Abstract
Electrophysiological characterization of live human tissue from epilepsy patients has been performed for many decades. Although initially these studies sought to understand the biophysical and synaptic changes associated with human epilepsy, recently, it has become the mainstay for exploring the distinctive biophysical and synaptic features of human cell-types. Both epochs of these human cellular electrophysiological explorations have faced criticism. Early studies revealed that cortical pyramidal neurons obtained from individuals with epilepsy appeared to function “normally” in comparison to neurons from non-epilepsy controls or neurons from other species and thus there was little to gain from the study of human neurons from epilepsy patients. On the other hand, contemporary studies are often questioned for the “normalcy” of the recorded neurons since they are derived from epilepsy patients. In this review, we discuss our current understanding of the distinct biophysical features of human cortical neurons and glia obtained from tissue removed from patients with epilepsy and tumors. We then explore the concept of within cell-type diversity and its loss (i.e., “neural homogenization”). We introduce neural homogenization to help reconcile the epileptogenicity of seemingly “normal” human cortical cells and circuits. We propose that there should be continued efforts to study cortical tissue from epilepsy patients in the quest to understand what makes human cell-types “human”.
1. Introduction
For decades, neuroscientific investigations have pursued the question: “What properties of the human brain allow for the uniqueness of the human experience?” With contributions of modern neuroscience, it is now understood that the quality of being human emerges from the interactions between the brain's 80 billion neurons. As inspired by the single neuron doctrine, resources from all over the world have been put toward understanding the constituent parts of the brain including individual neurons and their supporting glia (Yuste, 2015). Some institutions, such as the Allen Institute, have a dedicated mission to create atlases of the brain at various resolutions, consisting of macroscopic scale anatomical references to microscopic-scale molecular and cellular mapping (Hawrylycz et al., 2012; Han et al., 2022). These atlases provide an incredibly comprehensive evaluation of the brain at the structural level; however, they do not fully contextualize what functions the brain is performing over a temporal scale. While structural information can help inform how a neuron may function, based on channel expression, dendritic length, or spatial location, the structure/function relationship cannot necessarily discern a neuron's activity and how it may choose to interact within a neuronal network at a given time (Denk et al., ). As a result, the functional characterization of neurons and glia that make up the human brain, as well as understanding how they function relative to one another, remains a critical endeavor in experimental and computational neurosciences. However, limited access to live human brain tissue has impeded the understanding of human cellular and network physiology. In turn, investigations have employed preclinical animal models, closely related to humans, to better address many scientific questions about the human brain such as those concerned with neurological conditions.
The scientific study of neurological conditions (diseases, disorders, and injuries) have made significant advances with the valuable insight provided by preclinical models (Cavalheiro et al., , ; Cook and Cruicher, ; Avoli and Olivier, ; Avoli et al., , ; Bragin et al., ; Duty and Jenner, ; Asgari et al., ; Lang et al., 2014; Moradi-Chameh et al., 2014; Moradi Chameh et al., 2015; Shojaei et al., 2014; Isakson et al., 2018; King, 2018; Cela et al., ; Vashi and Justice, 2019; Ahmed Juvale and Che Has, ; Rusina et al., 2021; Whitebirch et al., 2022). While preclinical modeling has contributed to the understanding of basic mechanisms underlying the conditions that transform the central nervous system, the neuronal properties of preclinical models cannot be fully translated to those of humans, inherently limiting their usefulness in studying disease (Fisher et al., ; Shanks et al., 2009; Shineman et al., 2011; Galanopoulou et al., 2013; Simonato et al., 2014).
The surgical resection of living brain tissue has provided the opportunity for researchers to increase their understanding of the human-specific features of human cell-types (Deitcher et al., ; Zeng et al., 2012; Mohan et al., 2015; Beaulieu-Laroche et al., , ; Kalmbach et al., 2018, 2021; Berg et al., ; Moradi Chameh et al., 2021; Planert et al., 2021; Rich et al., 2021). Very few institutions worldwide, which perform surgical resections for the management of epilepsy and the removal of tumors, have access to living brain tissue for such investigations. As a result, there are limited studies that fully characterize the neuronal biophysical properties of human tissue and address the species differences that exist relative to preclinical models. While interneuron subtypes play an essential role in mediating the function of human circuitry, the focus of this review will be on pyramidal neurons and the supporting role of astrocytes. We summarize the evolution of studies investigating human brain tissue, present the methods of evaluating neuronal biophysical properties of pyramidal neurons and astrocytes of human tissue, compare these findings to preclinical model counterparts, and provide evidence for why such studies reflect “on average” the biophysical properties of “normal” human pyramidal neurons.
