Tutorials

Gamma Rhythms (30-80 Hz)

Getting Started.

In order to understand the workflow and initial parameter sets provided with this tutorial, we must first briefly describe prior studies on the mechanistic origin of gamma rhythms, including our prior modeling work that led to the creation of the parameter sets you will work with [1].

Gamma rhythms can encompass a wide band of frequencies from 30-150 Hz. Here, we will focus on the generation of so called low gamma rhythms in the 30-80 Hz range. It has been well established through experiments and computational modeling that these rhythms can emerge in local spiking networks through interactions of excitatory cell and inhibitory cell interactions, with the period of the oscillation set by the time constant of decay of GABAA-mediated inhibitory currents [2–4], a mechanism that has been referred to as pyramidal-interneuronal gamma (PING). In normal regimes, the decay time constant of GABAA-mediated synapses (~25 ms) bounds oscillations to the low gamma frequency band (~40 Hz).

In general, PING rhythms are initiated by “excitation” to the excitatory (E) cells that causes spiking, which in turn synaptically activates a spiking population of inhibitory (I) cells. In turn, these I cells inhibit the E cells, preventing further E cell activity until the E cells can overcome the effects of the inhibition (~25 ms later). The pattern is repeated, creating a gamma frequency oscillation (~40 Hz, 40 spikes/second). This general principle is schematically described in Figure 1 below. The frequency of the rhythm is paced by this time constant of decay of inhibition, which is mediated by strong GABA-A currents, as well as the excitability of the E cells (if the E cells are very excitable, they can fire before the inhibition has completely worn off, and the oscillation will be faster).

Figure 1

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Schematic illustration of the circuit mechanisms underlying PING rhythms.

In this tutorial, we will explore the generation of PING rhythms in the HNN model. We will provide example parameter files and walk through simulations that generate low-frequency gamma activity in both Layers 2/3 and Layer 5, as in [1]. This tutorial relies on a different type of exogenous drive to “activate” the local network than the other tutorials. Here, the necessary excitation to generate spiking in the pyramidal neurons (E cells) that initiates the rhythm (see PING description above) is provided by a continuous train of action potentials with a Poisson distribution (Poisson Input) that activate post-synaptic excitatory AMPA synapses on the pyramidal neurons. This Poisson drive causes the pyramidal neurons to fire, dependent on the chosen conductance of the AMPA currents. The inhibition in the network is strong enough to overcome the Poisson drive and entrain the network spiking into a gamma frequency rhythm.

Of note, gamma rhythms can be generated by circuit mechanisms other than PING, including subthreshold rhythmic exogenous drive. Lee and Jones (2013) examined various mechanisms of generation of gamma activity and described ways to distinguish the mechanisms of generation based on features of current dipole signal [1]. After completing this tutorial, we encourage you to explore alternate mechanisms of gamma generation and to compare to your own gamma data.

Tutorial Table of Contents

  1. Load/view parameters to define network structure & to “activate” the network

  2. Run the simulation and visualize net current dipole

  3. Calculating and Viewing Spiking Activity and Power Spectral Density (PSD)

  4. Adjusting parameters

  5. Have fun exploring your own data!

1. Load/view parameters to define network structure & to “activate” the network

An initial parameter set that will simulate PING rhythms as described in the Getting Started section above can be downloaded via the following hyperlink: gamma_L5weak_L2weak.param. This file can also be found in the HNN param subfolder.

The template cortical column networks structure for this simulation is described in the Overview and What’s Under the Hood sections of the HNN webpage. Several of the network parameter (i.e., local excitatory and inhibitory connection strengths) will be adjusted in this tutorial, but we will begin by describing the inputs the “activate” the network.

To load the initial parameter set, navigate to the HNN GUI and click:

Set Parameters From File

Then select the file gamma_L5weak_L2weak.param from HNN’s param subfolder or from your local machine. In this simulation, the network will be “activated” with excitatory AMPA synaptic input, distributed in time as a Poisson process and given to somas of the pyramidal neurons in Layer 2/3 and Layer 5. This noisy input will generate spiking activity in the pyramidal neurons that can initiate the PING rhythm.

To view the parameters that “activate” the network and initiate a gamma rhythm, return to the main GUI window and click:

Set Parameters > Poisson Inputs

You should see the values of adjustable parameters displayed as in the dialog boxes below.

