Significance
Reciprocal cortical–hippocampal signaling is widely believed to underlie consolidation of declarative memories. By investigating human fMRI and electrocorticography during both wake and slow-wave sleep (SWS), we find, first, that δ-band activity and infraslow activity propagate in opposite directions between the hippocampus and cortex. Second, both δ activity and infraslow activity reverse propagation directions between the hippocampus and the cortex across wake and SWS. These results highlight reciprocal communication between frequencies, and constitute direct evidence for the reversal of the human cortical–hippocampal dialogue across wake and SWS.
Keywords: hippocampus, cortex, sleep, dynamics, memory
Abstract
Declarative memory consolidation is hypothesized to require a two-stage, reciprocal cortical–hippocampal dialogue. According to this model, higher frequency signals convey information from the cortex to hippocampus during wakefulness, but in the reverse direction during slow-wave sleep (SWS). Conversely, lower-frequency activity propagates from the information “receiver” to the “sender” to coordinate the timing of information transfer. Reversal of sender/receiver roles across wake and SWS implies that higher- and lower-frequency signaling should reverse direction between the cortex and hippocampus. However, direct evidence of such a reversal has been lacking in humans. Here, we use human resting-state fMRI and electrocorticography to demonstrate that δ-band activity and infraslow activity propagate in opposite directions between the hippocampus and cerebral cortex. Moreover, both δ activity and infraslow activity reverse propagation directions between the hippocampus and cerebral cortex across wake and SWS. These findings provide direct evidence for state-dependent reversals in human cortical–hippocampal communication.
Declarative memories are initially hippocampus-dependent and gradually become hippocampus-independent over time, that is, consolidated (1, 2). It is theorized that a two-stage reciprocal dialogue between the hippocampus and the cerebral cortex underlies memory consolidation (3–5). According to this model, active behavior generates experiential codes in the cortex that are transmitted to the hippocampus, which houses a labile information store. Later, during slow-wave sleep (SWS), recently acquired hippocampal information is reactivated and transmitted to the cerebral cortex, where it is integrated into a more permanent memory store (5, 6). Thus, the hippocampus and cerebral cortex are proposed to exchange roles in sending and receiving information across wake and SWS (5, 6). Importantly, this model does not imply that all signals travel from the “sender” to the “receiver.” Instead, the theory proposes that high-frequency activity carries information from the sender to receiver, that is, from the cortex to hippocampus or the hippocampus to cortex, depending on the stage of memory consolidation (wake or SWS, respectively) (4). Conversely, low-frequency activity propagates from the receiver back to the sender to coordinate the transfer of high-frequency information through modulation of the sender’s excitability (4, 7–9). Hence, the two-stage reciprocal dialogue model predicts that lower and higher frequency activity between the hippocampus and cortex should propagate in opposite directions across wake and SWS, as illustrated in the schematic in Fig. 1. However, such reversal has not been directly observed in humans.
We have recently analyzed temporal lags (delays) in neural signals to study the net propagation of spontaneous activity. In particular, we investigated resting-state fMRI (rs-fMRI) blood oxygen level-dependent (BOLD) signals and demonstrated directed propagation of infraslow activity (<0.1 Hz) in normal young adults (10, 11). Although rs-fMRI data are generally analyzed on the basis of zero-lag correlation topographies (e.g., functional connectivity) (12, 13), our prior work has established that the resting-state BOLD signal also exhibits a highly reproducible propagation structure in awake adults (10, 11). Moreover, in a data-driven analysis, we found that BOLD signal propagation is markedly altered in wake vs. SWS, including state-dependent reversal of propagation between subcortical structures (thalamus and striatum) and the cerebral cortex (14). On this basis, we hypothesized that the reciprocal corticohippocampal dialogue (Fig. 1) may manifest a lower frequency component in infraslow signals, whereas a higher frequency component may be found in oscillations more traditionally associated with hippocampal function (4, 15, 16).
