Although pyramidal cells are the main excitatory neurons in the cerebral cortex, it has recently been reported that they can evoke inhibitory postsynaptic currents in neighboring pyramidal neurons. These inhibitory effects were proposed to be mediated by putative axo-axonic excitatory synapses between the axon terminals of pyramidal cells and perisomatic inhibitory axon terminals [Ren M, Yoshimura Y, Takada N, Horibe S, Komatsu Y (2007) Science 316:758 -761]. However, the existence of this type of axo-axonic synapse was not found using serial section electron microscopy. Instead, we observed that inhibitory axon terminals synapsing on pyramidal cell bodies were frequently apposed by terminals that established excitatory synapses with neighbouring dendrites. We propose that a spillover of glutamate from these excitatory synapses can activate the adjacent inhibitory axo-somatic terminals.axo-axonic synapses ͉ glutamate spillover ͉ interpyramidal inhibition ͉ perisomatic innervation ͉ serial electron microscopy P yramidal cells are the most abundant cortical neurons and although they are projection neurons, their axons give rise to axonal collaterals before leaving the cortex, producing a rich local intracortical plexus (1). In general, the pyramidal cell's soma and axon initial segment receive only symmetric (inhibitory) synapses from axon terminals of GABAergic interneurons, whereas its dendrites receive synaptic inputs from axon terminals forming both symmetric and asymmetric (excitatory) synapses. The latter type of synapse is mainly located on dendritic spines and such synapses arise from multiple intrinsic and extrinsic sources (2). Many studies have shown that pyramidal neurons are glutamatergic and that they exert a fundamental excitatory function in cortical circuits (3). Indeed, these neurons represent the primary source of cortical excitatory synapses, and in turn, dendritic spines of pyramidal cells are the target of most excitatory synapses (2).This traditional view has recently been challenged by the discovery that pyramidal neurons in layer II/III of the mouse visual cortex exert an inhibitory influence on neighboring pyramidal cells through the direct activation of inhibitory GABAergic axon terminals forming axo-somatic synapses (4) (referred to here as ''axo-somatic terminals''). Thus, singleaction potentials generated in a pyramidal neuron can produce inhibitory postsynaptic currents (IPSCs) in nearby pyramidal cells with short latencies, which are in many cases comparable to monosynaptic connections. These responses are abolished by both non-NMDA and GABA A receptor antagonists, suggesting that they are disynaptic. Other electrophysiological and pharmacological evidence makes it unlikely that these IPSCs are mediated by the conventional activation of inhibitory interneurons, generating somatic action potentials that subsequently spread through the axonal tree. Instead, they seem to take place in the immediate vicinity of the pyramidal cell body.Because these data imply a very close relationship b...