmed the location of each electrode using post-operative MRI or CT scans. It is difficult to visualize the microwires that extend from the electrodes and from which we recorded unit and LFP signals. These microwires can splay out unpredictably during implantation, leading to uncertainty in the location of the recorded units or micro-LFPs. Therefore, we did not attempt to resolve electrode locations at the level of hippocampal layers or subfields, instead using coarser anatomical labels. We have added Methods (lines 407-408 and 420-430) to clarify this limitation. Most hippocampal electrodes were implanted in the anterior hippocampus, with unfortunately not sufficient variability to permit analyzing differences along the longitudinal axis. We now note this limitation in the Discussion (lines 356-359).

4. The authors list 1233 single neurons but in the discussion they make it clear that most of them were multiple neurons. This should be emphasized up front and may be used as an excuse why the authors did not attempt to separate pyramidal cells from interneurons (interneurons have a much higher propensity to be entrained by projected rhythms).

We agree with the reviewer's concern about the lack of clarity regarding the nature of extracellular neuron recordings. In the revised manuscript, we have removed references to "single-unit" or "single-neuron" activity and instead refer to analyses in "single- and multi-neuron recordings" at several points in the paper where readers are likely to take note: in the revised Abstract line 19, Introduction line 76, Results lines 82-85, and Discussion lines 299-301. While we refer to example “neurons” that phase-lock to oscillatory signals, we now clarify at the top of the Results (lines 82-85) that this term is used as a shorthand reference to single- as well as multi-unit firing patterns, which we do not distinguish between. We expanded the spike-sorting section of our Methods to explain, in greater detail, how we separated spikes from each microwire channel into one or multiple units (lines 433-442). Finally, we added three sentences of discussion explaining our decision not to attempt separating single- from multi-units or excitatory from inhibitory single-units, and how this might influence how our findings are interpreted (lines 381-390):

“A second limitation concerns the quality of unit isolation, as we recorded spikes from single microwires with limited ability to resolve spiking contributions from different neurons. Although some studies in humans have attempted to distinguish between single-units and multi-units and between excitatory and inhibitory neurons, unit quality metrics from microwires do not leave us with high confidence in the accuracy with which these distinctions can be made, while the potential for better quality unit recordings using tetrodes or Neuropixels may soon provide clarity with respect to cell-type-specific differences (Despouy et al., 2020; Chung et al., 2022). In the meantime, we believe it is unlikely that this limitation would change any of our main conclusions, which do not depend on knowing if a unit is truly “single” versus a combination of several neighboring cells.”

5. Given that units were mixed, a logical extension would be to examine how hippocampal theta phase modulates high γ in neocortical areas. This could potentially yield a much larger data base, targeting the same question.

We agree with the reviewer that analyzing hippocampal theta phase modulation of cortical high γ power would be a very interesting extension of our current findings. However, in considering this suggestion together with other requested revisions, we decided that a convincing demonstration of inter-regional theta-γ coupling would require multiple additional analyses whose results would then need to be interpreted alongside our primary findings relating neuronal spikes to hippocampal theta phase. As our resubmission includes several new analyses that the reviewers deemed critical for clarifying our results, we respectfully decided that this analysis, while interesting, is not necessary to interpret our results at the unit level and may be best addressed in future work.

6. In the Discussion, the authors suggest that cross-regional theta phase coupling could be related to learning and other cognitive performance. However, spike-LFP coupling and coherence is confounded by LFP power increase and the authors cite Herweg et al., 2020 which did not find a relationship between theta power and memory performance. Is it then not logical to assume that cross-regional coupling may also not be related to memory?

We agree with the reviewer that our original submission introduced difficult-to-interpret confounds between hippocampal LFP power and phase, given that we analyzed all spikes from extrahippocampal neurons without regard to whether hippocampal LFPs had sufficient power to resolve phase at a given frequency. While our focus in the present submission is to describe novel physiological relations between hippocampal oscillations and unit firing, rather than further relating these characteristics to behavior, we have modified our phase-locking detection method to resolve the power/phase confound that the reviewer notes. Specifically, we now distinguish between oscillatory and non-oscillatory intervals by applying a combination of LFP power and duration thresholds determined using a well-established method (see Figure 1B,C and our reply to Essential Revision 1B). We proceed to analyze phase-locking to the hippocampus only during ongoing oscillations at a given frequency. This requirement enforces that any reported phase-locking coincides with times that hippocampal LFP power significantly exceeds the 1/f distribution for a sufficient duration to be deemed oscillatory, and our method further disentangles oscillatory bouts from asynchronous, high-amplitude events (sharp-wave ripples, interictal spikes, or movement-related artifacts) that are excluded from the analysis. Lastly, although we do not analyze behavior at present, our approach will be straightforward to extend to future studies relating phase-locking and spectral power as potentially separate predictors of memory performance.

7. Line 36. "Long-term potentiation and long-term depression in the rodent hippocampus are also theta phase-dependent (Hyman et al., 2003)." Pavlides et al. (Brain Res 1988) or Huerta and Lisman (Neuron 1995) are perhaps more relevant references here.

We thank the reviewer for this suggestion and have updated these references as recommended.

8. Line 82: "significant neocortical and contralateral phase-locking suggests". This is a strange phase. Perhaps significant phase locking of neurons in the neocortex in both hemispheres or similar would be a better formulation.

We agree with the reviewer and have removed this reference from the revised submission.

Reviewer #2:

In this study, Schonhaut et al., describe the phase locking statistics of cortical and subcortical neurons with respect to hippocampal local field potential (LFP) recorded in 18 epilepsy patients undergoing seizure monitoring. Nearly 30% of extrahippocampal neurons showed phase locking to some bandpassed hippocampal signal. Amygdalar and entorhinal neurons were more likely to be phase locked, as compared to neurons recorded in other neocortical sites. Most neurons showed the strongest phase locking to hippocampal theta (2-8 Hz), though neocortical and amygdalar neurons tended to phase lock to lower theta bands. Spikes that were phase locked to hippocampal rhythms occurred during local LFP-states that showed moderate correlations with the spectral patterns observed in the hippocampus. These data are interpreted within the broader "communication through coherence" hypothesis.

Large N, multi-region, single unit studies from humans are rare and the kind of mesoscopic descriptive analyses provided here serve as an important bridge between the large rodent literature on hippocampal physiology and human physiology and cognition. That said, there are some weaknesses in the analyses that could be addressed in a revised report. Also, a deeper discussion of the biological origin of human theta is merited in the discussion to address alternate explanations – beyond communication through coherence – of the data.

