Fast-ripples are emergent properties of neuronal networks

Reviewer #1 (Public review):

Summary:

This is a study utilizing several types of analyses (computational modeling, neuronal cultures, rodent epilepsy model, and human intracranial multi-scale recordings) to address a highly relevant conceptual question: Are fast ripples (FRs) distinct pathological entities or largely emergent products of stochastic spike clustering? The results can potentially reshape current approaches to incorporating fast ripples into the epilepsy surgery evaluation.

Strengths:

The conceptualization of fast ripples as potentially arising by chance is highly novel and builds effectively on questions raised in prior studies that have never been satisfactorily resolved. Integration across biological scales and models provides a rigorous approach, now improved by addressing theoretical concerns regarding validity of the shuffling approach and state dependence. The discussion has been updated to provide a more nuanced interpretation of the study's findings.

Weaknesses:

The authors have satisfactorily and thoughtfully addressed the critiques provided in the first review. However, there remain two points that I would like authors to address prior to publication:

(1) Synchronized burst firing is a key feature of an epileptic site generating interictal discharges, and one that could generate either oscillatory or stochastic FRs as documented in multiple prior publications cited in the manuscript and/or in the prior review. Paroxysmal depolarization, for example, has been very well described, and consists of strong, disorganized burst firing (resulting in summated postsynaptic potentials strong enough to generate high gamma signal) in a neuronal population coinciding with a large low-frequency deflection. I would like to see the results described in this context, and to avoid blanket dismissal of stochastic FRs without a clear oscillatory component.

(2) It would be highly useful to add a conclusion paragraph that spells out implications of the study for use of FRs as epileptic biomarkers in clinical invasive EEG recordings.

Comments on revised version.

The author's additions to the discussion are appreciated.

Reviewer #2 (Public review):

Summary:

This paper asks an important question that has not been discussed much in the extensive literature on the High Frequency Oscillations (HFOs) that have been extensively studied in patients with epilepsy and experimental models of epilepsy. The question is whether the Fast Ripples (FRs), the HFOs in the 250-500 Hz frequency band, represent a pathological phenomenon or represent a physiological phenomenon that occurs in the healthy brain but happens to be more frequent in epileptic tissue. It is an important question that has not been systematically addressed until now. The authors conclude, from very extensive simulations, from extensive experimental animal studies (the systemic kianate model of epilepsy in rats), and from a modest amount of human data, that FRs occur in healthy brains as a result of the chance occurrence of bursts of action potentials, and that in epileptic tissue, their frequency of occurrence is approximately 30% higher than what is expected by chance. They conclude that FRs are not a separate phenomenon of epileptic tissue. This finding is reinforced by the recent findings of FRs in experimental models of Alzheimer's disease.

Strengths:

This is a valuable study because it asks an important and original question and because it evaluates it from several angles (simulation, tissue culture, experimental animals, and human patients). The simulations and the analyses of real data are performed very carefully and with original and solidly documented approaches, using extensive simulations and extensive data sets in the cultured cell data and in the in vivo experiments. The paper is clearly written and well-illustrated.

Comments on revised version.

The authors have appropriately addressed the questions I raised in the first review

Reviewer #3 (Public review):

Summary:

An outstanding question in the field of high frequency oscillations (HFOs) in the context of epilepsy is how these oscillations emerge, considering that they occur at such high frequencies i.e., 250Hz well above the firing ability of single neurons. One hypothesis that has been suggested in the past is that neurons that fire in an out of phase fashion or rather at random intervals may contribute to a spectrum of HFOs ranging from 250-500Hz that observed in epilepsy. However, how possible it is that random action potentials could aggregate to the extent that they could give rise to HFOs in the so-called fast ripple (FRs) frequency range (>200 according to the authors) remains unclear. To test this hypothesis, they used computational modeling to randomly insert action potentials in a signal, and they found that this approach is sufficient to generate FRs. Some of the predictors of whether FRs could occur were neuronal count, firing rate and synchronization. Besides computational modeling, they used different model systems to test whether that would be possible to be observed in neuronal cultures, in epileptic rats (intrahippocampal kainic acid model), and human data. Neuronal cultures treated with picrotoxin did not show evidence that FRs could be generated more than chance aggregation of action potentials. They then asked whether synchronization and firing rate could play a role in the emergence of FRs. They found that changes in neural firing and synchronization, such as those occurring during differences phase of the sleep-wake cycle could affect the number of FRs occurring by chance aggregation, with more FRs seen during periods of wakefulness, a result that they replicated in human data.