2. A review of in vitro studies on resected human brain tissue for the investigation of epileptogenesis and functional characteristics of human cell-types
Epilepsy is a chronic neurological disorder characterized by the debilitating presence of recurrent spontaneous seizures. In clinical cases where antiseizure medications (ASMs) fail to provide seizure freedom, resective surgery is recommended (Engel, ). This elective surgical procedure consists of removing the epileptogenic focus, which may render the patient seizure free (Rosenow and Luders, 2021). The earliest documented case of epilepsy surgery was performed in 1886 when scar tissue was removed from the cortex of the patient, leading to the complete remission of their seizures (Schijns et al., 2015), with diagnostic and surgical approaches refined by the pioneering work at the Montreal Neurological Institute by Wilder Penfield and Herbert Jasper. Since then, resective surgery has become a common clinical practice for the management of epilepsy.
Often, particularly in the context of mesial temporal lobe epilepsy (mTLE), brain tissue from the middle temporal gyrus (MTG) is removed to access the epileptogenic zone (Mansouri et al., 2012). In 1976, the first intracellular in vitro recordings were performed on human cortical tissue resected from a patient with epilepsy (Schwartzkroin and Prince, 1976), paving the way for additional laboratories to use resected tissue for characterizing human-specific neuronal biophysical properties. These initial investigations were primarily concerned with determining the appropriate control tissue to compare against the cortical tissue resected from patients with epilepsy. This debate produced three potential courses of action: using resected post-mortem tissue, “normal” cortical tissue from patients with epilepsy (removed from the MTG, an area that is farther away from the epileptogenic focus), or “normal” cortical tissue removed during tumor resections that is considered heathy, non-epileptogenic.
In theory, post-mortem tissue is the only source of “healthy” tissue, yet its poor quality can make it unsuitable for comparisons to living brain tissue. Due to conditions related to death, the post-mortem time interval, and the preservation methods, post-mortem tissue is often excluded from studies of neuronal function and may show genetic, molecular, and/or anatomical abnormal findings (Stan et al., 2006; Kramvis et al., 2018). However, the normality of cortical tissue removed from epilepsy patients remains a question, even when the tissue is seemingly “non-epileptogenic” (Schwartzkroin and Prince, 1976; Köhling and Avoli, 2006). As a result, the most reliable choice for control tissue consists of “normal” cortical tissue removed during tumor resections. However, this comparison does not solve the issue of functional differences in brain tissue that may arise from the use of different medications, the location of resection, and natural person-to-person variability, which may all contribute to the alterations of neuronal biophysical properties within human tissue. Beginning in the 1980s, rodents became the most advantageous and default choice for preclinical epilepsy models in research settings (Grone and Baraban, 2015). In turn, a comprehensive literature regarding the neuronal biophysical properties of preclinical rodent models of epilepsy exists that have been compared to human tissue (Avoli and Olivier, ; Avoli, ; Avoli et al., ). Despite efforts to control for age and location, it is clear there are fundamental differences between rodent and human neurons that inherently limit clinical translatability between the two species.
By necessity, however, these early studies defaulted to rodent tissue as control to compare against cortical tissue resected from patients with epilepsy, with a view toward characterizing the hypothesized aberrant electrical properties of human neurons engaging in epileptiform activity. In line with the single neuron doctrine (Yuste, 2015), the “epileptic neuron” (Schmidt et al., 1956; Ward et al., 1956; Ward, 2010) was a dominant concept and undergird for the in-vitro search for neurons displaying intrinsic action potential bursts and paroxysmal depolarizations, which would explain epileptiform synchronizations seen in patients (Schwartzkroin and Haglund, 1986; Avoli and Olivier, ; Avoli et al., ). Surprisingly, in vitro experiments revealed that cortical and hippocampal neurons from human epileptogenic tissue did not demonstrate significant changes in intrinsic properties when compared to healthy, non-epileptogenic neurons in controls (Schwartzkroin and Prince, 1976; Schwartzkroin and Haglund, 1986; Avoli and Olivier, ; Avoli, ; Telfeian et al., 1999; Mohan et al., 2015). Furthermore, when examining cortical tissue from patients demonstrating seizures, both near [frontal cortex from focal cortical dysplasia (FCD)] and far (MTG from temporal lobe epilepsy) from the seizure focus, a similar lack of change in the intrinsic properties such as afterhyperpolarization, adaptation index and firing pattern, resting membrane potential, input resistance and action potential amplitude of neurons was established (Avoli and Olivier, ; Foehring and Waters, 1991; Foehring et al., 1991; Avoli et al., ). However, other neuronal properties such as morphology, bursting, and convulsant sensitivity demonstrated changes with respect to the proximity to the epileptogenic focus (Avoli et al., ). For instance, it has been observed that the neurons in the frontal cortex show increased morphological changes as compared to neurons in the MTG that are more removed from the epileptogenic