We thank the reviewer for their valuable comments to our manuscript. We have made multiple changes to the revised submission to address their concerns.

A similar statistical mistake was made several times. The author's logic goes like this: find the argmax in one sample, take the argument that generated that max, and use that to sample in another condition, and report that the max is higher in the first condition than the second. For example, on pg. 6 "This is difficult to reconcile with our results, in which 248/362 neurons (68.5%) phase-locked more strongly to hippocampal LFPs than to locally-recorded LFPs at their preferred hippocampal phase-locking frequency." The same flaw can be seen in Figure 5, where the spikes are sub-sampled to occur during strong phase locking in one condition, thus almost guaranteeing high power in the frequency bands that generated that strong phase locking (which was observed). This is a case in which cross-validating the data may be useful. The authors could take a subset of the hippocampal data to define the preferred frequency, and then test phase locking on the held out data from the hippocampus and cortex.

We thank the reviewer for identifying this limitation, which likely biased us toward finding the stated effect. In our original submission, we reported that neurons outside the hippocampus remained phase-locked to hippocampal theta after controlling for local theta phase-locking effects. However, as the reviewer notes, our method used the same data to select a neuron-specific peak hippocampal phase-locking frequency and then analyze phase-locking strength between local and hippocampal LFPs at that frequency, introducing an artifactual bias favoring greater phase-locking to hippocampal than local LFPs.

Our revision redesigns this analysis to correct the statistical error. Our new method leverages the fact that we now distinguish between oscillatory and non-oscillatory intervals by applying a combination of LFP power and duration thresholds to the timedomain LFP (see our replies to the next two comments for further details on this procedure). To evaluate whether phase-locking to the hippocampus occurs independently of phase-locking to local LFPs, we subdivide spikes into two groups: (1) spikes that occurred when local and hippocampal oscillations were both present, and (2) spikes that occurred when hippocampal oscillations were present in the absence of local oscillations. Phase-locking is then analyzed separately within each group, matching the number of spikes at each frequency, such that phase-locking strength to the hippocampus can be directly compared given the presence or absence of simultaneous local oscillations. We also show results from a control analysis in which phase-locking strength to local oscillations is analyzed based on the presence or absence of co-occurring hippocampal oscillations (Figure 4—figure supplement 2). Our full approach is described in Methods lines 518-532:

“For each extrahippocampal neuron, we analyzed phase-locking after dividing spikes into two groups according to the following criteria: (1) BOSC-detected oscillations were present in both the hippocampus and the neuron’s local region, or (2) BOSC-detected oscillations were present in the hippocampus but not the neuron’s local region (Figure 4). In a supplemental analysis Figure 4—figure supplement 2, we used the same approach but compared: (1) co-occurring local and hippocampal oscillations to (2) BOSC-detected oscillations that were present in a neuron’s local region but not the hippocampus. Phase-locking strengths were calculated at each frequency, in each spike group, and significance determined relative to null distributions as described in “Phase-locking strength and significance.” As chance-level phase-locking values are sample size dependent, for each neuron we matched the number of spikes in each group, at each frequency, excluding neurons with insufficient sample size (<50 spikes at any frequency). For example, for neuron i at frequency j, if 200 spikes occurred during co-present local and hippocampal oscillations and 150 spikes occurred when only hippocampal oscillations were present, we selected 150 spikes from the first group at random and proceeded to calculate phase-locking strength in each group.”

We find that significant numbers of EC and amygdala neurons still phase-lock to hippocampal theta in the absence of a local theta rhythm, although the number of phase-locked neurons is reduced compared to when local theta is present (Figure 4B). This result is consistent with our original conclusion that extrahippocampal neuron phase-locking to hippocampal theta cannot be fully explained by local phase-locking and LFP-LFP theta synchrony. These findings appear in lines 271-285:

“FDR-corrected phase-locking rates during co-occurring local and hippocampal oscillations were comparable to phase-locking rates when all spikes were included (see Figure 4A), with high phase-locking to hippocampal oscillations occurring among neurons in the EC and amygdala and minimal phase-locking among neurons in other regions. In contrast, when hippocampal oscillations occurred without co-occurring local oscillations, phase-locking rates to the hippocampus declined by nearly two-thirds in the EC (from 39% of neurons to 14%) and by half in the amygdala (from 28% to 15%), while phase-locking to the hippocampus in other regions mostly vanished. Phase-locking strength to the hippocampus decreased specifically at theta frequencies, and even neurons that remained significantly phase-locked in the absence of local oscillations showed reduced phase-locking strength (Figure 4C). We also considered the reverse analysis, asking whether phase-locking to local oscillations depended on the presence of co-occurring oscillations in the hippocampus. While local phaselocking rates in the amygdala and neocortex were unaffected by hippocampal oscillation presence, in the EC the percentage of locally phase-locked neurons was reduced by more than half when hippocampal oscillations were absent (Figure 4—figure supplement 2).”

The relationship between power and phase locking is not fully controlled in this paper. The phase seems to be calculated irrespective of whether there is any instantaneous power at that frequency band, introducing noise. This will bias away from finding significant phase locking to frequency bands that occur transiently. Therefore, I recommend defining some threshold of the existence of the spectral signal prior to using that signal to calculate phase.

We agree with the reviewer that the relation between LFP phase and power was not well controlled in our original submission, given our decision to analyze all spikes irrespective of whether they occurred during oscillatory states or not. Although this approach is consistent with how many previous studies have analyzed phase-locking in human intracranial EEG, it raises questions for our ability to interpret phase-locking to oscillatory events, given that hippocampal oscillations occur only sporadically in humans during virtual navigation and other stationary tasks.

In the revision, we address this concern by excluding spikes that occurred in the absence of ongoing oscillatory bouts. We employ a well-validated oscillation detection method that applies a combination of LFP power and duration thresholds to the timedomain EEG, as described in Methods lines 455-506 and Results lines 90-111. Please see our reply to the next comment for further details on this method.