The authors largely achieve their proposed aims of demonstrating that random neuronal firing can, in principle, generate FRs. Results from this study could influence current thinking around mechanisms generating FRs in epilepsy. The use of different computational approaches and model systems could offer new analytical methodologies for the study of FRs in the context of brain disease.

Strengths:

(1) The authors used a multi-level approach combining computational modeling with experimental datasets, including neuronal cultures, a rat model of temporal lobe epilepsy and human data.

(2) Identification of key parameters such as neuronal count, firing rate, synchronization and brain state in observed incidence of FRs generated through random aggregation of neural firing.

(3) Cross-species validation increases the likelihood of generalizability of the findings.

Comments on revised version.

The authors have addressed my comments and have no further suggestions or any changes in my assessment.

Author response:

The following is the authors’ response to the previous reviews.

Public Reviews:

Reviewer #1 (Public review):

Summary:

This is a study utilizing several types of analyses (computational modeling, neuronal cultures, rodent epilepsy model, and human intracranial multi-scale recordings) to address a highly relevant conceptual question: Are fast ripples (FRs) distinct pathological entities or largely emergent products of stochastic spike clustering? The results can potentially reshape current approaches to incorporating fast ripples into the epilepsy surgery evaluation.

Strengths:

The conceptualization of fast ripples as potentially arising by chance is highly novel and builds effectively on questions raised in prior studies that have never been satisfactorily resolved. Integration across biological scales and models provides a rigorous approach, now improved by addressing theoretical concerns regarding validity of the shuffling approach and state dependence. The discussion has been updated to provide a more nuanced interpretation of the study's findings.

Weaknesses:

The authors have satisfactorily and thoughtfully addressed the critiques provided in the first review. However, there remain two points that I would like authors to address:

(1) Synchronized burst firing is a key feature of an epileptic site generating interictal discharges, and one that could generate either oscillatory or stochastic FRs as documented in multiple prior publications cited in the manuscript and/or in the prior review. Paroxysmal depolarization, for example, has been very well described, and consists of strong, disorganized burst firing (resulting in summated postsynaptic potentials strong enough to generate high gamma signal) in a neuronal population coinciding with a large low-frequency deflection. I would like to see the results described in this context, and to avoid blanket dismissal of stochastic FRs without a clear oscillatory component.

To describe the results in this context, we have updated the Discussion. It reads:

“Depolarizations that promote burst firing should also increase the likelihood of FRs. Paroxysmal depolarization shifts, which are the cellular events underlying epileptiform abnormalities, would therefore be expected to co-occur with FRs. Accordingly, epileptiform abnormalities should be associated with increased gamma/high-gamma (> 80 Hz) activity at their source as has been observed in epileptogenic parenchyma (Ren et al., 2015; Sheybani et al., 2021; Weiss et al., 2015).”

(2) It would be highly useful to add a conclusion paragraph that spells out implications of the study for use of FRs as epileptic biomarkers in clinical invasive EEG recordings.

We fully agree that the main message should be further clarified. We have added this paragraph to this end:

“Clinically, our findings do not argue for or against the use of FRs as epilepsy biomarkers, as we did not assess their relationship with the epileptogenic zone. However, they do indicate that FRs are not highly specific to epileptic tissue. We would, however, recommend selecting FRs with particularly long duration, which may offer greater specificity and potentially better reliability as a biomarker. The clinical value of FRs as distinct entities or as emergent oscillations remains to be clarified.”