To investigate this hypothesis, we here analyze two datasets: (i) combined noninvasive electroencephalography (EEG) and rs-fMRI acquired in 38 normal, young adults during wake and SWS and (ii) invasive electrocorticography (ECoG) data collected during wake and SWS in five patients undergoing evaluation for surgical management of epilepsy. We study infraslow propagation by examining temporal lags in corticohippocampal rs-fMRI signals as well as electrophysiological infraslow signals extracted from ECoG. Higher frequencies are examined by studying temporal lags in local field potentials (LFPs) measured using ECoG. On this basis, we investigate cortical–hippocampal propagation of both slow and fast signals in humans during wakefulness and SWS.
Results
Resting-State fMRI.
We first examined infraslow signaling using rs-fMRI in 38 normal adults on the basis of prior work demonstrating state-dependent reversal of BOLD signal propagation between the cortex and subcortical structures (14). As illustrated in Fig. 2, we compute temporal lags in rs-fMRI data by applying parabolic interpolation to lagged covariance curves derived over pairs of time series [this methodology has been previously described in detail (11)]. Parabolic interpolation allows the detection of temporal lags finer than the temporal sampling density of fMRI. The temporal lag between the hippocampus region of interest (ROI) and each gray matter voxel represents, on average, whether the BOLD signal in the hippocampus leads or follows the cortical voxel.
The set of all temporal lags with respect to the hippocampus, during wake and SWS, is shown in Fig. 3 in the form of a lag map. Negative lag values (cool hues) in Fig. 3 indicate voxels where activity, on average, leads the hippocampus; positive lag values (warm hues) indicate voxels where activity, on average, follows the hippocampus. The range of lags in Fig. 3, approximately ±1 s, agrees with previous findings (10). Contrasting Fig. 3 A and B, it is evident that the hippocampal lag maps are substantially altered across wake and SWS. To assess the distribution of these effects over functional systems, we computed the mean lag between the hippocampus and an array of resting state networks (RSNs) in wake and SWS (topographic network definitions are provided in SI Appendix, Fig. S1A). The results, shown in Fig. 4A, demonstrate that every neocortical RSN is late with respect to the hippocampus during wake. In contrast, during SWS, every RSN is early with respect to the hippocampus, with the exception of the sensory motor network (SMN). Thus, infraslow rs-fMRI activity generally propagates from the hippocampus to cerebral cortex during wake, but in the opposite direction, from the cerebral cortex to hippocampus, during SWS. This reversal in propagation is statistically significant in three networks: the visual network, the auditory network, and the default mode network (DMN).
To examine lags at a finer spatial scale, we next analyzed voxel-wise lag differences (Fig. 4B). Statistically significant spatial clusters are shown in Fig. 4C. Clusters with negative lag values (blue) in Fig. 2C are earlier with respect to the hippocampus during SWS compared with wake. These clusters include the posterior cingulate precuneus, parietal cortex, and medial prefrontal cortex, a constellation of regions corresponding to the DMN (17). Additional significant spatial clusters of increased earliness were found in the calcarine sulcus (visual network) and auditory cortex (auditory network).
Positive differences in lag values, indicating voxels that are later with respect to the hippocampus during SWS compared with wake, are also found in Fig. 4B. This effect was statistically significant in two spatial clusters (Fig. 4C): the paracentral lobule and parts of the right dorsal striatum (caudate nucleus and putamen). The paracentral lobule is a functional component of the supplementary motor area (SMA) (18), which belongs to the SMN. Thus, increased lateness in the paracentral lobule accounts for the exceptional status of the SMN in Fig. 4A. The SMA and dorsal striatum both play a major role in procedural motor learning (19). Hence, our results raise the possibility that regions integral to motor learning exhibit increased lateness with respect to the hippocampus during SWS. Indeed, a trend toward increased lateness was also observed at the voxel level in the rostral cingulate cortex (Fig. 4B), another area implicated in procedural motor learning (19).
In control analyses, we verified that BOLD signal amplitude in the hippocampal ROI is unchanged in wake vs. SWS (SI Appendix, Fig. S1B), as is zero-lag correlation (e.g., conventional functional connectivity) between the hippocampus and the major cortical networks (SI Appendix, Fig. S1C). Therefore, the observed shifts in BOLD signal lag cannot be attributed to loss of hippocampal signal or loss of cortical–hippocampal functional connectivity. Moreover, entorhinal cortex lag analyses yielded results nearly identical to the results obtained using the hippocampus (SI Appendix, Fig. S2). Therefore, the findings in Figs. 3 and 4 should be understood as applying to the hippocampal system, including entorhinal cortex.