A related point has to do with the nature of the theta rhythm in the human. There has been considerable controversy over the years as to whether this is a comparable signal to that studied in the rodent. Based off the citations in this manuscript, and the nomenclature of the spectral band, the authors seek to make explicit the commonality of the underlying physiology, or function. Rodent theta is a sustained rhythm, while primate theta seems to come in bouts, perhaps even related to sampling statistics, such as saccades, leading to the suggestion that the apparent theta may be better thought of as semi-rhythmic evoked responses. How long were the bouts of high theta power? Was eye movement tracked? If so it would be important to relate the signal to eye movements. If the low frequency signal is phase locked to eye movement and potentially reflects semi-rhythmic information arriving to (from?) the hippocampus, then a stronger case could be made that hidden "third parties" synchronize the apparent communication through coherence observed here, and in fact there may be no communication at all.

We thank the reviewer for their question concerning the nature of hippocampal theta oscillations in humans, which our original submission did not address. Unfortunately, we did not collect eye-tracking data in the present dataset. In the revised submission, however, we now include a new section of Results (lines 90-128) and corresponding figure describing hippocampal theta and other detected oscillations in the 1-30Hz range. We first show that time-averaged spectrograms from individual subjects commonly show narrowband peaks in the theta frequency range (Figure 1A). We then implement a well-validated oscillation-detection algorithm called BOSC (Better OSCillation) detection method, which identifies intervals in the time-domain EEG that LFP power at a given frequency significantly exceeds the background 1/f distribution for a minimum 3cycle duration (Figure 1B). The details of this procedure are described in Methods lines 455-475. In Figure 1C, we show that BOSC identifies hippocampal oscillations in three frequency bands corresponding to slow theta (2-4Hz), fast theta (6-10Hz), and β oscillations (13-20Hz). Slow theta was the most prevalent of these oscillations, detected ~6% of the time at the peak frequency of 3Hz, across subjects. These results are broadly consistent with findings from macroelectrode EEG signals in previous studies, and our results constitute the first cross-frequency analysis of hippocampal oscillation prevalence in human microwire recordings. We believe that this addition to our manuscript will be of general interest to scientists studying hippocampal physiology in humans, as we confirm broad consistency across greatly differing spatial scales.

The authors dedicate much of their discussion to relating the current result to the communication through coherence analyses. Oddly, LFP coherence was never addressed. A strong prediction of the current framing would be that: when coherence is high, phase locking should by high, and higher than other moments when power in either region is high but coherence is not observed. The authors should directly measure how phase locking is modulated by coherence.

We agree with the reviewer that it would be valuable to characterize the effect of LFP coherence on inter-regional phase-locking. We address this suggestion in the revision by first analyzing LFP-LFP relations using a method other than coherence (as the reviewer suggests) that captures the same idea but is more consistent with our method for phase-locking quantification. Specifically, we calculate the Dice coefficient – a measure of temporal overlap, or co-occurrence – between oscillatory bouts in the hippocampus and each extrahippocampal region (see Methods lines 507-515). We find that hippocampal theta oscillations are often accompanied by theta bouts in the EC and (to a lesser extent) in the amygdala, both regions where neuron-LFP phase-locking to hippocampal theta is high. However, we also observe highly overlapping theta oscillations in the hippocampus and PHG despite the relative absence of PHG neuron phase-locking to hippocampal theta. These data suggest that oscillatory synchrony contributes to but does not fully explain the extrahippocampal neuron phase-locking to hippocampal theta phenomenon. The results are visualized in Figure 4A and described in Results lines 247-261:

We also address the reviewer’s prediction that extrahippocampal neuron phase-locking to hippocampal theta is enhanced by local and hippocampal theta coupling. Retaining our definition of LFP-LFP relations as the temporal overlap between oscillatory bouts in each region, we compare neuronal phase-locking strengths at the population level given the presence or absence of co-occurring local oscillations. We find that phase-locking to hippocampal theta is approximately twice as strong when local theta present versus absent (Figure 4D), consistent with the reviewer’s hypothesis. This finding is described in Results lines 286-297:

“Finally, we confirmed these findings at the population level by computing the mean phase-locking strength across all neurons in each region, without regard to phase-locking significance, while still matching the number of spikes at each frequency between conditions in which local and hippocampal oscillations cooccurred versus only hippocampal oscillations occurred. As in Figure 3C, when local and hippocampal oscillations co-occurred, EC and amygdala neurons both phase-locked strongly to slow hippocampal theta, phase-locking to fast hippocampal theta was restricted to EC neurons, and other regions showed negligible phase-locking to hippocampal oscillations at any frequency (Figure 4D, left subpanel). When local theta was absent, the strength of EC and amygdala neuron phase-locking to hippocampal theta was reduced by half, while still remaining well above chance (Figure 4D, right subpanel). Collectively, these results provide direct evidence that inter-regional LFP-LFP theta coupling augments but is not strictly required for extrahippocampal neuron phase-locking to hippocampal theta.”

The authors also lump together biological entities that should have difference phase locking behaviors. The amygdala is not a monolithic region, does phase locking differ by nucleus? Also, do fast spiking inhibitory cells differ from excitatory cells? The authors should relate their phase locking measure to mean firing rate to show that it is insensitive to lower level cell statistics. This is important since the conclusions of the study would be quite different if neurons in the entorhinal cortex had high rates which artifactually drove up phase locking values.

We appreciate the reviewer’s point about subregions of some of our recording regions, including the amygdala, being functionally and structurally heterogenous, which could underscore differing phase-locking characteristics. Unfortunately, we are unable to resolve neuron locations at sufficient resolution to answer this question analytically given limited ability to record from the same region across subjects (electrode locations are determined by clinical teams, strictly based on medical determination) and uncertainty regarding the exact location of microwire electrode tips. We have added text explaining these limitations more clearly in Methods lines 424-430:

“Microwires were packaged in bundles of eight high-impedance recording wires and one low-impedance wire that served as the recording reference. Each microwire bundle was threaded through the center of a depth probe and extended 5mm from the implanted end. As microwires splay out during implantation and cannot reliably be visualized on post-operative scans, electrode localizations are regarded with a ~5mm radius of uncertainty that preclude analyses at the level of regional substructures or hippocampal layers or subfields.”