Please address the above critiques in Discussion, or elsewhere as deemed necessary by the authors.

Reviewer #2 (Public review):

Summary:

This paper asks an important question that has not been discussed much in the extensive literature on the High Frequency Oscillations (HFOs) that have been extensively studied in patients with epilepsy and experimental models of epilepsy. The question is whether the Fast Ripples (FRs), the HFOs in the 250-500 Hz frequency band, represent a pathological phenomenon or represent a physiological phenomenon that occurs in the healthy brain but happens to be more frequent in epileptic tissue. It is an important question that has not been systematically addressed until now. The authors conclude, from very extensive simulations, from extensive experimental animal studies (the systemic kianate model of epilepsy in rats), and from a modest amount of human data, that FRs occur in healthy brains as a result of the chance occurrence of bursts of action potentials, and that in epileptic tissue, their frequency of occurrence is approximately 30% higher than what is expected by chance. They conclude that FRs are not a separate phenomenon of epileptic tissue. This finding is reinforced by the recent findings of FRs in experimental models of Alzheimer's disease.

Strengths:

This is a valuable study because it asks an important and original question and because it evaluates it from several angles (simulation, tissue culture, experimental animals, and human patients). The simulations and the analyses of real data are performed very carefully and with original and solidly documented approaches, using extensive simulations and extensive data sets in the cultured cell data and in the in vivo experiments. The paper is clearly written and well-illustrated.

Comments on revised version.

The authors have appropriately addressed the questions I raised in the first review.

Reviewer #3 (Public review):

Summary:

An outstanding question in the field of high-frequency oscillations (HFOs) in the context of epilepsy is how these oscillations emerge, considering that they occur at such high frequencies i.e., 250Hz well above the firing ability of single neurons. One hypothesis that has been suggested in the past is that neurons that fire in an out-of-phase fashion or rather at random intervals may contribute to a spectrum of HFOs ranging from 250-500Hz that observed in epilepsy. However, how possible it is that random action potentials could aggregate to the extent that they could give rise to HFOs in the so-called fast ripple (FRs) frequency range (>200 according to the authors) remains unclear. To test this hypothesis, they used computational modeling to randomly insert action potentials in a signal, and they found that this approach is sufficient to generate FRs. Some of the predictors of whether FRs could occur were neuronal count, firing rate and synchronization. Besides computational modeling, they used different model systems to test whether that would be possible to be observed in neuronal cultures, in epileptic rats (intrahippocampal kainic acid model), and human data. Neuronal cultures treated with picrotoxin did not show evidence that FRs could be generated more than chance aggregation of action potentials. They then asked whether synchronization and firing rate could play a role in the emergence of FRs. They found that changes in neural firing and synchronization, such as those occurring during different phases of the sleep-wake cycle could affect the number of FRs occurring by chance aggregation, with more FRs seen during periods of wakefulness, a result that they replicated in human data.

The authors largely achieve their proposed aims of demonstrating that random neuronal firing can, in principle, generate FRs. Results from this study could influence current thinking around mechanisms generating FRs in epilepsy. The use of different computational approaches and model systems could offer new analytical methodologies for the study of FRs in the context of brain disease.

Strengths:

(1) The authors used a multi-level approach combining computational modeling with experimental datasets, including neuronal cultures, a rat model of temporal lobe epilepsy and human data.

(2) Identification of key parameters such as neuronal count, firing rate, synchronization and brain state in observed incidence of FRs generated through random aggregation of neural firing.

(3) Cross-species validation increases the likelihood of generalizability of the findings.

Minor weakness:

(1) The analyses conducted in human data lack direct comparison with sleep data due to no available data, but would encourage future investigations directly comparing HFOs during wakefulness and nocturnal sleep.

Comments on revised version.

The authors have addressed my comments and I have no further suggestions.