focus (Tassi, 2002). The frontal cortical neurons in patients with FCD also demonstrate higher bursting of action potentials and an increased sensitivity to the in vitro application of convulsants than tissue resected from the MTG of patients with epilepsy (Mattia et al., 1995). In addition, these neurons demonstrate obvious synaptic plasticity changes that decrease the inhibitory postsynaptic current and increase the excitatory postsynaptic current (Mattia et al., 1995; Avoli et al., ; Barbarosie et al., ). Conversely, in vitro studies on human and rat epileptic tissue have demonstrated an upsurge in asynchronous GABA release at both autaptic and fast-spiking-pyramidal neuron synaptic connections. This phenomenon leads to the desynchronization of fast-spiking- pyramidal neuron activities, playing a crucial role in mitigating runaway excitation and dampening the generation and propagation of epileptiform activities (Jiang et al., 2012). Overall, these studies did not demonstrate significant alterations in intrinsic properties through comparisons between MTG and FCD tissue as well as to healthy, non-epileptogenic neurons in control samples (Avoli and Olivier, ; Knowles et al., 1992).
As a result, investigations began to reorient their attention and explore other mechanisms underlying seizures and epileptogenesis, such as decreased excitation-inhibition balance or underlying structural changes that may be associated with increased excitability (Avoli and Olivier, ). However, most studies have failed to provide evidence of significant increases in excitability of cortical neurons from epileptogenic human tissue (Avoli and Olivier, ; Avoli and Williamson, ; Avoli et al., , ). Therefore, if “epileptiform activity” is defined as abnormal discharges characterized by hypersynchronous and hyperexcitable activity, this type of “epileptiform activity” has not been shown in cortical or hippocampal neurons of tissue resected from patients with epilepsy. Consequently, the lack of conclusive evidence demonstrating that disease and medical treatments alter the basic intrinsic properties of cortical neurons remains a major concern in studies of human tissue.
3. Investigating the biophysical properties of the neurons of the human cortex through transcriptomic, morphological, and electrophysiological techniques: a comparative analysis between species
Chronologically, morphology was the earliest approach to cell-type classification, typified by the work of Cajal's which set in motion the single neuron doctrine. Such cataloging and classification of the unique structural features of brain neurons into cell-types, has been a long standing neuroscience endeavor to generate a parts list of the brain to infer function (Denk et al., ). An early example of such a structuralist approach was the profound inferences made about phase sequences, and the concepts of plasticity that Donald Hebb conjectured from the magnificent drawings of Cajal and Lorente de Nó (Hebb, 2005). Electrophysiological recording techniques like sharp electrode recordings and whole-cell patch clamping brought in the opportunity to functionally characterize single neurons and small circuits, complementing morphological classification, with a classification of electrical waveforms (Migliore and Shepherd, 2005; Ascoli et al., ). Such studies provided some clear associations between structure and function. For example, basket cells (i.e., somatic targeting somatic parvalbumin positive interneurons) have narrow spikes, and high firing rates, and distinct morphological features. However, this example is more of an exception, as it has become increasingly clear the use of single nucleus RNA sequencing (snRNA-seq), and patch-seq (Tasic et al., 2018; Scala et al., 2021) that a neuron's electrophysiological properties are only loosely associated with its morphology and transcriptome.
In this section, each technique will be introduced and its involvement in evaluating the neuronal biophysical properties of human tissue will be discussed. Importantly, while these techniques are inherently different in terms of mechanism and deliverables, they have all revealed species-specific differences in neuronal structure and function and shed light on the inherent cellular heterogeneity that exists in all species.
3.1. Morphological techniques highlighting the diversity of human cortical neurons
Morphological studies on tissue resected from the human cortex provide important information regarding the structural features of distinct neuronal types and how these features may impart a specific function within the microcircuit it is embedded in. Each neuron has the capacity to perform complex computations which are reliant on its relative dendritic and axonal structure. Various 3D constructions of pyramidal neurons of resected human tissue have revealed great heterogeneity across and within cortical layers (Deitcher et al., ; Mohan et al., 2015; Beaulieu-Laroche et al., ; Kalmbach et al., 2018, 2021; Berg et al., ; Moradi Chameh et al., 2021). As a function of depth, extending from the pia to layer 6 (L6), human cortical neurons exhibit increases in morphological complexity, arising from their size, dendritic arborization, and cellular density that are unparalleled in the rodent cortex (Deitcher et al., ; Mohan et al., 2015; Kalmbach et al., 2018, 2021; Berg et al., ; Moradi Chameh et al., 2021). Importantly, these structural findings were shown to be unrelated to disease etiology, severity, or duration (Mohan et al., 2015), suggesting these patient specific factors did not impact the morphology of human cortical neurons resected from epilepsy patients.