A similar limitation concerns the quality of spike waveforms from single-microwire recordings and the confidence with which we can separate single- from multi-units and excitatory from inhibitory single-units. Although some studies in humans have attempted to make these distinctions, we prefer to interpret our data through the lens of single- to multi-unit associations for which we have higher confidence in the conclusions drawn. In the revision, we have removed references to "single-unit" or "single-neuron" activity and instead refer to analyses in "single- and multi-neuron recordings" at several points in the paper where readers are likely to take note: in the revised Abstract line 19, Introduction line 76, Results lines 82-85, and Discussion lines 299-301. While we refer to example “neurons” that phase-lock to oscillatory signals, we now clarify at the top of the Results (lines 82-85) that this term is used as a shorthand reference to single- as well as multiunit firing patterns, which we do not distinguish between. We expanded the spikesorting section of our Methods to explain, in greater detail, how we separated spikes from each microwire channel into one or multiple units (lines 433-442). Finally, we added three sentences of discussion explaining our decision not to attempt separating single- from multi-units or excitatory from inhibitory single-units, and how this might influence how our findings are interpreted (lines 381-390):

“A second limitation concerns the quality of unit isolation, as we recorded spikes from single microwires with limited ability to resolve spiking contributions from different neurons. Although some studies in humans have attempted to distinguish between single-units and multi-units and between excitatory and inhibitory neurons, unit quality metrics from microwires do not leave us with high confidence in the accuracy with which these distinctions can be made, while the potential for better quality unit recordings using tetrodes or Neuropixels may soon provide clarity with respect to cell-type-specific differences (Despouy et al., 2020; Chung et al., 2022). In the meantime, we believe it is unlikely that this limitation would change any of our main conclusions, which do not depend on knowing if a unit is truly “single” versus a combination of several neighboring cells.”

Reviewer #3:

The manuscript by Schonhaut et al. presents novel analysis on an impressive dataset of more than 1200 neurons across diverse brain areas in the human brain to investigate their modulation by hippocampal theta oscillations. They found a substantive proportion of cells phase-locked to hippocampal activity, mainly in the theta frequency band, in several areas know to be functionally related to the hippocampus, some of them receiving monosynaptic hippocampal inputs but other only indirect ones. These results extend previous reports in humans showing hippocampal interactions with these structures but at the level of mesoscopic activity and highlight the ubiquity of spike-theta timing and the importance of single-unit studies in humans. Additional analysis, detailed below, will contribute to give a better description of the data, provide stronger support for some of the authors' claims and clarify some issues.

We thank the reviewer for their positive feedback and helpful comments to our manuscript.

1. I assume that the dataset also includes hippocampal units, why then excluding them from the analysis? Although the main novelty is in the coupling of cells in other structures with hippocampal LFPs, it would be useful to also compare it with the coupling of local hippocampal cells.

We thank the reviewer for this suggestion and agree that our study would benefit from including hippocampal units. In our revised submission, we include data from 391 hippocampal neurons in 27/28 subjects. We perform identical phase-locking analyses in these neurons as in neurons outside the hippocampus to permit direct comparison between them. With respect to both the percentage of phase-locked neurons (~60%;) and mean phase-locking strength at the population level, we find that hippocampal neurons phase-lock more prominently to hippocampal oscillations than do neurons in other regions (Figure 3). By comparison, ~40% of EC neurons and ~30% of amygdala neurons phase-lock to the hippocampus, while minimal phase-locking is observed in more distal regions. Within the 1-30Hz frequency range that we analyze, hippocampal and extrahippocampal neurons both phase-lock predominately to slow theta (2-4Hz, all regions) or fast theta (6-10Hz, EC and hippocampal neurons) oscillations, while only neurons within the hippocampus phase-lock to higher-frequency β oscillations (1320Hz) that are nested within the slow theta rhythm (Figure 2 and Figure 3B,C). Altogether, these results are consistent with our original findings that suggested a privileged role for hippocampal theta in coordinating spiking within the MTL, while also emphasizing that hippocampal theta entrainment is greatest for neurons within the hippocampus compared to neurons in densely-connected, neighboring regions.

Our findings show that hippocampal neurons have significantly higher percentages of phase-locking (~60%) to low-frequency hippocampal oscillations than neurons in any other region outside the hippocampus (Figure 3A). Furthermore, we show that hippocampal neurons phase-lock to all three frequency bands for which hippocampal oscillations above the background noise distribution were reliably observed (see Figure 1C): slow theta (2-4Hz), fast theta (6-10Hz), and β (13-20Hz) (Figure 2B,E,H and Figure 3B,C). This finding is in contrast to our phase-locking results in extrahippocampal neurons, which primarily phase-locked to slow hippocampal theta, although some entorhinal cortex neurons also phase-locked to fast hippocampal theta (Figure 2C,D,F,G,I,J and Figure 3B,C). Our phase-locking results in hippocampal neurons are now described in the revised Methods, Results, and Discussion sections, and are shown in Table 1, Figure 2, and Figure 3.

2. Include average power spectrum of hippocampal LFPs. Additional examples of raw LFP traces overlaid to spectrograms (perhaps in Supplementary) will help to illustrate the nature of hippocampal oscillations.

We thank the reviewer for this suggestion and have included these examples of timeaveraged LFP spectrograms and raw LFP traces in Figure 1A,B and Figure 2A.

3. The authors compared fractions of significantly modulated units and their preferred frequencies across regions. While very informative, these analyses are not sufficient to capture the richness of spike-LFP interactions likely existing in the dataset. Were there differences in the strength of phase-locking across regions? (this analysis could be added to Figure 2). Studies in rodents have shown that theta phase-locked units in different structures have characteristics preferred firing phases (when hippocampal LFP is used as a reference). Authors can easily look if this is also the case in their data. They should include both pooled data statistics of mean phases across regions and single neuron examples of firing probability by LFP phase (such examples could be added to the single unit plots in Figure 1).

We thank the reviewer for this suggestion and have added analyses describing differences in phase-locking strength at the population level, combining data across all neurons in each region. These results are now shown in Figure 3C and Figure 4D and confirm that EC and amygdala neurons phase-lock to hippocampal theta both at higher rates and greater magnitudes (i.e. phase-locking strength) than do neurons in more distal regions where phase-locking has been reported in rodents, notably mPFC. We also assessed statistical differences in phase-locking strength between regions, as summarized in Results lines 223-236:

“We confirmed these conclusions in a secondary analysis that examined the mean phase-locking strength at each frequency across all neurons in each region, regardless of individual phase-locking significance (Figure 3C). This approach benefited from not requiring an explicit significance threshold to be defined. Instead, we assumed that if the neurons in a given region did not phaselock measurably to the hippocampus, then the mean phase-locking strength across these neurons would approach zero (no difference versus the null distribution) at increasing sample size. Indeed, population phase-locking strengths were close to zero across frequencies for neurons in the PHG, STG, OFC, and ACC, consistent with the relative absence of individually phase-locked neurons in these regions. In contrast, neurons in the EC and amygdala both showed strong phase-locking to slow hippocampal theta frequencies, while EC but not amygdala neurons exhibited a secondary rise in phase-locking strength to fast hippocampal theta. Finally, neurons in the hippocampus showed stronger phase-locking to hippocampal oscillations at all frequencies than neurons in any other region, with peaks in phase-locking strength at all three (slow theta, fast theta, and β) oscillatory bands.”