Figure 2

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The Poisson Inputs GUI has 3 tabs. Two tabs regulate the frequency of the Poisson input (Hz) and post-synaptic conductances of this Poisson drive (weights in ) onto the Layer 2/3 cell somas and Layer 5 cell somas, respectively, and the third tab regulates the start and stop times (ms) of the Poisson drive. The Stop time (ms)value of -1 indicates that the Poisson inputs are provided throughout the duration of the simulation. Note that in this simulation, only the pyramidal neurons are receiving the Poisson drive, and the drive is faster and weaker to Layer 2/3 pyramids (140 Hz; 8e-4 to AMPA synapses) compared to the Layer 5 pyramids (40 Hz; 7.5e-3 to AMPA synapses).

In this parameter file, all synaptic connections within the network are turned off (weight = 0 ), except for reciprocal connections between the excitatory (AMPA only) and inhibitory (GABAA only) cells within the same layer. In other words, the Layer 2/3 and Layer 5 networks are not connected to each other (see the Under the Hood section of the HNN website for further details on connectivity structure). This is not biologically realistic, but was done for illustration purposes and to prevent pyramidal-to-pyramidal interactions from disrupting the gamma rhythm.

To view the local network connection parameters, click:

Set Parameters> Local Network

You should see the values of adjustable parameters displayed as in the dialog boxes below. Notice that the Layer 2/3 and Layer 5 are not connected to each other, the inhibitory conductance weights within layers are stronger than the excitatory conductances, and there are also strong inhibitory-to-inhibitory connections (i.e., basket-to-basket). This strong autonomous inhibition will cause synchrony among the basket cells, and hence strong inhibition onto the pyramidal neurons (note: this synapse was not depicted in Figure 1).

Figure 3

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2. Run the simulation and visualize net current dipole

To run this simulation, navigate to the main GUI window and click:

Run Simulation

Note: If you have run this simulation before, a window will appear asking if you want to overwrite the a param file. If you have not changed the parameters in any way, click ok, otherwise create a new simulation name in the Set Parameters dialog box. This simulation runs for 550 ms of simulation time. Once completed, you will see output similar to that shown below.

Figure 4

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In this simulation, a single histogram displaying the Poisson drive to the excitatory cells is shown in the top panel, displaying no clear rhythmicity at the gamma frequency. The Poisson drive provided causes pyramidal cells to fire, which in-turn cause the inhibitory neurons to fire, and feedback inhibition from the interneurons to the pyramidal cells generates a regular gamma rhythm via the PING mechanism described above (the process to view the spiking activity is described in Section 3 below). In this example, the rhythmic dipole displays sharp downward deflections, reflective of the strong inhibition onto the pyramidal neuron somas, which pulls current flow down the dendrites. The corresponding spectrogram confirms that, for this parameter set, the dipole signal contains strong oscillatory components in the gamma range (~50 Hz).

3. Calculating and Viewing Spiking Activity and Power Spectral Density (PSD)

To view the spiking activity generated by the different neuron populations in the network, from the navigation bar of the main GUI window, click:

View> View Simulation Spiking Activity

The following window will appear, showing the HNN Spike Viewer.

Figure 5

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Notice that the excitatory pyramidal neurons in each layer (green and red dots / lines) fire before the inhibitory basket cells in each layer (white, blue dots / lines). The pyramidal neuron firing drives the basket cells to fire. The basket cells are highly synchronous due to the strong inhibitory-to-inhibitory connections. The basket cells then prevent the pyramidal neurons from firing for ~25 ms, generating the PING rhythms. The line-plots, which show spike counts over time, also demonstrate rhythmicity. The pyramidal neurons are firing periodically, but with lower synchrony due to the Poisson drive (orange histogram at top), which creates randomized spike times across the populations (once the inhibition sufficiently wears off). This type of dispersed pyramidal neuron firing is considered “weak” PING - hence the parameter file name including weak.

We can further confirm that this oscillation is in the gamma frequency range by viewing the power spectral density of the current dipole signal (average spectrogram across time).

To view the PSD from this simulation, from the navigation bar of the main GUI window, click:

View > View PSD

You should see the following window.

Figure 6

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Notice that the power in the gamma band is much smaller in Layer 2/3 than in Layer 5. This is reflective, in part, of the fact that the length of the Layer 2/3 pyramidal neurons is smaller than Layer 5, and hence Layer 2/3 cells produce smaller current dipole moments that can be masked by activity in Layer 5 (see [1] for further discussion).

