Episodic memory retrieval relies on the recovery of neural representations of waking experience. This process is thought to involve a communication dynamic between the medial temporal lobe memory system and the neocortex. How this occurs is largely unknown, however, especially as it pertains to awake human memory retrieval. Using intracranial electroencephalographic recordings, we found that ripple oscillations were dynamically coupled between the human medial temporal lobe (MTL) and temporal association cortex. Coupled ripples were more pronounced during successful verbal memory retrieval and recover the cortical neural representations of remembered items. Together, these data provide direct evidence that coupled ripples between the MTL and association cortex may underlie successful memory retrieval in the human brain.

Episodic memory retrieval is thought to rely on the replay of past experiences, yet it remains unknown how human single-unit activity is temporally organized during episodic memory encoding and retrieval. We found that ripple oscillations in the human cortex reflect underlying bursts of single-unit spiking activity that are organized into memory-specific sequences. Spiking sequences occurred repeatedly during memory formation and were replayed during successful memory retrieval, and this replay was associated with ripples in the medial temporal lobe. Together, these data demonstrate that human episodic memory is encoded by specific sequences of neural activity and that memory recall involves reinstating this temporal order of activity.

Reinstatement of neural activity is hypothesized to underlie our ability to mentally travel back in time to recover the context of a previous experience. We used intracranial recordings to directly examine the precise spatiotemporal extent of neural reinstatement as 32 participants with electrodes placed for seizure monitoring performed a paired-associates episodic verbal memory task. By cueing recall, we were able to compare reinstatement during correct and incorrect trials, and found that successful retrieval occurs with reinstatement of a gradually changing neural signal present during encoding. We examined reinstatement in individual frequency bands and individual electrodes and found that neural reinstatement was largely mediated by temporal lobe theta and high-gamma frequencies. Leveraging the high temporal precision afforded by intracranial recordings, our data demonstrate that high-gamma activity associated with reinstatement preceded theta activity during encoding, but during retrieval this difference in timing between frequency bands was absent. Our results build upon previous studies to provide direct evidence that successful retrieval involves the reinstatement of a temporal context, and that such reinstatement occurs with precise spatiotemporal dynamics.R einstatement of neural activity is hypothesized to underlie our ability to recover the internal representation of a previous experience, a process described as mental time travel (1-4). These internal representations, which may reflect the external environment or internal mental states, form the context in which an episodic memory is embedded. Central to the hypothesis of mental time travel is that context representations in the brain gradually change over time, and that successful retrieval of an episodic memory involves mentally jumping back in time to reexperience a particular context (5-8). Consistent with this paradigm, when an episode is successfully retrieved from memory, the memory for neighboring episodes that occurred close in time is enhanced, an effect known as contiguity (9). However, despite substantial behavioral data supporting this hypothesis, a number of important yet unanswered questions remain regarding its underlying neural mechanisms.Empiric support for neural reinstatement has largely emerged from functional MRI (fMRI) studies that have used multivoxel pattern analysis (MVPA) (10-12). MVPA relies on classifying neural activity during retrieval to dissociate broad manipulations such as category or task that are present during encoding (13-16). MVPA, however, is unable to directly examine whether successful retrieval reinstates the neural representations of individual items. Representational similarity analysis supports neural reinstatement of individual stimuli (17-19), but this alternative fMRI approach does not examine to what extent retrieval reinstates a changing neural representation of context. In addition, the limited temporal resolution of fMRI studies makes them unable to identify the precise spatiotemporal dynamics o...