As the reviewer suggests, we have added polar plots showing the distribution of spikephases for individual neuron examples in Figure 2. However, information about preferred firing phase across a population of neurons is unfortunately less revealing in humans than in animal models for several reasons related to currently available recording equipment of challenges of the clinical setting in which these recordings are conducted. First, there is a ~5 radius of uncertainty as to microwire electrode locations that acts as a spatial resolution limit for both unit and micro-LFP locations. Second, there is variability in recording locations from the same brain region across subjects due to implantation decisions made by the clinical teams, which complicates pooling data across subjects beyond a certain level of spatial coarseness. Third, the quality of singlemicrowire recordings in humans provides limited ability to resolve single- from multi-unit waveforms with high certainty for a large majority of units, which precludes making the more-difficult determination of single-unit subtypes. Although some studies in humans have attempted to make these distinctions, we prefer to interpret our data through the lens of single- to multi-unit associations for which we have higher confidence in the conclusions drawn.

In the revision, we attempt to be more clear about these limitations in several ways. First, we removed references to "single-unit" or "single-neuron" activity and instead refer to analyses in "single- and multi-neuron recordings" at several points in the paper where readers are likely to take note: in the revised Abstract line 19, Introduction line 76, Results lines 82-85, and Discussion lines 299-301. While we refer to example “neurons” that phase-lock to oscillatory signals, we now clarify at the top of the Results (lines 8285) that this term is used as a shorthand reference to single- as well as multi-unit firing patterns, which we do not distinguish between. We expanded the spike-sorting section of our Methods to explain, in greater detail, how we separated spikes from each microwire channel into one or multiple units (lines 433-442). Finally, we added three sentences of discussion explaining our decision not to attempt separating single- from multi-units or excitatory from inhibitory single-units, and how this might influence how our findings are interpreted (lines 381-390):

“A second limitation concerns the quality of unit isolation, as we recorded spikes from single microwires with limited ability to resolve spiking contributions from different neurons. Although some studies in humans have attempted to distinguish between single-units and multi-units and between excitatory and inhibitory neurons, unit quality metrics from microwires do not leave us with high confidence in the accuracy with which these distinctions can be made, while the potential for better quality unit recordings using tetrodes or Neuropixels may soon provide clarity with respect to cell-type-specific differences (Despouy et al., 2020; Chung et al., 2022). In the meantime, we believe it is unlikely that this limitation would change any of our main conclusions, which do not depend on knowing if a unit is truly “single” versus a combination of several neighboring cells.”

4. Did phase-locked and non phase-locked units have different properties? The authors can compare if they differ in basic properties such us mean firing rate, waveform width, inter-spike intervals, burstiness, etc., as it has been reported in other studies in non-human primates and rodents. These analyses could be extended to show if units with different properties also differ in their preferred phase-locking frequency, or phase. It would be very interesting if these analyses reveal the existence of heterogeneous cellular populations with different relation to hippocampal theta, even if the single-unit isolation quality is limited due to the low density recordings. In relation to this, authors should also plot unit auto-correlograms. ACGs can be computed for all the spikes, but also only for the strongly phase-locked spikes, to show if, at least during periods of strong oscillatory activity, some units show rhythmicity.

We thank the reviewer for this suggestion. We agree that exploring heterogeneity in neuronal populations through the lens of hippocampal theta phase-locking (and other physiological phenomena) is ultimately critical for connecting studies in humans with the wealth of knowledge from animal models, and for linking LFP/behavior associations in humans to richer accounts of neural circuit function. However, given the data quality limitations outlined in the previous response, and the possibility of performing higherquality, higher-density unit recordings from human subjects on the horizon, we are hesitant to perform analyses aimed at characterizing cellular heterogeneity at present given the likelihood of obtaining either uninterpretable null results or results due to noise/variability in recording conditions that we might wrongly interpret as signal. Our revisions outlined in the previous comment are aimed at conveying some of this thought process to the reader. We remain confident in the accuracy and value of our present findings to the subfield of human unit recordings, and hope that the reviewer may understand our hesitance toward some of these nonetheless valued suggestions.

5. To better interpret the results in Figure 4, it would be important to know if the recording sites in both hippocampi were from the same sub-region and similar location along the longitudinal hippocampal axis in each subject and if the degree of synchrony between the LFP in both hemispheres. Coherence or phase-locking between LFPs across hemispheres should be computed and also power spectrum for both of them shown.

Unfortunately, uncertainly regarding the exact location of recorded units and micro-LFPs makes it difficult to resolve information at the level of hippocampal subregions using presently available recording techniques in human subjects. We have added an explanation to the revised Methods to clarify this limitation, lines 446-454:

“Electrode localizations were confirmed by the clinical team using post-operative structural MRIs or post-operative CT scans co-registered to pre-operative structural MRIs. Microwires were packaged in bundles of eight high-impedance recording wires and one low-impedance wire that served as the recording reference. Each microwire bundle was threaded through the center of a depth probe and extended 5mm from the implanted end. As microwires splay out during implantation and cannot reliably be visualized on post-operative scans, electrode localizations are regarded with a ~5mm radius of uncertainty that preclude analyses at the level of regional substructures or hippocampal layers or subfields.”

Additionally, while we believe it would be interesting to examine differences in hippocampal theta along the longitudinal axis, a large majority of hippocampal electrodes in our dataset were implanted in the anterior hippocampus, just posterior to the amygdala, due to decisions by the surgical team on clinical grounds. We unfortunately lacked sufficient sample size to analyze anterior versus posterior hippocampal differences. We have added this explanation as a limitation in our revised Discussion (lines 374-376).

