The Impact of Electrophysiological Diversity on Pattern Completion in Lithium Nonresponsive Bipolar Disorder: A Computational Modeling Approach

ABSTRACT Introduction Patients with bipolar disorder (BD) demonstrate episodic memory deficits, which may be hippocampal‐dependent and may be attenuated in lithium responders. Induced pluripotent stem cell–derived CA3 pyramidal cell–like neurons show significant hyperexcitability in lithium‐responsi...

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Main Authors: Abraham Nunes, Selena Singh, Anouar Khayachi, Shani Stern, Thomas Trappenberg, Martin Alda
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Brain and Behavior
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Online Access:https://doi.org/10.1002/brb3.70209
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author Abraham Nunes
Selena Singh
Anouar Khayachi
Shani Stern
Thomas Trappenberg
Martin Alda
author_facet Abraham Nunes
Selena Singh
Anouar Khayachi
Shani Stern
Thomas Trappenberg
Martin Alda
author_sort Abraham Nunes
collection DOAJ
description ABSTRACT Introduction Patients with bipolar disorder (BD) demonstrate episodic memory deficits, which may be hippocampal‐dependent and may be attenuated in lithium responders. Induced pluripotent stem cell–derived CA3 pyramidal cell–like neurons show significant hyperexcitability in lithium‐responsive BD patients, while lithium nonresponders show marked variance in hyperexcitability. We hypothesize that this variable excitability will impair episodic memory recall, as assessed by cued retrieval (pattern completion) within a computational model of the hippocampal CA3. Methods We simulated pattern completion tasks using a computational model of the CA3 with different degrees of pyramidal cell excitability variance. Since pyramidal cell excitability variance naturally leads to a mix of hyperexcitability and hypoexcitability, we also examined what fraction (hyper‐ vs. hypoexcitable) was predominantly responsible for pattern completion errors in our model. Results Pyramidal cell excitability variance impaired pattern completion (linear model β = −2.00, SE = 0.03, p < 0.001). The effect was invariant to all other parameter settings in the model. Excitability variance, specifically hyperexcitability, increased the number of spuriously active neurons, increasing false alarm rates and producing pattern completion deficits. Excessive inhibition also induces pattern completion deficits by limiting the number of correctly active neurons during pattern retrieval. Conclusions Excitability variance in CA3 pyramidal cell–like neurons observed in lithium nonresponders may predict pattern completion deficits in these patients. These cognitive deficits may not be fully corrected by medications that minimize excitability. Future studies should test our predictions by examining behavioral correlates of pattern completion in lithium‐responsive and ‐nonresponsive BD patients.
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spelling doaj-art-11a4a42a1c844f9ead3b679693b337bb2025-01-29T13:36:40ZengWileyBrain and Behavior2162-32792025-01-01151n/an/a10.1002/brb3.70209The Impact of Electrophysiological Diversity on Pattern Completion in Lithium Nonresponsive Bipolar Disorder: A Computational Modeling ApproachAbraham Nunes0Selena Singh1Anouar Khayachi2Shani Stern3Thomas Trappenberg4Martin Alda5Department of Psychiatry Dalhousie University Halifax Nova Scotia CanadaDepartment of Psychology, Neuroscience & Behaviour McMaster University Hamilton Ontario CanadaMontreal Neurological Institute, Department of Neurology & Neurosurgery McGill University Montreal Quebec CanadaSagol Department of Neurobiology, Faculty of Natural Sciences University of Haifa Haifa IsraelFaculty of Computer Science Dalhousie University Halifax Nova Scotia CanadaDepartment of Psychiatry Dalhousie University Halifax Nova Scotia CanadaABSTRACT Introduction Patients with bipolar disorder (BD) demonstrate episodic memory deficits, which may be hippocampal‐dependent and may be attenuated in lithium responders. Induced pluripotent stem cell–derived CA3 pyramidal cell–like neurons show significant hyperexcitability in lithium‐responsive BD patients, while lithium nonresponders show marked variance in hyperexcitability. We hypothesize that this variable excitability will impair episodic memory recall, as assessed by cued retrieval (pattern completion) within a computational model of the hippocampal CA3. Methods We simulated pattern completion tasks using a computational model of the CA3 with different degrees of pyramidal cell excitability variance. Since pyramidal cell excitability variance naturally leads to a mix of hyperexcitability and hypoexcitability, we also examined what fraction (hyper‐ vs. hypoexcitable) was predominantly responsible for pattern completion errors in our model. Results Pyramidal cell excitability variance impaired pattern completion (linear model β = −2.00, SE = 0.03, p < 0.001). The effect was invariant to all other parameter settings in the model. Excitability variance, specifically hyperexcitability, increased the number of spuriously active neurons, increasing false alarm rates and producing pattern completion deficits. Excessive inhibition also induces pattern completion deficits by limiting the number of correctly active neurons during pattern retrieval. Conclusions Excitability variance in CA3 pyramidal cell–like neurons observed in lithium nonresponders may predict pattern completion deficits in these patients. These cognitive deficits may not be fully corrected by medications that minimize excitability. Future studies should test our predictions by examining behavioral correlates of pattern completion in lithium‐responsive and ‐nonresponsive BD patients.https://doi.org/10.1002/brb3.70209bipolar disorderCA3computational modelinglithium
spellingShingle Abraham Nunes
Selena Singh
Anouar Khayachi
Shani Stern
Thomas Trappenberg
Martin Alda
The Impact of Electrophysiological Diversity on Pattern Completion in Lithium Nonresponsive Bipolar Disorder: A Computational Modeling Approach
Brain and Behavior
bipolar disorder
CA3
computational modeling
lithium
title The Impact of Electrophysiological Diversity on Pattern Completion in Lithium Nonresponsive Bipolar Disorder: A Computational Modeling Approach
title_full The Impact of Electrophysiological Diversity on Pattern Completion in Lithium Nonresponsive Bipolar Disorder: A Computational Modeling Approach
title_fullStr The Impact of Electrophysiological Diversity on Pattern Completion in Lithium Nonresponsive Bipolar Disorder: A Computational Modeling Approach
title_full_unstemmed The Impact of Electrophysiological Diversity on Pattern Completion in Lithium Nonresponsive Bipolar Disorder: A Computational Modeling Approach
title_short The Impact of Electrophysiological Diversity on Pattern Completion in Lithium Nonresponsive Bipolar Disorder: A Computational Modeling Approach
title_sort impact of electrophysiological diversity on pattern completion in lithium nonresponsive bipolar disorder a computational modeling approach
topic bipolar disorder
CA3
computational modeling
lithium
url https://doi.org/10.1002/brb3.70209
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