Abstract
Psychotic drugs such as ketamine induce symptoms close to schizophrenia and stimulate the production of γ oscillations, as also seen in patients, but the underlying mechanisms are still unclear. Here, we have used computational models of cortical networks generating γ oscillations, and have integrated the action of drugs such as ketamine to partially block NMDA receptors (NMDARs). The model can reproduce the paradoxical increase of γ oscillations by NMDA receptor antagonists, assuming that antagonists affect NMDA receptors with higher affinity on inhibitory interneurons. We next used the model to compare the responsiveness of the network to external stimuli, and found that when NMDA channels are blocked, an increase of γ power is observed altogether with an increase of network responsiveness. However, this responsiveness increase applies not only to γ states, but also to asynchronous states with no apparent γ. We conclude that NMDA antagonists induce an increased excitability state, which may or may not produce γ oscillations, but the response to external inputs is exacerbated, which may explain phenomena such as altered perception or hallucinations.
Significance Statement
NMDA synaptic receptors mediate excitatory interactions using the neurotransmitter glutamate. NMDA receptors (NMDARs) have been implicated in psychosis such as schizophrenia and are also targeted by hallucinogenic drugs like ketamine. However, the exact mechanisms of action are still unclear. Furthermore, ketamine paradoxically leads to an excited state, although it is a blocker of NMDA receptors, therefore, in principle diminishing excitation. Here, we use models of cortical networks generating γ oscillations and show that this model can explain the paradoxical exciting effect of ketamine if one assumes a higher affinity on NMDA receptors of inhibitory interneurons. The simulated ketamine effect reproduces known symptoms of psychosis such as increased γ oscillations and exacerbated responses to external inputs, compatible with hallucinations.
Introduction
Schizophrenia is a mental disorder characterized by three classes of symptoms: positive symptoms (such as delusions, hallucinations and disordered thoughts or speech), negative symptoms (comprehending poverty of speech and deficits of normal emotional response), and cognitive deficits (Lewis et al., 2005; Bozikas and Andreou, 2011; Su et al., 2018). Several abnormalities have been identified in schizophrenic patients, including important differences in neurotransmitters systems, anatomic deficits and abnormal neural rhythms (Uhlhaas and Singer, 2010; Shenton et al., 2001).
γ Oscillations (30–90 Hz) in early-course schizophrenia patients are commonly reported to present increased power and/or phase synchronization (Flynn et al., 2008; Grent-'t-Jong et al., 2018; Perrottelli et al., 2021). In parallel, positive correlation between psychotic symptoms and the γ power have been identified in schizophrenic patients, in which higher γ-band activity corresponded to increased symptom load (Spencer et al., 2004, 2008, 2009; Mulert et al., 2011). These findings indicate that hallucinations and delusions could be related to an excess of oscillatory synchronization in the γ band.
NMDA receptor (NMDAR) antagonists, commonly used in subanesthetic doses as animal and human models to study Schizophrenia (Gunduz-Bruce, 2009), induce a psychotic state that resembles all three classes of symptoms of the disease (Javitt and Zukin, 1991; Krystal et al., 1994; Kalsi et al., 2011). Furthermore, NMDAR antagonists also increase γ power amplitude, both in human and in animal models (Plourde et al., 1997; Pinault, 2008; Hong et al., 2010; Nicolás et al., 2011; Kocsis, 2012; Wood et al., 2012; Shaw et al., 2015; Slovik et al., 2017).
In this study, we investigate by means of computational models how NMDAR antagonists, such as ketamine, affect the dynamics of neural networks and how the generated boosting of γ activity affects the network response, providing an interpretation for the observed correlation between γ power and psychotic episodes.
Materials and Methods
We describe the model used and the analysis procedures applied to the model.
Neuronal model
The model consists of a sparsely randomly connected network of excitatory and inhibitory spiking neurons, where the neural units are described by the Adaptive Exponential Integrate-And-Fire Model (AdEx; Brette and Gerstner, 2005). In this model, each neuron i is described by its membrane potential
During the simulations, the equation characterizing the membrane potential
In the developed network two types of cells were used: regular spiking (RS) excitatory cells and fast spiking (FS) inhibitory cells. The cell specific parameters are indicated in Table 1.