Infraslow Electrophysiology.
We have thus far examined temporal lags in rs-fMRI data. We next examined lags in infraslow activity using ECoG data collected during wake and SWS in five patients undergoing evaluation for surgical management of epilepsy (detailed information on sleep staging is provided in SI Appendix, Supplemental Experimental Procedures, and patient details are provided in SI Appendix, Table S1). These patients had no medial temporal lobe pathology and were grossly cognitively normal, including intact memory function. Cortical electrode coverage across subjects is illustrated in Fig. 5A, and the locations of electrodes in the hippocampal system in each of the five patients are shown in Fig. 5B.
Infraslow activity in ECoG has previously been assessed in two ways, either through infraslow LFPs (20) or infraslow fluctuations in band-limited power (BLP) (21–23). Both infraslow potentials and infraslow fluctuations in BLP exhibit temporal correlation patterns that have been shown to correspond to RSNs derived using rs-fMRI (20, 22). Owing to clinical amplifier limitations, infraslow potentials were not available in the present data; hence, we examined cortical–hippocampal lags in infraslow BLP fluctuations, parametric in carrier frequency: δ (0.5–4 Hz), θ (4–8 Hz), α (8–12 Hz), and γ (40–100 Hz). Use of infraslow BLP to assess infraslow fluctuations in electrophysiology is well established (21–24).
Accordingly, we computed lags in each subject between the hippocampal electrode and all cortical electrodes using infraslow BLP time series parametric in carrier frequency. An example of lagged covariance curves in wake and SWS, illustrated using γ BLP time series, is shown in Fig. 5D. To accommodate variable cortical electrode coverage across subjects, group-average lag results were computed at the network level (as in Fig. 4A). The most robust evidence of statistically significant reversal of lags in infra-slow BLP between the cortex and hippocampus was found in the γ BLP, as shown in Fig. 5E. Notably, infraslow fluctuations in γ BLP exhibited cortical–hippocampal lags closely matched to our rs-fMRI results (compare Figs. 4A and 5E). The range of γ BLP lags is similar to the range reported in Fig. 4A (approximately ±1 s). Moreover, with one exception, each cortical RSN was late with respect to the hippocampus during wake, whereas the reverse was true during SWS. This reversal was statistically significant in the visual network, DMN, and auditory network (P < 0.05, corrected). The lone exception to the finding of increased earliness in SWS was the SMN, which exhibited increased lateness with respect to the hippocampus in SWS compared with wake (Fig. 5E). Notably, the same SMN effect was observed in the rs-fMRI results (Fig. 4A).
We found no statistically significant wake vs. SWS reversal of infraslow BLP lags in the α- or θ-bands (SI Appendix, Fig. S3 A and B). Interestingly, one significant lag reversal was found in the visual network in δ BLP, but the direction of this lag reversal is opposite to what was observed for γ BLP (further discussion is provided in SI Appendix, Fig. S3 A and B). We also computed zero-lag correlations for BLP signals between the hippocampal electrode and each cortical network, and found that none of the lag changes can be attributed to statistically significant changes in correlation between wake and SWS (SI Appendix, Fig. S3C). Stable infraslow BLP correlations across wake and SWS agree with previously reported work (21, 22). Finally, we verified that the cortical and hippocampal electrodes in each patient had power at all analyzed frequencies during both wake and SWS (SI Appendix, Fig. S4). Although there is more δ-band power during SWS than wake (by definition), power in δ frequencies is present during wakefulness. Moreover, as has been previously reported, γ oscillations are present during wake and SWS (25).
LFPs.