4. Adjusting parameters

In the following simulations, we explore parameter alterations influencing the generation of gamma rhythms.

Also note that before running/loading new simulations, we first remove the prior simulation by pressing the “Remove Simulation” button at the bottom of the GUI. If we do not do this, both simulation dipoles are displayed (old simulation with dotted line, new simulation with solid line; see “Tour of the GUI” for more details on simulation control).

4.1 Two key parameters controlling gamma rhythmicity are cell “excitability” and network connectivity

In this exercise, HNN will be used to explore the impact of changing several key parameters that control gamma rhythmicity in networks, including cell excitabilityand network connectivity. Cell “excitability” can be adjusted in many ways reflecting the intrinsic properties of a neuron (e.g. membrane resting potential) and/or the influence of external factors such as noisy background inputs or tonic drive via neuromodulation. Parameters controlling network connectivity include the synaptic connection strengths between cells and/or the time constants of synaptic activation. Here, we explore the influence of a few of these factors on gamma rhythmicity. To do so, we will examine activity in only one of the layers, namely Layer 5, by setting all inputs and connectivity in Layer 2/3 to zero.

First, reload the parameter file gamma_L5weak_L2weak.param (see step 1 above). To turn off all off the Layer 2/3 activity, load the network parameters with

Set Parameters > Local Network

Adjust parameters so that all Layer 2/3 weights are set to 0.0 as shown in the dialog boxes below.

Figure 7

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Next, load the Poisson input parameters by selecting

Set Parameters > Poisson Inputs

Adjust the strength of the Layer 2/3 Pyr AMPA weight to 0.0 as shown below.

Figure 8

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Save the simulation with a new “Simulation Name” in the Set Parameters dialog box: “gamma_L5weak_only” and run the simulation by clicking Start Simulation in the main HNN GUI window. The main HNN GUI will show a gamma rhythm similar to that observed in Step 2, that looks as follows:

Figure 9

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However, if you now view the Simulation Spiking Activity and PSD (see step 3 above) you will see activity from only Layer 5 that looks as follows.

Figure 10

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Notice the weak PING rhythm in Layer 5 consisting of weakly synchronous pyramidal neuron firing, followed by synchronous inhibitory neuron firing, that gates the network dipole rhythm to ~50 Hz.

To examine the impact of cell excitability on gamma expression, we can increase the excitability of the Layer 5 pyramidal neurons by adding a tonic applied current that might represent a neuromodulatory influence. Load the Tonic Input parameters with Set Parameters> Tonic Inputs.

As in the Tonic Inputs dialog box below, click on Layer 5, and adjust the amplitude of the tonic drive to the L5 Pyr to be 6.0 nA. This level of injected current will be applied to the soma of the L5 Pyramidal neurons starting at time 0.0 ms and remaining on throughout the simulation (stop time = -1.0 ms).

Figure 11

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Save the simulation with a new simulation name (e.g., “gamma_L5weak_only_tonic”) in the Set Parameters dialog box and run the simulation by clicking Start Simulation in the main HNN GUI window. The simulation will yield the following output.

Figure 12

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Notice that the oscillation waveform is now more regular with less noise due to the fact that the tonic drive is strong and outweighs the influence of the Poisson drive. Next, open the simulation spiking activity, which looks as follows:

Figure 13

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Notice that the Layer 5 pyramidal neurons are now firing nearly synchronously. They in turn synchronously activate the inhibitory basket neurons, which then inhibit the pyramidal neurons for ~20 ms, when the tonic drive outweighs the inhibition and the pyramidal neurons firing again creating a ~50 Hz PING rhythm. This type of synchronous rhythm is sometimes referred to as “strong” PING. Notice that there is also a ~90 Hz component to the dipole spectrogram. Inspection of the dipole waveform shows that this 90 Hz activity does not represent a separate rhythm, but rather reflects the dipole waveform shape which has a fast oscillation on each cycle of the slower rhythm, due to the strong downward currents induced by strong somatic inhibition on the pyramidal neurons.