Synaptic models
The postsynaptic current received by each neuron i is composed by three components: two excitatory, referred to as to AMPA and NMDA synaptic channels, and one inhibitory, referred to as to
in which
Because of the fast dynamics of AMPA and
In which
NMDA channels synaptic conductances,
In which
Synaptic strengths of NMDA synapses (toward RS and FS neurons) were chosen according to the parameter search expressed in Figure 1 (
Network structure
The network developed in this work is composed of 5000 neurons (4000 RS and 1000 FS). Each neuron (RS or FS) was connected randomly to every other neuron in the network with a probability of 10%, receiving on average 500 excitatory synapses (mediated by both AMPA and NMDA channels) and 100 inhibitory synapses (mediated by
External input
In addition to recurrent connections, each neuron received an external drive to keep the network active. This external drive consisted of
To inspected how the network responded to slowly-varying inputs (occurring in a time window much bigger than the γ period), an additional external input was included in the simulations. A simple way of generation this type of slowly varying stimulus is by means of a Gaussian variation in time of its amplitude. We have chosen Gaussian time variations with SD of 50 ms to allow the stimulus to interact with at least three 60-Hz γ cycles. Several amplitudes were tested. This additional external input, similar to the external drive, also consisted of
Block of NMDA channels: effect of NMDAR antagonists
In this work, we mimic the effect of NMDAR antagonists by changing the value of the NMDA synaptic weights
Simulations
All neural networks were constructed using Brian2 simulator (Stimberg et al., 2019). All equations were numerically integrated using Euler methods and dt = 0.1 ms as integration time step. The codes for each one of the three developed networks are available at ModelDB platform.
Population activity: LFP model
To measure the global behavior of the neuronal population, we used a simulated local field potential (LFP). This LFP was generated by the network, by means of a recent method developed by (Telenczuk et al., 2020). This approach calculates the LFP by convolving the spike trains of the network with a kernel that have been previously estimated from unitary LFPs (the LFP generated by a single axon, uLFP) measured experimentally. Since this method assumes a spatial neuronal displacement, to be able to apply it to our simulations, we randomly displaced part of the network (50 neurons) in a 2D grid, assuming that the electrode was displaced on its center and was measuring the LFP in the same layer as neuronal soma. The program code of the kernel method is available in ModelDB (http://modeldb.yale.edu/266508), using python three or the hoc language of NEURON.
Power Spectrum
The Power Spectrum [or Power Spectral Density (PSD)] of the simulated LFP was calculated by means of the Welch’s method, using a Hamming window of length 0.25 s and 125 overlapping points. We used the Python-based ecosystem Scipy function signal.welch to do our calculations.
Distinction between γ and asynchronous states
Because γ oscillations and asynchronous-and-irregular (AI) states are usually part of a continuum of network states (Susin and Destexhe, 2021), we used a criterion based on the PSD to distinguish between γ and AI states. The criterion was that if the oscillatory behavior of the network was prominent, which usually corresponds to a dominant peak at the γ frequency in the PSD, then the network state was considered as γ oscillation. If the PSD peak in the γ frequency was either absent or small compared with the other fluctuations of the PSD, we considered the corresponding network state as AI. It is important to note that for most AI states, although the raster did not reveal any prominent oscillatory component, there was a small peak in the γ frequency range. In general, the amplitude of the oscillation increased with depolarization of the neurons, as described previously (Susin and Destexhe, 2021).
Synaptic charge
The synaptic charge (AMPA or NMDA) of each neuron is defined as the area under the curve of the average synaptic current (Fig. 2A,B, shaded areas), which was calculated from the presynaptic input time until 10 ms after it.
Responsiveness
The level of responsiveness (R) of a network, because of an stimulus (S) in a time window of duration T, is defined as the difference between the total number of spikes generated by the whole network because of an stimulus (
Results
We first show that the computational model reproduces features of the block of NMDA receptors observed in cerebral cortex, and next, we investigate the responsiveness of the model in response to external input, comparing γ oscillations with asynchronous states, which will constitute the main prediction of the model.