The reciprocal two-stage model predicts the existence of high-frequency signals that propagate from the cerebral cortex to hippocampus during wake, and from the hippocampus to cerebral cortex during SWS (Fig. 1). To test this feature of the model, we analyzed temporal lags in LFPs. Although low-frequency LFPs, such as δ, are generally considered “slow,” in the present context, they are treated as “fast” because these frequencies are at least one order of magnitude higher than the infraslow range. As before, we analyzed lags computed between the hippocampal electrode and every cortical electrode, parametric in frequency. An example is illustrated in Fig. 6A: The top trace shows δ-band activity in the hippocampus and a cortical electrode during wakefulness, and the bottom trace shows δ-band activity in the same electrodes in the same patient during SWS. Lagged covariance curves computed from the time series during wake and SWS are illustrated in Fig. 6B; in the illustrated example, it is evident that the cortex leads the hippocampus during wake (negative lag value), whereas the reverse is true during SWS (positive lag value). Group-average lag results for δ-band activity, computed at the network level, are shown in Fig. 6C. The range of the temporal lags in Fig. 6C, approximately ±50 ms, is much faster than the ∼1-s infraslow lags reported in Fig. 5E. In general, the cortex leads the hippocampus during wake, and the hippocampus leads the cortex during SWS. This reversal in propagation direction was statistically significant in the dorsal attention network, the visual network, and the frontoparietal control network. It is notable that the SMN exhibited the opposite effect, although this contrast was not statistically significant; that is, the net balance of propagation during wakefulness is from the hippocampus to the cortex in the SMN, and vice versa during SWS. Thus, the SMN appears as an exception in both infraslow and δ-band lag analyses.
We found no statistically significant wake vs. SWS reversal of LFP lags in the θ-, α-, or γ-bands (SI Appendix, Fig. S5 A and B). We also found that, at the network level, correlations in LFP activity between the hippocampus and cerebral cortex were stable across wake and SWS in all analyzed bands (SI Appendix, Fig. S5C). Thus, the changes in the direction of temporal lag found in δ activity are not attributable to changes in correlation structure.
Discussion
Summary of Present Findings.
We analyzed human cortical–hippocampal signaling, as a function of wake and SWS, at multiple time scales using both rs-fMRI and ECoG. In general, we find that infraslow activity, as measured using spontaneous BOLD signals and fluctuations in γ BLP, propagates from the hippocampus to the cerebral cortex during wake, but in the opposite direction during SWS. In contrast, spontaneous δ-band LFPs measured using ECoG generally propagate from the cerebral cortex to the hippocampus during wake, and from the hippocampus to the cerebral cortex during SWS. Taken together, these results demonstrate reversal of cortical–hippocampal signaling in humans, across wake and SWS, in two distinct frequency ranges. Our findings are consistent with the two-stage reciprocal theory of corticohippocampal communication (Fig. 1), if infraslow signals are taken to represent the low-frequency component of the model and δ-band activity is viewed as the higher frequency component. These results represent a departure from rodent hippocampus studies, which associate δ/θ activity with low-frequency signaling, and γ/sharp-wave activity with higher frequency signals (26–29). We speculate that the differences may be attributable to cross-species effects (16) as well as different signaling processes captured by macro- as opposed to microelectrode recordings (30) (discussed further in Hippocampal Delta, below).
Our data also reveal significant exceptions to the general infraslow/δ scheme in the SMN and putamen. In these regions, the directions of the temporal lags we observed are precisely reversed from findings in the rest of the cortex, for both infralow and δ-band activity. Thus, not only is the direction of cortical–hippocampal signaling a function of wake vs. sleep and frequency but the direction of signaling also depends on the part of cortex in question (Fig. 7).
Infraslow Signaling.
Our results highlight the role of infraslow activity, measured by both rs-fMRI and fluctuations in γ BLP, in the corticohippocampal dialogue. The findings suggest that the direction of infraslow propagation between the cortex and hippocampus is related to the cortical–hippocampal state (encoding vs. consolidating). The procedural memory system may be subject to a similar principle, because we have previously found reversal in propagated infraslow activity between the putamen in the cortex across wake and SWS (14).
Infraslow activity has been widely implicated in organizing brain function. First, prior work has demonstrated infraslow modulation of high-frequency corticohippocampal interactions during SWS (27). Second, it is now well known that infraslow fluctuations (assessed by rs-fMRI and electrophysiological techniques) are temporally correlated within functional systems (or resting-state networks) spanning the entire brain (20, 21). Indeed, zero-lag correlation topographies in rs-fMRI activity have been previously shown to correspond most closely to correlation topographies derived using γ BLP, as opposed to BLP fluctuations at other frequencies (21–23). Our findings extend the correspondence between rs-fMRI and infraslow fluctuations in γ BLP by demonstrating agreement in their temporal lag structure, with respect to cortical–hippocampal delays. The agreement between rs-fMRI and γ BLP suggests that large-scale coordinated infraslow fluctuations in activity, assessed by these techniques, likely correspond to spatially broad changes in cortical excitability (20, 23, 31).