6. In Figure 4C-D it seems that phase-locking strength across hemispheres was not correlated but preferred frequency was. This should be quantified and mentioned in text before moving to the correlation in Figure 4E.

We thank the reviewer for this comment and agree that our initial analysis of contralateral phase-locking was insufficient. After reviewing feedback from the Editor and other reviewers, we decided to remove this analysis describing occasional, lowlevel phase-locking to hippocampal theta in the contralateral hemisphere. We agree with the reviewer that our original characterization of this phenomenon lacked depth and was unnecessary to support our main conclusion, that neurons in MTL regions structurally connected to the hippocampus phase-lock readily and at high rates to hippocampal theta. By removing this auxiliary analysis and refocusing on our primary results describing ipsilateral neuron-to-LFP associations, we were able to keep the revised manuscript at similar length as our original submission despite adding several analyses that the Editor and reviewers considered of high importance (characterizing hippocampal theta oscillations, adding analyses in hippocampal neurons, describing inter-regional theta associations, and resolving statistical concerns).

7. The analysis in Figure 5D should be complemented by also checking the LFP-LFP phase-locking between the local region and the hippocampus. Were periods of high LFP power correlation also reflect enhanced phase-phase coupling? Were the structures also more phase-synchronous during periods of stronger spike-LFP coupling? These analyses could provide a more direct support for the interpretation of the authors in line with the CTC hypothesis.

In response to Reviewer 1 and 2’s concerns over confounds between LFP power and phase in the original submission, we removed our analysis of phase-locking relations to inter-regional LFP power correlation in the revision. To address the reviewer’s question, however, we added an analysis comparing extrahippocampal neuron phase-locking to hippocampal theta and inter-regional LFP-LFP theta relations , using two complementary approaches. First, we show in Figure 4A that while overlap between theta oscillations in the hippocampus and extrahippocampal regions is similar to phaselocking patterns found at the unit level (high coupling between hippocampal theta and EC theta, moderate coupling to amygdala theta, and low coupling to mPFC theta), a dissociation is found in the strong coupling between hippocampal and PHG theta despite the relative absence of PHG neuron phase-locking. Therefore, LFP-LFP oscillation coupling and unit-LFP phase-locking are not interchangeable. Second, we directly compared extrahippocampal neuron phase-locking to hippocampal theta given the presence or absence of a detectable local theta rhythm. We found that phaselocking strength to the hippocampus was approximately doubled when hippocampal and local theta oscillations co-occurred versus when local theta was absent (Figure 4B-D). However, substantial numbers of EC and amygdala neurons still phase-locked to hippocampal theta even when local theta was below the detection threshold, echoing observations in rodents (Siapas et al., 2005) that local theta is not strictly required for hippocampal theta to entrain remote neuron populations.

8. Was there any relation of the "strongly phase-locked" periods with global variables reflecting brain state (e.g. drowsiness versus attention to the task, etc.) or with the firing dynamics of the units (instantaneous firing rate or inter-spike intervals)?

Unfortunately, the present data does not include any periods of sleep or other largescale changes in physiological state that would allow answering the reviewer’s question. We agree that this would be a very interesting direction for future research exploring brain-state and behavioral associations with our physiologically-grounded observation of inter-regional phase-locking to hippocampal theta. In the revision we include a comment on this point in Discussion lines 391-403:

“Still little is known about the relations between theta phase-locking and human cognition. Prior studies have focused on the behavioral correlates of phaselocking to local theta rhythms within the MTL; for example, successful image encoding was found to depend on theta phase-locking strength among hippocampal and amygdala neurons (Rutishauser et al., 2010), while another study found that MTL neurons can represent contextual information in their theta firing phase (Watrous et al., 2018). Here we show that hippocampal theta oscillations also inform the timing of neuronal firing in regions beyond the hippocampus, positioning theta oscillations at the interplay between local circuit computations and inter-regional communication. It remains unknown if behavioral or brain-state dissociations can be found between local and inter-regional phaselocking, or between spike-LFP and LFP-LFP phase synchronization. Such analyses could be well positioned to unite findings from animal and human studies and advance a more mechanistic account of hippocampal-dependent processes across multiple levels of scale, from single neurons to macroscopic fields.”

[Editors’ note: what follows is the authors’ response to the second round of review.]

The manuscript has been improved but there are some remaining issues that need to be addressed, as outlined below:

Essential revisions:

Reviewer #3 (Recommendations for the authors):

1. At several parts in the manuscript the authors suggest that the coupling between extrahippocampal units to hippocampal oscillations is in the direction of LFP -> Spike (lines 168-169; 182-184; 238-239). I was surprised by this, because classically distal spike-LFP coupling is usually interpreted as directional coupling in the opposite direction (Spike -> LFP). This is because the common assumption would be that a if a spike in region A is coupled to the LFP in region B, then this is because the neuron in region A elicits post-synaptic currents in region B, hence spike -> LFP (see Buzsáki and Schomburg, 2015; Liebe et al., 2012; Jacob et al., 2018; see also Roux et al., 2022 for an example in the human MTL). Now, this doesn't mean that coupling in the other direction LFP ◊ Spike is not also possible, but it would require additional steps, whereby the LFP in region A entrains local neurons which then project to region B, where they elicit an LFP in region B which then induces firing of local neurons at specific phases. However, such an explanation is less parsimonious and thus requires additional evidence. Specifically, two additional analyses would be useful in this regard. First, the LFPs in region A and region B would have to be phase coupled. The authors demonstrate a coupling in terms of power, by measuring co-occurrence of 'bouts', but they do not demonstrate whether there is a consistent phase-relationship between the two regions where 'bouts' co-occur. Second, coupling measures which allow inferences about directionality should be applied to the spike and LFP time series. This can be done, for instance, by convolving the spike time series with a gaussian envelope and then applying the phase slope index to both time series (as done in Roux et al., 2022).

We found the reviewer’s motivation and recommendations for further analyses deeply thought-provoking, and look forward to further characterizations of phase-locking of single neurons to LFPs based on notions of directionality. However, here it was not our intention to imply a mechanism or direction of coupling, and we felt that would be best suited for subsequent investigations that stand on the strength of our initial description of this phenomenon. On the other hand, we appreciate why the reviewer was inclined to interpret our rhetoric in this way, and to render it consistent with our original intentions throughout the manuscript, we have removed all language suggestive of a particular directionality of spike–LFP coupling. In particular, we replaced mention of entrainment of single-neuron activity by the hippocampus with neutral references to phase-locking between spikes and LFPs. These changes address the reviewer’s justified concerns about speculation as to the mechanism or direction of the phase coupling phenomena described in the paper.