Computational model reproduces experimental features
As detailed in Materials and Methods, we used a network model of excitatory RS, and inhibitory FS cells, displaying γ oscillations. This model includes available experimental data on the NMDA/AMPA charge ratio. This ratio is on average higher in RS cells then in FS cells (Fig. 2), in agreement with experimental measurements in prefrontal cortex of adult mice (Rotaru et al., 2011) and rat (Wang and Gao, 2009).
Several preparations with subanesthetics doses of NMDAR antagonists have reported to produce neural excitation (Lahti et al., 1995; Breier et al., 1997; Moghaddam et al., 1997; Vollenweider et al., 1997; Suzuki et al., 2002; Jackson et al., 2004). Since NMDARs mediate excitatory synaptic transmission, this behavior is intriguing. Several hypothesis have been proposed to explain this apparent paradox (Su et al., 2018). One of the possible explanations is that NMDAR antagonists in subanesthetics doses act preferentially on inhibitory neurons, increasing network activity indirectly by means of disinhibition. Although some contrasting results have been observed (Rotaru et al., 2011), this interpretation has been supported experimentally by several works (Lazzaro et al., 2003; Homayoun and Moghaddam, 2007; Zhang et al., 2008; Widman and McMahon, 2018). Network excitability have also been reported to increase in schizophrenic patients (Hoffman and Cavus, 2002; Daskalakis et al., 2007), and its increase in sensory and association cortex have been correlated with hallucinations (Hoffman et al., 2003; Merabet et al., 2003).
Another important effect of NMDAR antagonists in subanesthetics doses is the increase of γ-band activity. These observations were reported in human (Plourde et al., 1997; Hong et al., 2010; Shaw et al., 2015), monkey (Slovik et al., 2017), and rats (Pinault, 2008; Nicolás et al., 2011; Kocsis, 2012; Wood et al., 2012), both during cognitive tasks or free movement.
The network model developed in the present work (see Materials and Methods) is able to reproduce both of these features (increase of network excitability and increase of γ power). Figure 3 depicts the network behavior with respect to the different NMDA synaptic strengths,
Network responsiveness during γ rhythms in different levels of NMDAR block
We investigated how the decrease of NMDA synaptic strength changed the network dynamics and its capacity to respond to external stimulus.
While network excitability is related to an overall increase of spiking activity, network responsiveness relates to the network capacity to react to a certain stimulus, producing additional spikes then the ones generated by spontaneous activity. These two dynamical measurements (excitability and responsiveness) are not always congruent, meaning that it is possible to observe an increase in excitability but a concomitant decrease in responsiveness (Susin and Destexhe, 2021).
Network responsiveness was defined as the difference between the total number of spikes generated by the whole network in the presence and in the absence of the stimulus (see Eq. 6). We measured network responsiveness at different levels of NMDAR block for different stimulus amplitudes (Fig. 5). The stimulus consisted of a variation in time of the external Poissonian drive in a Gaussian manner (see Materials and Methods).
Network responsiveness in RS cells increased with the increased level of NMDAR block, while the responsiveness of FS neurons decreased. In this case, both, network excitability and network responsiveness, behave in the same direction.
The increase of network responsiveness can be understood from Figure 6. The NMDA receptors block depolarizes RS cells, while FS neurons are overall hyperpolarized. For weak levels of NMDA receptors block, no or weak depolarization is observed in FS cells, while for strong levels of NMDA block a significant hyperpolarization is observed.
γ States versus AI states
γ Oscillations (30–90 Hz) are believed to be involved in information processing (O’Keefe and Recce, 1993; Singer and Gray, 1995; Singer, 1999; Fries, 2005, 2015; Fries et al., 2007), and have been associated to different high-level cognitive functions, such as memory (Pesaran et al., 2002; Colgin et al., 2009; Carr et al., 2012), perception (Rougeul-Buser et al., 1975; Bouyer et al., 1981; Rodriguez et al., 1999; Melloni et al., 2007), attention (Fries et al., 2001; Gregoriou et al., 2009; Rouhinen et al., 2013; Vinck et al., 2013), focused arousal (Sheer, 1989), and prediction (Womelsdorf et al., 2006). In parallel, studies with schizophrenic patients have reported a positive correlation between psychotic symptoms and the power of γ oscillations (Spencer et al., 2004, 2008, 2009; Mulert et al., 2011).