IMPORTANCE Neuroinflammation may play a role in epilepsy. Translocator protein 18 kDa (TSPO), a biomarker of neuroinflammation, is overexpressed on activated microglia and reactive astrocytes. A preliminary positron emission tomographic (PET) imaging study using carbon 11 ([ 11 C])-labeled PBR28 in patients with temporal lobe epilepsy (TLE) found increased TSPO ipsilateral to seizure foci. Full quantitation of TSPO in vivo is needed to detect widespread inflammation in the epileptic brain. OBJECTIVES To determine whether patients with TLE have widespread TSPO overexpression using [ 11 C]PBR28 PET imaging, and to replicate relative ipsilateral TSPO increases in patients with TLE using [ 11 C]PBR28 and another TSPO radioligand, [ 11 C]DPA-713. DESIGN, SETTING, AND PARTICIPANTS In a cohort study from March 2009 through September 2013 at the Clinical Epilepsy Section of the National Institute of Neurological Disorders and Stroke, participants underwent brain PET and a subset had concurrent arterial sampling. Twenty-three patients with TLE and 11 age-matched controls were scanned with [ 11 C]PBR28, and 8 patients and 7 controls were scanned with [ 11 C]DPA-713. Patients with TLE had unilateral temporal seizure foci based on ictal electroencephalography and structural magnetic resonance imaging. Participants with homozygous low-affinity TSPO binding were excluded. MAIN OUTCOMES AND MEASURESThe [ 11 C]PBR28 distribution volume (V T ) corrected for free fraction (f P ) was measured in patients with TLE and controls using FreeSurfer software and T1-weighted magnetic resonance imaging for anatomical localization of bilateral temporal and extratemporal regions. Side-to-side asymmetry in patients with TLE was calculated as the ratio of ipsilateral to contralateral [ 11 C]PBR28 and [ 11 C]DPA-713 standardized uptake values from temporal regions.RESULTS The [ 11 C]PBR28 V T to f p ratio was higher in patients with TLE than in controls for all ipsilateral temporal regions (27%-42%; P < .05) and in contralateral hippocampus, amygdala, and temporal pole (approximately 30%-32%; P < .05). Individually, 12 patients, 10 with mesial temporal sclerosis, had asymmetrically increased hippocampal [ 11 C]PBR28 uptake exceeding the 95% confidence interval of the controls. Binding of [ 11 C]PBR28 was increased significantly in thalamus. Relative [ 11 C]PBR28 and [ 11 C]DPA-713 uptakes were higher ipsilateral than contralateral to seizure foci in patients with TLE ([ 11 C]PBR28: 2%-6%; [ 11 C]DPA-713: 4%-9%). Asymmetry of [ 11 C]DPA-713 was greater than that of [ 11 C]PBR28 (F = 29.4; P = .001).CONCLUSIONS AND RELEVANCE Binding of TSPO is increased both ipsilateral and contralateral to seizure foci in patients with TLE, suggesting ongoing inflammation. Anti-inflammatory therapy may play a role in treating drug-resistant epilepsy.

Despite large individual differences in memory performance, people remember certain stimuli with overwhelming consistency. This phenomenon is referred to as the memorability of an individual item. It remains unknown, however, whether memorability also affects our ability to retrieve associations between items. Here, using a paired associates verbal memory task, we combine behavioural data, computational modelling, and direct recordings from the human brain to examine how memorability influences associative memory retrieval. We find that certain words are correctly retrieved across participants irrespective of the cues used to initiate memory retrieval. These words, which share greater semantic similarity with other words, are more readily available during retrieval and lead to more intrusions when retrieval fails. Successful retrieval of these memorable items, relative to less memorable ones, results in faster reinstatement of neural activity in the anterior temporal lobe. Collectively, our data reveal how the brain prioritizes certain information to facilitate memory retrieval.

Chapeton et al. show that alpha oscillations in the human cortex satisfy several constraints that are necessary for using oscillatory coherence as a means of modulating large-scale cortical communication. The results are specific to the alpha band and supported by single-unit spiking activity.

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SUMMARY When we recall an experience, we rely upon the associations that we formed during the experience, such as those between objects, time, and place [1]. These associations are better remembered when they are familiar and draw upon generalized knowledge, suggesting that we use semantic memory in the service of episodic memory [2, 3]. Moreover, converging evidence suggests that episodic memory retrieval involves the reinstatement of neural activity that was present when we first experienced the event. Therefore, we hypothesized that retrieving associations should also reinstate neural activity responsible for semantic processing. Indeed, previous studies have suggested that verbal memory retrieval leads to reinstatement of activity across regions of the brain that include the distributed semantic processing network [4–6], but it is unknown whether and how individual neurons in the human cortex participate in the reinstatement of semantic representations. Recent advances using high density microelectrode arrays (MEAs) have allowed clinicians to record from populations of neurons in the human cortex [7,8]. Here we use MEAs to record neuronal spiking activity in the human middle temporal gyrus (MTG), a cortical region supporting the semantic representation of words [9–11], as participants performed a verbal paired associates task. We provide novel evidence that population spiking activity in the MTG form distinct representations of semantic concepts, and that these representations are reinstated during the retrieval of those words.