“This last step allowed us to directly compare phase-locking rates to local versus remote hippocampal influences. → This last step allowed us to directly compare phase-locking rates to local versus remote hippocampal oscillations.” (lines 188– 189)

“Phase-locking to local oscillations was nonetheless prevalent in the PHG (24%) and STG (49%), indicating that many of these neurons were rhythmically entrained, just not by oscillations in the hippocampus. → Phase-locking to local oscillations was nonetheless prevalent in the PHG (24%) and STG (49%), indicating that many of these neurons fired at specific phases of LFP oscillations, just not those recorded in the hippocampus.” (lines 202–204)

“Altogether, these results highlight a triad of regions in the hippocampus, EC, and amygdala with strong spike-time synchronization to hippocampal oscillations, while neurons in more remote, cortical regions known to interact with hippocampus-dependent processes (Eichenbaum, 2000; Squire, 2011; Ranganath and Ritchey, 2012) were minimally entrained by hippocampal rhythms. → Altogether, these results highlight a triad of regions — the hippocampus, EC, and amygdala — that features strong spike-time synchronization to hippocampal oscillations, while neurons in more remote, cortical regions that are known to interact with hippocampus-dependent processes (Eichenbaum, 2000; Squire, 2011; Ranganath and Ritchey, 2012) phase-locked minimally to hippocampal rhythms.” (lines 208–212)

“In the amygdala and remaining cortical regions, this balance shifted: only a few neurons phase-locked to fast hippocampal theta, while most neurons were entrained exclusively by slow theta. → In the amygdala and remaining cortical regions, this balance shifted: only a few neurons phase-locked to fast hippocampal theta, while most neurons coupled exclusively to slow theta.” (lines 239–241)

“Our data reveal that neurons not only within the hippocampus, but in remote regions — particularly the entorhinal cortex and amygdala — are entrained by hippocampal theta phase. → Our data reveal that neurons not only within the hippocampus, but in remote regions — particularly the entorhinal cortex and amygdala — phase-lock to hippocampal theta oscillations.” (lines 259–260)

2. Oscillatory bouts appear in three frequencies, ~3 Hz, ~7 Hz, ~ 15 Hz, with decreasing density of occurrence (i.e. 3 > 7 > 15 Hz). This could be indicative of an asymmetric 3 Hz oscillation which induces spurious signals at the first and second harmonic. Indeed, the 15 Hz oscillation appears to be coupled to the 3 Hz oscillation which would be consistent with this assumption (although the fact that 7 Hz is not, would not support this argument, but still). To counter this the authors should show how often bouts in the three frequency windows co-occur. If the higher frequencies are a reflection of asymmetric wave shapes then there should be a tight correlation with respect to when the bouts occur. Furthermore, the authors could investigate the waveshape of the 3 Hz oscillation by calculating an asymmetry index (as done in Roux et al., 2022; see Figure 5, figure supplement 1).

The reviewer raises an important question regarding the degree to which the three hippocampal LFP oscillations that we observed at 3, 7, and 15Hz peaks (Figure 1C) occurred independently. We followed the approach suggested by the reviewer in evaluating dependencies among these oscillations.

The Reviewer recommended that we examine the asymmetry of the average waveform for each of the 3, 7, and 15Hz hippocampal oscillations. To this end, we first visualized the mean waveform of the first three cycles of the oscillatory bouts at each of these frequencies, averaging first within and then across subjects. The figure below displays these waveforms (panel A). Although none of these waveforms exhibit asymmetry on inspection, we also sought to identify any asymmetries quantitatively. Following the method of Roux et al., 2022, as suggested by the Reviewer, we computed the asymmetry index during oscillatory bouts on each hippocampal LFP recording, at 3, 7, and 15Hz. Panel B shows the asymmetry index values (M ± SEM across participants) at each of these frequencies.

For each hippocampal recording included in our primary analyses (Figure 1), we first calculated the Dice similarity coefficient between oscillatory bouts at each peak oscillation frequency (3, 7, and 15 Hz) and all remaining frequencies from 1-30Hz, respectively. The Dice coefficient ranges from 0 to 1 and quantifies the degree of overlap between two binary vectors. In our analysis, these vectors comprised masks of oscillatory bout occurrence (see Methods section "Oscillatory bout identification") at two frequencies over time, within the same hippocampal electrode.

The resulting figure (see below) shows the Dice coefficients (M ± SEM across participants) in panel C. These plots reveal the overlap between the 3, 7, and 15Hz hippocampal oscillations and all other examined frequencies. If the 7 or 15Hz oscillations were attributable to spurious harmonic interactions with a lower frequency oscillation, we would expect these plots to show a multi-modal correlation structure. However, as can be seen in the figure, Dice coefficient relationships were unimodal for all three oscillations. We do not observe any clear correlations between oscillations at non-adjacent frequencies of a magnitude that would support concluding our results might be partially driven by spurious harmonics.

As we believe these analyses will also be of interest to our readers, we have included these results as a new supplementary figure (Figure 1—figure supplement 1).

We have also added the following description to the Methods (lines 504–519):

“All analyses to analyze waveform asymmetry were confined to oscillatory bouts as identified in the previous section. An inspection of the 3, 7, and 15Hz oscillations averaged during the time window corresponding to the first three cycles of each bout —1000 ms, 428 ms, and 200 ms, respectively — qualitatively assessed asymmetries in these waveforms. Then, an asymmetry index computed in keeping with previously established methods (Roux et al., 2022) quantified asymmetry in the 3Hz, 7Hz, and 15Hz waveforms. After initial preprocessing of the microwire LFPs (see “LFP preprocessing and spectral feature extraction'”), we applied a bandpass linear-phase Hamming-windowed FIR filter within a window of ±2Hz centered at the frequency of interest, and identified local maxima and minima in windows equivalent to a half-cycle at the frequency. After aligning these extrema in the filtered LFP trace to the nearest peaks and troughs within a quarter-cycle in the raw, unfiltered LFP trace, we found the average difference between the time taken to ascend from a trough to the next peak and to descend from the peak to the subsequent trough. We normalized this average difference to the range (-1, 1) by dividing by the cycle length fs/f, where fs is the sampling frequency, and f is the frequency of interest, giving the asymmetry index value. The asymmetry index values for each hippocampal recording were averaged within subjects and then across subjects.”