In contrast, asynchronous-and-irregular (AI) states (Brunel, 2000) are usually associated to conscious states (Koch et al., 2016), being observed during awake and aroused states (Goldman et al., 2019). This regime are characterized by irregular and sustained firing with very weak correlations (Softky and Koch, 1993; Holt et al., 1996; Shadlen and Newsome, 1998; Destexhe et al., 2003; Henrie and Shapley, 2005).
In a previous study (Susin and Destexhe, 2021), we reported that AI states, in comparison to oscillatory states in γ band, provide the highest responsiveness to external stimuli, indicating that γ oscillations tend to overall diminish responsiveness. This observation could indicate that γ rhythms present a masking effect, conveying information in its cycles on spike timing at the expense of decreasing the strength of the network response.
In the present study, we compare AI and γ states at different levels of NMDAR block. Figure 7 depicts the responsiveness of RS neurons, with respect to different stimulus amplitudes (same protocol as Fig. 5), for different ensembles of NMDA synaptic strengths. In agreement with Figure 5, parameter sets in which NMDA synaptic strengths are decreased (mimicking the action NMDAR antagonists) correspond to regions of the parameter space with higher responsiveness. For example,
Discussion
In this work, we used computational models to investigate the effect of psychotic drugs such as ketamine in cerebral cortex, and how γ oscillations relate to these effects. Our findings are (1) NMDA receptor antagonists modulate the rhythms produced by a simple network model consisting of two distinct cell types, RS and FS cells, which generate γ oscillations by means of the PING mechanism (Tiesinga and Sejnowski, 2009). This modulation is obtained assuming that the NMDAR block predominantly affects interneurons for low doses of ketamine. (2) The boosted γ oscillations following partial block of NMDA receptors, was accompanied by an increased responsiveness to external inputs. (3) This increase of responsiveness could also be seen for asynchronous states, with no apparent γ. We discuss below the implications of these findings.
A first prediction of the model is that it was necessary that the antagonism affects predominantly NMDAR receptors on interneurons. This feature is supported by a number of observations. Intuitively, if the NMDAR block would occur predominantly on excitatory cells, then it is difficult to see how diminishing excitation could augment the activity and excitability of the network. This long-standing question was resolved recently by finding that indeed, NMDAR antagonists primarily affects NMDA receptors on interneurons. It was observed that the application of Ketamine or MK-801 in subanesthetic doses leads to an increased activity of glutamatergic neurons both in cortex (Moghaddam et al., 1997; Lazzaro et al., 2003) and in hippocampus (Widman and McMahon, 2018), and that this increase of glutamatergic activity is a consequence of the disinhibition of GABAergic neurons (Homayoun and Moghaddam, 2007; Zhang et al., 2008). In addition, it has also been reported in hippocampus that inhibitory neurons are more sensitive to NMDAR antagonists than glutamatergic neurons (Ling and Benardo, 1995b; Grunze et al., 1996). Thus, our model completely supports these findings, and could reproduce the increase of γ power induced by NMDA receptor antagonists. On the other hand, contrasting results also exist. For example, Rotaru et al. (2011) argue that NMDAR have less impact on the activity of inhibitory neurons than on the one of excitatory neurons, since they and other authors observed that NMDAR block depressed large EPSP–spike coupling more strongly in excitatory than in inhibitory neurons (Ling and Benardo, 1995a; Karayannis et al., 2007; Rotaru et al., 2011).
The second finding, which is probably the main finding of our study, is that the network has a marked increased responsiveness under the boosted γ condition. This increased responsiveness could be tested experimentally either in vitro, by testing the response of cortical slices with and without application of NMDAR antagonists, or in vivo, by monitoring their response following administration of NMDA antagonists.