In accordance with the two-stage reciprocal dialogue model, we suggest that slow, coordinated changes in excitability play a role in coordinating higher frequency information exchange between the cortex and hippocampus. It has been previously demonstrated that spontaneous infraslow activity modulates broad-band electrophysiological activity through cross-frequency, phase-amplitude coupling (31). Thus, given its broad influence over multiple temporal scales and large distances, temporal lags in infraslow activity are well suited for the coordination of systems level activity necessary for cortical–hippocampal communication. Importantly, the long temporal lags (∼1 s) observed in infraslow activity indicate that these very slow frequencies do not propagate via direct axonal transmission; instead, we hypothesize that infraslow signals travel at the population level to act as a slow feedback signal to regulate higher frequency activity.
Our study does not address the mechanisms that cause the direction of propagated infraslow activity between the hippocampus and cortex to reverse. However, prior evidence suggests that the differences in neuromodulator tone between wake and SWS (32), especially cholinergic input (7, 33), play a role in altering patterns of intrinsic activity. Specifically, the reduction of cholinergic tone during SWS (33) may differentially alter the excitatory/inhibitory balance in different parts of the brain (34). Regionally variable differences in excitatory tone could underlie reversals in the net propagation of activity. The physiology underlying infraslow propagation over hundreds to thousands of milliseconds is also presently unknown. This mechanistic uncertainty extends to propagation of ∼1-Hz activity over hundreds of milliseconds, where prior work has implicated factors ranging from purinergic signaling to the balance in excitatory and inhibitory activity (7, 35). Future work is required to resolve these questions.
Hippocampal Delta.
We find that, on balance, spontaneous δ LFPs propagate from the cerebral cortex to the hippocampus during wakefulness, and from the hippocampus to the cerebral cortex during SWS. These results, in the context of the two-stage reciprocal dialogue model, suggest that δ-band activity plays a role in human cortical–hippocampal information exchange in both wake and sleep. Although hippocampal function has been traditionally associated with θ (4–8 Hz) -band activity on the basis of rodent studies (28, 36), recent work has shown that memory-related activity in the primate (including human) hippocampus manifests also in the δ (0.5–4 Hz) range (16, 37–41). Human ECoG studies have shown that δ LFP activity propagates from the cortex to hippocampus with a delay of ∼30 ms during recall tasks (39), in agreement with the delay time and direction observed in our awake data (Fig. 6B). Furthermore, δ power in the human hippocampus increases during SWS following a memory task, and the degree of this increase is correlated with postsleep memory recall (37), suggesting a role for hippocampal δ in memory consolidation during SWS. To the best of our knowledge, phase delays in δ LFPs between the hippocampus and cortex have not been previously studied in human SWS. However, our finding of signaling from the hippocampus to cerebral cortex in SWS is consistent with δ activity facilitating consolidation by transfer of information from the hippocampus to cortex.
The propagation of δ LFPs from the hippocampus to much of the cortex during SWS may appear, at first glance, to contradict prior work, which has demonstrated propagation of slow waves from the cortex to hippocampus (9, 42). However, much of the prior work examining slow-wave (or up/down state) propagation has used motor cortex recordings to examine the corticohippocampal relationship (9, 42). In agreement with these studies, we find that δ LFPs in the motor cortex propagate to the hippocampus during SWS (Fig. 5E). Thus, in evaluating cortical–hippocampal propagation of activity, cortical location is a critical factor, as further discussed in Network Specificity. In this regard, a present limitation is the lack of medial electrode coverage (Fig. 5A); it is quite possible that these medial structures have a different lag relation to the hippocampus, in δ LFPs, than the lateral regions we measured. Finally, it is important to note that δ LFPs represent a broader set of neural processes than slow waves (43). Our focus on contrasting wake vs. SWS informed the present focus on δ LFPs rather than slow-wave events, but differences between these phenomena may drive some differences in cortico–hippocampal relations (further discussion is provided in SI Appendix, Supplemental Experimental Procedures).