Finally, we included a description of our findings from these analyses, as detailed above, to the Results (lines 123–139).

“Given that the prevalence of oscillatory bouts peaked at 3Hz, 7Hz, and 15Hz, we sought to verify that these frequency-wise clusters of oscillatory bouts were independent. For instance, an asymmetrical 3Hz rhythm in the hippocampus, analogous to the sawtooth-shaped theta waveform that rabbit, mouse, and rat hippocampus exhibits (Voytek et al., 2017), could generate harmonics at higher frequencies, inducing oscillatory bouts at the 7Hz and 15Hz components coincident with the 3Hz oscillatory bouts. However, visualizations of the average waveform of the first three cycles of the hippocampal oscillatory bouts indicate a symmetrical, sinusoidal oscillation at 3Hz, 7Hz, and 15Hz (Figure 1—figure supplement 1A). Computing an asymmetry index on the waveform at each of these frequencies throughout the recording session confirmed this result, yielding no significant asymmetry at 3 or 7Hz and a statistically significant but very small asymmetry at 15Hz, corresponding to an ascending flank less than a millisecond longer than the descending flank of the oscillation (Figure 1—figure supplement 1B). Finally, if the prevalence of oscillatory bouts at 7 and 15Hz arose from the harmonics of an asymmetrical 3Hz waveform, the oscillatory bouts should tend to occur at the same time, but examining the overlap of oscillatory bouts at 3Hz, 7Hz, and 15Hz with bouts at all other frequencies revealed no evidence for such a pattern of inordinate co-occurrence (Figure 1—figure supplement 1C). Therefore, hippocampal oscillatory bouts occur in three independent bands centered at 3Hz, 7Hz, and 15Hz.”

3. A recent paper that seems highly relevant to the current one is not mentioned. I am referring to the paper by Roux et al. 2022 who also investigated local and distal (cross-regional) spike-LFP coupling in the human MTL during a memory task. In line with the current study, Roux et al. also show distal coupling of MTL neurons in theta. Furthermore, they demonstrate that this coupling is related to memory whereby coupling at faster frequencies predicts successful formation of associations, whereas coupling to slow frequencies predicts unsuccessful formation of associations. Crucially, and central to the current study, Roux et al. 2022 demonstrate that coupling at theta frequencies was correlated with the latency of co-firing of pairs of distally coupled neurons. Therefore, several statements in the paper should to be revisited in light of that previous study (i.e. lines 398-400; 311-316; 66-75). I assume the reason for why the authors did not include that study is that it appeared late in 2022, likely when this paper was already submitted or close to submission. I also think that the Roux et al. paper does not take away anything in terms of novelty from this paper, as Roux et al. were not able to split up the distal coupling into the different MTL subregions due to a lower yield in neurons. If anything, the two papers nicely complement each other and both support a central role of MTL theta oscillations in routing information in the human brain in the service of memory and navigation.

We thank the reviewer for bringing to our attention the important work of Roux and colleagues in characterizing the phase-locking behavior of MTL neurons, and in particular, to LFPs in distal regions of the MTL. Given our own interest in the role of these phenomena in memory and cognition, we were pleased to see their intriguing first step in directly relating the phenomenon of phase-locking between MTL neurons and distal theta to human memory. We earnestly concur with the reviewer’s assessment that Roux et al., 2022 and our own paper reinforce the common theme that theta oscillations crucially support communication across regions in MTL, each pursuing this line of investigation in novel directions. Accordingly, in discussion of the existing literature and the relative contributions of our paper to the field, we have consistently acknowledged Roux et al., 2022, and at the points indicated by the reviewer in particular.

“However, few studies have investigated oscillatory phase coding of neuronal responses outside the hippocampus in humans. A recent study associated episodic memory with increased coupling between spikes in extrahippocampal MTL regions and distal theta with episodic memory, supporting the hypothesis that hippocampal theta facilitates interregional communication, especially with respect to memory and navigation (Roux et al., 2022). Nevertheless, that study did not distinguish the contributions of extrahippocampal and hippocampal oscillatory bouts, nor characterize the differential roles of MTL regions in this novel spike–phase coupling phenomenon.” (lines 72–78)

“Finally, although a prior study has examined distal spike LFP phase coupling (Roux et al., 2022), we provide the first direct evidence in humans that LFP–LFP coupling enhances spike-time synchronization between regions, as extrahippocampal neurons phase-lock approximately twice as strongly to hippocampal theta when local theta oscillations co-occur, as when local theta is absent.” (lines 331–335)

“Here we show that hippocampal theta oscillations also inform the timing of neuronal firing in regions beyond the hippocampus, positioning theta oscillations at the interplay between local circuit computations and interregional communication. In light of these results, and recent findings that the phaselocking characteristics of MTL neurons to local γ and distal theta, but not local theta and distal γ, distinguished successful memory (Roux et al., 2022), behavioral or brain-state dissociations between local and interregional phase-locking, and between spike–LFP and LFP–LFP phase-synchronization, merit further investigation.” (lines 415–421)

Associated Data

    This section collects any data citations, data availability statements, or supplementary materials included in this article.

    Data Citations

    1. Schonhaut DR, Rao AM, Ramayya AG, Solomon EA, Herweg NA, Fried I, Kahana MJ. 2024. MTL neurons phase-lock to human hippocampal theta (code and data) Cognitive Electrophysiology Data Portal. SchoEtal24 [DOI] [PMC free article] [PubMed]

    Supplementary Materials

    MDAR checklist

    Data Availability Statement

    The data used in this study is publicly available from the Cognitive Electrophysiology Data Portal. This dataset includes de-identified, raw EEG data, spike-sorted unit data, and preprocessed phase-locking data. Due to size constraints, the data can be accessed via a request form — requests will be evaluated to ensure the correct datasets are made accessible to those who request them. All data analysis code and JupyterLab notebooks can be freely downloaded from Zenodo.

    The following dataset was generated:

    Schonhaut DR, Rao AM, Ramayya AG, Solomon EA, Herweg NA, Fried I, Kahana MJ. 2024. MTL neurons phase-lock to human hippocampal theta (code and data) Cognitive Electrophysiology Data Portal. SchoEtal24


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