When comparing the morphological properties of cortical neurons obtained from human tissue to those in well characterized preclinical rodent models, many species-related differences were identified (Mohan et al., 2015; Berg et al., ). As shown in transcriptomic studies, human cortical layer 2 (L2) and layer 3 (L3) have well-defined boundaries unlike the homogeneous presentation of rodent L2/3 which are practically indistinguishable (DeFelipe, ; Markram et al., 2015; Gouwens et al., 2019) (Figure 1). These transcriptomic findings have been further confirmed by morphological studies showing that human cortical pyramidal neurons in L2 and L3 can be subdivided based on their dendritic morphology: slim-tufted, which has a low density of tuft branches, and profuse-tufted, which has a high density of tuft branches (Deitcher et al., ). These two cells show no depth separation in L2 and L3 but have varying biophysical properties that underlie functional differences (Deitcher et al., ). Interestingly, there is no existing homologous equivalent of slim-tufted and profuse-tufted cells within the rodent L2/3 cortex (Deitcher et al., ). When performing analysis on morphological data, one study found that 88% of human L2 and L3 pyramidal neurons can be grouped into human-specific clusters based on limited shared features with other L2/3 neurons from species such as mice and macaque monkeys (Mohan et al., 2015). In addition, the dendritic architecture of the L2 and L3 pyramidal neurons of humans, as compared to L2/3 pyramidal neurons of mice, demonstrate increased length (three times larger) and advanced arborization (Mohan et al., 2015). These findings reflect the uniqueness of slim- and profuse-tufted neurons to the L2 and L3 of the human cortex (Figures 1A, C).
Figure 1
Similar to L2 and L3, human layer 5 (L5) cortical neurons can also be subdivided with respect to their long-range axonal projection targets: extra-telencephalic (ET), which project to areas within and outside the telencephalon, or intra-telencephalic (IT) which have projections that are restricted to the telencephalon (Baker et al.,
Human cortical neurons are not simply scaled up compared to other species, but they also exhibit more complex dendritic arborization, with each branch capable of functioning independently (Deitcher et al.,
3.2. Electrophysiological techniques demonstrating the functional specialization of human cortical neurons
The evolution of the human brain, particularly the increase in size and complexity, implies that there is a functional specialization in neuronal electrophysiological properties in the human cortex (DeFelipe,
The excitability of cortical pyramidal neurons in the L2 and L3 of the human cortex varies with depth and also between slim-tufted and profuse-tufted cells. Specifically, profuse-tufted cells have higher firing rate than slim-tufted cells (Deitcher et al.,
Figure 2

Unique functional specializations of cortical pyramidal neurons of L2 and L3 based on species-specific differences in neuronal biophysical properties. Pyramidal neurons of L2 and L3 of the human cortex show increased dendritic HCN channels (A) and the presence of dendritic calcium-mediated action potentials (dCaAPs) which work to reverse the attenuation of voltage that accompanies an increased dendritic length (A, C). Alternatively, in L2/3 of the rodent cortex, pyramidal neurons show less dendritic HCN channels and no known equivalent of dCaAPs (B). In turn, humans and rodent pyramidal neurons of L2/3 demonstrate differences in cable and active properties which alter the extent of backward and forward voltage propagation as well as input resistance values spanning neuronal length (A, B). (C) was obtained from Gidon et al. (2020) and reprinted with permission from AAAS (License Number: 5601960942874). Created with BioRender.com.
Similar to rodent neurons, the dendrites of human cortical L2 and L3 pyramidal neurons are capable of actively propagating action potentials in both directions and generating local sodium/calcium spikes exhibiting both action potential backpropagation and locally generated sodium/calcium spikes (Beaulieu-Laroche et al.,
In other words, each layer of the human cortex has a diverse repertoire of neurons that show unique functional specializations based on their electrophysiological features, underscoring the divergence between neuronal networks of human vs. preclinical animal models. These findings reflect species-related differences in neuronal physiology and emphasize the necessity to perform electrophysiological research on resected human tissue.