In this new excitability state, we’ll now explore the impact of adjusting synaptic connectivity parameters in the network. Load the local network parameters with:

Set Parameters > Local Network

Then click on the Layer 5 Bas tab and adjust the weight of the L5 Pyr -> L5 Basket cells from 9.1e-4 to 9.1e-5 (10x weaker) as shown below.

Figure 14

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Next, save the simulation with a new “Simulation Name” in the Set Parameters dialog box: “gamma_L5weak_only_tonic2” , and run the simulation by clicking Start Simulation in the main HNN GUI. The main HNN GUI will now show the following output.

Figure 15

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Notice that the rhythm has now slowed from 50 Hz to 40 Hz. This slowing is due to the fact that since the excitatory to inhibitory connection was weakened, it takes longer for the basket cells to respond to the excitation and hence the rhythm is slowed. This can be visualized with the Simulation Spiking Activity as shown below.

Figure 16

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Next, we’ll explore the importance of the inhibitory connections in setting gamma rhythmicity. First, set the L5 Pyr -> L5 Basket back to 9.1e-4 . Now remove the Tonic Input to the Layer 5 cells by setting the amplitude of L5 Pyr to be 0.0 nA. We are now back to the Layer 5 only weak PING parameter set that we started with in this section (confirm this by saving the file with a new name and running the simulation).

Next, remove the inhibitory to inhibitory connections by loading:

Set Parameters > Local Network

Adjust L5 Basket -> L5 Basket weight from 7.5e-3 to 0 as shown below.

Figure 17

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Save the simulation with a new simulation name (e.g., “gamma_L5weak_only_noinh”) in the Set Parameters dialog box and run the simulation by clicking Start Simulation in the main HNN GUI. The simulation will then yield the following output.

Figure 18

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Notice that the rhythm is still present but less regular and noisier (compare with first waveform image in this section 4.1 above). You can also observe this in the Simulation Spiking Activity (below). This lack of regularity is due to the fact that removal of the inhibitory to inhibitory connections caused the inhibition to be less synchronous and noiser, and hence the PING rhythm is in turn noisier.

Figure 19

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Lastly, we’ll see that the time constant of inhibitory decay is an essential parameter controlling the frequency of the PING rhythm. In the Local Network dialog box adjust the strength of the L5 Basket -> L5 Basket weight back to 7.5e-3 , and keep all other parameters the same. Next, load the “Cell Parameters” by clicking:

Set Parameters > Cell Parameters

Click on the “L5 Pyr Synapses” tab and adjust the GABAA decay time from 5.0 ms to 2.0 ms (note in these simulations the weight of the GABAB synapses are all set to zero), as shown below.

Figure 20

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Save the simulation with a new “Simulation Name” in the Set Parameters dialog box: “gamma_L5weak_only_fasterinh”, and run the simulation by clicking Start Simulation in the main HNN GUI. The main HNN GUI will now show the following output.

Figure 21

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Notice that the rhythm is now faster at 60 Hz. As can be seen in the Simulation Spiking Activity viewer below this is due to the fact that the faster decay of inhibition allows the pyramidal neurons to recover more quickly from the inhibition and respond to the Poisson drive, resulting in a faster network oscillation.

Figure 22

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4.1.1 Exercises for further exploration

4.2 Only tonic inputs to pyramidal neurons can also generate gamma

The next exercise involves setting up a PING rhythm in both layer 2/3 and layer 5 by providing tonic inputs to the pyramidal neurons, as opposed to the stochastic Poisson inputs described above. HNN provide the capability of applying a constant depolarizing current injection to the soma of neurons representative of a “tonic input”.

A parameter set that will simulate PING rhythms through “tonic input” to the pyramidal neurons can be downloaded via the following hyperlink: gamma_L5ping_L2ping.param. This file can also be found in the HNN param subfolder.

Load the parameter file values by navigating to the main GUI and clicking:

Set Parameters From File

Then select the file from HNN’s param subfolder or from your local machine. In this simulation, tonic input is given to the pyramidal neurons in Layer 2/3 and Layer 5 to generate spiking that initiates PING.

To view the parameters, return to the main GUI and click:

Set Parameters > Tonic Inputs

You should see the values of adjustable parameters displayed in the dialog boxes below. Note that in the dialog boxes, only the pyramidal neurons are set to receive depolarizing current injections (tonic inputs). These inputs start at the beginning of the simulation (0 ms) and stop at its end (indicated with stop time of -1.0), with slightly stronger input to Layer 5 (6 nA) than to Layer 2/3 (4 nA).