We did not observe consistent cortical–hippocampal temporal lags in θ, α, or γ LFPs. However, this negative finding does not mean that activity in these frequencies does not play an essential role in cortical–hippocampal communication. Our temporal lags analysis detects biases in the direction of signaling; thus, strongly reciprocal signaling, which may be equally important for cortical–hippocampal communication, may not produce a clear lag direction. Moreover, our LFP data are acquired on the basis of ECoG electrodes on the surface of the brain. These electrodes do not provide the cortical laminar specificity that has been essential for detecting directed α- and γ-band activity in other parts of the brain (30, 44). Finally, it is important to note the caveat that the present electrophysiological recordings are obtained in patients with epilepsy. Hence, it is possible that the findings reported here may not generalize to normal human physiology. The agreement between the results obtained using rs-fMRI in normal subjects and γ BLP in patients with epilepsy is a good control with respect to infraslow signaling, but ethical considerations prevent any similar comparison with normal participants with respect to LFP data.
Network Specificity.
In general, infraslow activity (rs-fMRI and γ BLP) propagates from the hippocampus to the cerebral cortex during wakefulness, and in the reverse direction during SWS. δ LFP activity between the hippocampus and cortex generally travels in the opposite direction as infraslow activity during wake and SWS. These reversals are especially prominent in the DMN, the visual network, and the auditory network. A prominent DMN effect is significant, given the emerging work associating the ongoing function of this network with declarative memory processes both during waking recall (22, 45) and during offline consolidation (46). Functional signaling between the hippocampus and the DMN is also consistent with the robust anatomical connections between these systems (47). Therefore, our findings add to growing evidence that the ongoing activity in the DMN is intimately related to declarative memory function.
Prominent lag reversals in the visual and auditory networks suggest the key role of sensory systems in both encoding and consolidating declarative memories. Previous work has shown that sensory information is conveyed to the hippocampus during wakefulness (3, 5, 36) and that neurons in both the auditory and visual cortices engage in coordinated high-frequency replay with the hippocampus during SWS (48–50). Temporal lag reversals between the hippocampus and visual/auditory cortices may reflect systems-level manifestations of these processes.
Propagation between the SMN, including the putamen (as measured in rs-fMRI), and the hippocampus occurs in the opposite direction with respect to the rest of the cortex, at infraslow and δ frequencies, during wake and SWS. These results are consistent with prior work that has demonstrated a fundamental dissociation between the declarative memory system, which is hippocampus-dependent, and the procedural memory system, which depends on the striatum and supports motor learning and habitual behavior (32, 51–54) (Fig. 7). However, although the direction of propagation dissociates the procedural memory system from other parts of the brain, we also find evidence of signaling between the elements of the procedural system (SMN and putamen) and the hippocampus. Thus, our data suggest that in addition to functional dissociation, there is ongoing communication between the declarative and procedural memory systems, in which the hippocampus appears to play an important role. This view is consistent with prior work demonstrating coordination between the declarative and procedural memory systems (54).
Conclusion
Analysis of human spontaneous brain activity reveals direct evidence for reciprocal cortical–hippocampal communication across lower (infraslow rs-fMRI and γ BLP) and higher (δ LFP) frequency signals. As predicted by the two-stage model of declarative memory consolidation, the direction of propagation in both the slower (infraslow) and faster (δ) signals reverses direction in SWS vs. wake. However, the direction of hippocampal signaling with sensory motor areas differs compared with the rest of the brain. Future work is required to determine the behavioral role of this propagated activity, as well as to investigate how these frequencies relate to other cortical and hippocampal rhythms.
Experimental Procedures
EEG-fMRI Acquisition and Artifact Correction.
Acquisition parameters and details for these data have been previously published (55). The fMRI was acquired using a 3T scanner (Siemens Trio) with optimized polysomnographic settings (1,505 vol of T2*-weighted echo planar images, repetition time/echo time = 2,080 ms/30 ms, matrix = 64 × 64, voxel size = 3 × 3 × 2 mm3, distance factor = 50%, field of view = 192 mm2). Thirty EEG channels were simultaneously recorded using a modified cap (EASYCAP) with FCz as a reference (sampling rate = 5 kHz, low-pass filter = 250 Hz, high-pass filter = 0.016 Hz). MRI and pulse artifact correction were performed based on the average artifact subtraction method (56) as implemented in BrainVision Analyzer 2 (Brain Products), followed by independent components analysis (ICA)-based rejection of residual artifact components (CBC parameters; Vision Analyzer). EEG sleep staging was done by an expert according to the American Academy of Sleep Medicine criteria (57).
fMRI Subjects.