The third finding is that the increase of responsiveness is not specific to γ oscillations, because it was also present for asynchronous states with no apparent γ. The underlying mechanism is that the antagonism of NMDA receptors produce an overall depolarization of RS cells, and hyperpolarization of FS cells. Consequently, there is an increase of responsiveness of RS cells, with a corresponding decrease for FS cells, as we observed. In this model, the increase of responsiveness is because of the depolarizing effect on RS cells, and are not because of γ oscillations. Indeed, the highest responsiveness was seen for asynchronous states, also in agreement with a previous modeling study (Susin and Destexhe, 2021).
Possible implications to understand brain pathologies
Our model exhibits several interesting properties that can be related to pathologies. First, the model provides a possible explanation for the symptoms associated to ketamine and others NMDA receptor antagonists, such as hallucinations. The enhanced responsiveness produced by antagonizing NMDA receptors may explain exacerbated responses to sensory stimuli, which may be related to phenomena such as altered perception or hallucinations. Indeed, it is well documented that ketamine produces hallucinations together with a marked increase of γ oscillations (Lee et al., 2003; Hakami et al., 2009; Jones et al., 2012).
Besides hallucinations, the model seems also a priori consistent with the previously reported role for FS neurons in schizophrenia. Postmortem analysis of schizophrenic patient brains have shown a reduced expression of parvalbumin (PV) and GAD67 (Akbarian et al., 1995; Volk et al., 2000; Eyles et al., 2002; Lewis et al., 2005; Akbarian and Huang, 2006; Inan et al., 2013). In parallel, genetic ablation of NMDA receptors in PV-positive interneurons in rodents mimics important behavioral (Korotkova et al., 2010) and phenotypical features of the disease [reduction of GAD67 (Belforte et al., 2010), increase of neuronal excitability (Belforte et al., 2010), and increase of spontaneous γ power (Carlén et al., 2012; Billingslea et al., 2014; Nakao and Nakazawa, 2014)]. These observations support the idea that the hypofunction of NMDA receptors in PV-positive interneurons are especially important in this illness.
However, NMDA receptors are expressed in both GABAergic and glutamatergic neurons (Homayoun and Moghaddam, 2007), and it still remains unclear in which types of cells the NMDA receptor hypofunction causes schizophrenia (Gonzalez-Burgos and Lewis, 2012; Su et al., 2018). Some works reported conflicting results and have questioned the hypothesis that PV-positive Fast Spiking neurons play a role in Schizophrenia (Rotaru et al., 2011; Gonzalez-Burgos and Lewis, 2012).
In our model, the effect of NMDAR antagonists is to increase excitability because of disinhibition, consistent with a number of experimental observations (Lahti et al., 1995; Breier et al., 1997; Moghaddam et al., 1997; Vollenweider et al., 1997; Suzuki et al., 2002; Jackson et al., 2004). This increased excitability is accompanied by a γ power increase, as also found in experiments with ketamine (Plourde et al., 1997; Hong et al., 2010; Shaw et al., 2015) or in schizophrenic patients (Spencer et al., 2004, 2008, 2009; Flynn et al., 2008; Mulert et al., 2011; Grent-'t-Jong et al., 2018; Perrottelli et al., 2021). The model could reproduce all these experimental observations only assuming a larger decrease of the NMDA synaptic strengths in FS cells than in RS cells (Fig. 3A). These results support the idea sustained by some authors (Gonzalez-Burgos and Lewis, 2008), that PV-positive Fast Spiking inhibitory neurons play a key role in schizophrenia. Another modeling study also stressed the importance of NMDA channels into FS neurons (Spencer, 2009). Thus, models support the view that the hypofunction of NMDA receptors on FS cells could explain a number of features typical of schizophrenia, such as anomalous responses and boosted γ oscillations.
Footnotes
The authors declare no competing financial interests.
This work was supported by the Centre National de la Recherche Scientifique (CNRS) and the European Community (Human Brain Project H2020-785907). E.S. was supported by a PhD fellowship from the École des Neurosciences de Paris (ENP), the Fondation pour la Recherche Médicale (FRM) Grant FDT202012010566, and La Fondation des Treilles.
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