Figure 23

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To run this simulation, return to the main GUI window and click:

Start Simulation

This simulation runs for 550 ms of simulation time. Once completed, you will see output similar to that shown below.

Figure 24

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In this simulation, there are no spiking inputs provided to the model, so the HNN GUI does not display a histogram of driving inputs. Instead, a current clamp provides a constant depolarizing current to the pyramidal neuron somas, causing the cells to fire. This firing initiates the PING rhythm through mechanisms similar to that described above. In contrast to the Poisson drive, the constant depolarization to pyramidal neurons creates higher excitability in the pyramidal neurons, causing more synchronous firing. In turn, this causes the interneurons to fire synchronously, hence producing a higher amplitude gamma oscillation. Here, the rhythmic dipole displays even sharper downward deflections, caused by the strong synchronous inhibition onto the pyramidal neuron somas that pulls current flow down the dendrites. This PING rhythm has less variability and would be considered “strong” PING rather than “weak” PING.

The corresponding spectrogram and PSD (View menu> View PSD) (shown below, right column) confirms that, for this parameter set, the dipole signal contains strong oscillatory components in the gamma range (~45 Hz) in the net dipole with, once again, a strong contribution from Layer 5. Layer 2/3 is oscillating at higher frequency(~65 Hz) with lower amplitude (note: Layer 2/3 and Layer 5 are not synaptically connected to each other in this simulation). There is an additional higher frequency component near 80 Hz in Layer 5. A closer look at the dipole currents from Layer 5 (View menu > View Simulation Dipoles) (shown below, left column, middle panel) shows that the 80 Hz activity comes from sharp deflections in the dipole waveform along with a small amplitude peak that together create high power at 80 Hz in the frequency domain. A closer look at the spiking activity in each population below will reveal the mechanisms creating these waveform shapes.

Figure 25

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To view the spiking activity of each neuron in the population, return the main GUI window and click:

View > View Simulation Spiking Activity

The HNN Spike Viewerwill appear, as shown below. The PING mechanism is seen in each layer where the pyramidal neurons fire, causing the inhibitory neurons to fire, which consequently keep the pyramidal neurons from firing until their excitation outweighs the inhibition. Notice that the firing rate of Layer 2/3 pyramidal and basket neurons is faster than that of Layer 5 neurons. This is because although the Layer 2/3 pyramidal neurons receive a lower current injection, they have shorter dendrites and therefore the current flow up and down the dendrites is faster. Further, the Layer 2/3 pyramidal neurons have lower spiking thresholds due to their intrinsic properties.

In each layer, the inhibitory neurons are firing synchronously and causing strong somatic inhibition on the pyramidal neurons, resulting in fast downward current flow that creates the sharp dipole deflections seen in the dipole waveforms above. Notice that the small peak in the Layer 5 dipole that contributes to the 80 Hz activity is due to the strong depolarizing current on the pyramidal neurons that causes their voltage to rise quickly even before the inhibitory neurons fire. As an exercise, play with the current injection amplitude provided to the different neurons to see how it affects the generated rhythm.

Figure 26

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4.3 Gamma through rhythmicsubthreshold synaptic inputs to pyramidal neurons

In the next example, we will apply 50 Hz rhythmic synaptic inputs through proximal and distal projection patterns to produce gamma oscillations similar to those shown in Figure 8A of (Lee & Jones, 2013) [1]. In this simulation, the strength of the input is set so that the cells remain subthreshold and gamma rhythms emerge from subthreshold current flow in the pyramidal neuron dendrites, rather than local spiking interactions as in the PING mechanisms described above.

The parameter set that will simulate subthreshold gamma oscillations through rhythmic inputs to pyramidal neurons in proximal and distal projection patterns can be downloaded via the following hyperlink gamma_rhythmic_drive.param. This file can also be found in the HNN param subfolder.