Sixty-three nonsleep-deprived subjects were scanned in the evening (starting at ∼8:00 PM). Written informed consent was obtained from all subjects whose data were analyzed in this study, and data collection for this study was approved by the Goethe University Ethics Committee. Hypnograms were inspected to identify epochs of contiguous sleep stages lasting at least 5 min (150 volumes). These criteria yielded 38 subjects contributing to the present analyses. Included are 70 epochs of wakefulness and 38 epochs of N3 sleep (SWS). Detailed sleep architectures of each participant have been previously published (55).
ECoG Subjects.
All participants were patients at Barnes Jewish Hospital or St. Louis Children’s Hospital with drug-resistant epilepsy undergoing ECoG monitoring to localize seizure foci. All participants provided informed consent with oversight by the local Institutional Review Board at the Washington University School of Medicine in accordance with the NIH guidelines and the ethical standards of the Declaration of Helsinki. Participants were selected from a large ECoG database in which least 4 d of clinical ECoG recordings as well as preoperative structural MRI and fMRI and postimplant X-ray computed tomography images were acquired (n = 25). Five subjects passed stringent electrophysiological and spatial coverage criteria (SI Appendix, Supplemental Experimental Procedures) for inclusion in the study. We only analyzed data from patients who did not show any sign of medial temporal lobe pathology, were grossly cognitively normal by clinical neurological assessment, showed no signs of memory impairment, and had a combined intelligence quotient >80 as assessed by the Wechsler Adult Intelligence Scale—Fourth Edition (58). Furthermore, four of the five subjects in the present analysis were not on any medications during the ECoG recording period. Individual subject profiles are provided in SI Appendix, Table S1.
Epochs of wakefulness and sleep in the patients were identified behaviorally with video records. Periods of SWS during sleep were identified electrophysiologically on the basis of δ power in ECoG electrodes. δ Power was assessed using ECoG electrodes as opposed to traditional scalp EEG because, as noted by prior studies, the postsurgical condition of the skull precludes collection of usable EEG/polysomnography data (59). Thus, following previously established practice (20, 59), we classified sustained periods (≥5 min) of δ power (>20% power in the 0.5- to 2-Hz range) in ECoG electrodes during behaviorally identified sleep as SWS (20, 57). We only analyzed SWS epochs lasting a minimum of 5 min to match the fMRI analysis.
Statistical Analysis.
Statistical significance of wake vs. SWS differences in lag maps (Fig. 4) was assessed on a cluster-wise basis using threshold-extent criteria computed by extensive permutation resampling (60, 61). Statistical significance in group-level lag reversals (Figs. 4–6) is computed using a one-sample t test, where statistically significant reversals are inferred only when mean lag values are significantly different from zero, and in opposite directions, across wake and SWS. P values in Fig. 4 were Bonferroni-corrected for eight comparisons; P values in Figs. 5 and 6 were Bonferroni-corrected for 24 comparisons (six networks × four frequency bands).
Details regarding preprocessing of fMRI and ECoG data, as well as further explanation of lags computations, are found in SI Appendix, Supplemental Experimental Procedures.
Supplementary Material
Acknowledgments
We thank Gyorgy Buzsaki, Manu Goyal, and Tyler Blazey for helpful discussion. This work was supported by NIH Grants NS080675 (to M.E.R. and A.Z.S.), P30NS048056 (to A.Z.S.), R01MH096482-01 (to E.C.L.), F30MH099877-02 (to C.D.H.), and F30MH106253-02 (to A.M.); the Bundesministerium für Bildung und Forschung (Grant 01EV0703); and the Landes-Offensive zur Entwicklung wissenschaftlich ökonomischer Exzellenz (LOEWE) Neuronale Koordination Forschungsschwerpunkt Frankfurt.
Footnotes
The authors declare no conflict of interest.
This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10.1073/pnas.1607289113/-/DCSupplemental.
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