Load the parameter file values by returning to the main GUI window and clicking:

Set Parameters From File

Then select the file from HNN’s param subfolder or from your local machine. To view the parameters, click:

Set Parameters > Rhythmic Proximal Inputs

Set Parameters > Rhythmic Distal Inputs

You should see the values of adjustable parameters displayed in the dialog boxes below. In this example, the pyramidal neurons receive inputs, and the interneurons do not. The proximal and distal inputs start at 50.0 and 55.0 ms, respectively, and are slightly out of phase to allow synaptic inputs to effectively push current flow up the dendrites followed 5 ms later by current flow down the dendrites. Additionally, the input frequency for both proximal and distal inputs is set to a 50 Hz rhythm provided by “bursts” of excitatory synaptic input (driving burst frequencies; inter-burst-interval of 20 ms), with minimal noise within each driving burst (burst stdev of 2.5 ms). Please review the Alpha/Beta tutorial for a detailed description of the driving bursts. Note also that the amplitude of the inputs, which are only provided to the Layer 5 pyramidal neurons, is set to a small value (4e-5 ), which produces only subthreshold responses in the Layer 5 pyramidal neurons. As a result, the gamma mechanism shown in this simulation is fundamentally different from the previous examples, since it does not rely on the local-spiking interactions that underlie the PING mechanism.

Figure 27

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To run this simulation, return to the main GUI and click:

Start Simulation

This simulation runs for 550 ms of simulation time. Once completed, you will see output similar to that shown below.

Figure 28

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Histograms of the proximal and distal drives are shown in the top of the HNN GUI. The net dipole signal in this simulation shows a clear gamma rhythm at ~50 Hz, produced by the Layer 5 pyramidal neurons. Note, here the Layer 2/3 pyramidal neurons are not receiving any drive and hence do not contribute to the dipole current. There is only minor stochasticity to the synaptic inputs (burst stdev of 2.5 ms). Also note that the waveform shape in this simulation is distinct from the previous examples, lacking the sharp deflections produced by neuronal firing and strong somatic inhibition during PING.

4.4 Gamma through rhythmicsubthreshold synaptic inputs to pyramidal neurons, with additional noise

In the final simulation of this section, we will add more noise to the previously applied 50 Hz rhythmic drive, described in section 4.2. The parameter set can be loaded by clicking the following hyperlink: gamma_rhythmic_drive_more_noise.param. This file can also be found in the HNN’s param subfolder.

To load the file, navigate to the main GUI window and click:

Set Parameters From File

Then select the file from HNN’s param subfolder or from your local machine. Next, view the parameters by clicking:

Set Parameters > Rhythmic Proximal Inputs

Set Parameters > Rhythmic Distal Inputs

You will see the values displayed in the dialog boxes below. Note that additional noise is present in the driving proximal and distal inputs, which now have Burst stdev = 5.0 ms, as compared to 2.5 ms in the previous simulations. This increase adds variability to timing of the burst of synaptic drive each input provides, and hence adds “noise” to the network.

Figure 29

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To run this simulation, navigate to the main GUI window and click:

Start Simulation

Once completed, you will see output similar to that shown below.

Figure 30

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In the simulation above, due to the higher variability in synaptic input timing, there is now more variability in the temporal dynamics and frequency content seen in the dipole signal. This is seen in the intermittent 50 Hz gamma events seen in the wavelet spectrogram. Here there is also a high power 25 Hz event that emerges, and both frequencies create peaks in the PSD from this single trial simulation, shown above.

4.4.1 Exercises for further exploration

5. Have fun exploring your own data!

We have not observed strong gamma activity in our SI dipole data, and as such have not provided an example data set to compare simulation results to, as in the other tutorials. However, simulation results can be compared to recorded data, as described in the ERP and Alpha/Beta tutorials. Follow steps 1-4 above using your data and parameter adjustments based on your own hypotheses.

References

  1. Lee, S. & Jones, S. R. Distinguishing mechanisms of gamma frequency oscillations in human current source signals using a computational model of a laminar neocortical network. Front. Hum. Neurosci. 7, 869 (2013).

  2. Cardin, J. A. et al. Driving fast-spiking cells induces gamma rhythm and controls sensory responses. Nature 459, 663–667 (2009).

  3. Vierling-Claassen, D., Cardin, J. A., Moore, C. I. & Jones, S. R. Computational modeling of distinct neocortical oscillations driven by cell-type selective optogenetic drive: separable resonant circuits controlled by low-threshold spiking and fast-spiking interneurons. Front. Hum. Neurosci. 4, 198 (2010).

  4. Buzsáki, G. & Wang, X.-J. Mechanisms of gamma oscillations. Annu. Rev. Neurosci. 35, 203–225 (2012).