Figure 3

Unique functional specializations of cortical pyramidal neurons of L5 based on species-specific differences in neuronal biophysical properties. Pyramidal neurons of L5 between human and rodent cortices demonstrate notable differences as well. Human cells have an increased number and morphological diversity of dendritic spines (A, C), but fewer dendritic channels compared to counterpart rodents (B, D). Photomicrographs of L5 pyramidal neurons demonstrate this difference in density and size of dendritic spines in humans (C) vs. rodents (D). The alterations of cable and active properties between human and rodent cells are responsible for differences in the backward and forward propagation as well as values of input resistance (A, B). Voltage sag as a function of distance from the soma was greater in layer 5 pyramidal neurons of human (E) compared to mouse (F). (C, D) were obtained from Benavides-Piccione et al. (
3.3. Transcriptomic techniques investigating the heterogeneity and laminar organization of the human cortical neurons
Recent breakthroughs in transcriptomic techniques, including the development of single cell/nucleus RNA sequencing (scRNA-seq/snRNA-seq) and patch-sequencing, have allowed researchers to quantify the RNA expression of hundreds to thousands of individual cells simultaneously (Zeng et al., 2012; Bakken et al.,
Through comparisons of the transcriptomic homology between human MTG and rodent cortex, 21% of genes within the human cortex show species-specific differential expression from homologous areas in mice (Zeng et al., 2012). However, all major classes and subclasses of cortical neurons can be aligned between species on the basis of shared marker genes, suggesting highly conserved transcriptomic organization (Zeng et al., 2012; Hodge et al., 2019). This species conservation begins to deteriorate when examining gene expression at the cell type level which reveals a mix of convergent and divergent genes (Zeng et al., 2012; Hodge et al., 2019; Kalmbach et al., 2021). The considerable differences in transcriptomic profiles between corresponding cell types of human and rodent tissue demonstrates species-differences in cell type genetic profiles, proportions, laminar distribution, and even function (Zeng et al., 2012; Hodge et al., 2019). For example, human cortical L2 and L3 demonstrate notable differences in neuronal size, density, morphology, and electrophysiological properties that can be attributed to transcriptomic differences (Mohan et al., 2015; Lake et al., 2016; Kalmbach et al., 2018, 2021; Berg et al.,
3.4. Functional specialization of human astrocytes
After myelin-competent oligodendrocytes, astrocytes comprise the largest class of glial cells in the mammalian CNS (Pelvig et al., 2008; Herculano-Houzel, 2014). They have key roles in maintaining the blood-brain barrier (Abbott et al.,
Human astrocytes can be classified into four main categories based on their morphology. These categories include interlaminar astrocytes found in Layer I, protoplasmic astrocytes present in Layers I to VI, varicose projection astrocytes located in deep Layers V to VI, and fibrous astrocytes found in the white matter (Figure 4) (Colombo and Reisin,
Figure 4

Cortical distribution and classification of astrocytes. Similar to the observations made regarding pyramidal neurons in the human and rodent cortex, astrocytes in the human cortex (A) demonstrate increases in size, complexity, and heterogeneity compared to their rodent counterparts (B). Created with BioRender.com. WM, White matter.
Our understanding of the biophysical basis for the morphological specialization of human neuron-astrocyte circuits is still in its infancy. The notable size difference between human and rodent astrocytes explains the larger capacitance of the former (44.7 pF vs. ~10 pF−25 pF) (Bordey and Sontheimer,
Another noteworthy example is the co-expression of GDH1 and GDH2 genes in human astrocytes but not in rodents (Zhang et al., 2016). These genes encode glutamate dehydrogenase, which converts glutamate into α-ketoglutarate as the first step in the GABA/glutamate-glutamine cycle underpinning neurotransmitter recycling at central inhibitory and excitatory synapses (McKenna et al., 2016). Accordingly, it was shown that GDH1 and GDH2 co-expression enables human astrocytes to better withstand increased metabolic demands (Nissen et al., 2017), such as those arguably arising from their extensive synaptic interactions. Altogether, these findings indicate that human astrocyte diversity involves unique molecular characteristics, such as distinct Ca2+ signaling and enhanced metabolic capabilities, which may contribute to the functional complexity of the human brain.
Recent advancements in transcriptomics have provided unparalleled insights into the molecular characteristics of human astrocytes. Genetically, human astrocytes exhibit a distinct set of expressed genes that are either absent or significantly reduced in rodents (Miller et al., 2010; Zhang et al., 2016). Some of these genes' expression strongly correlates with the morphological features observed in human astrocytes. One such gene is PMP2, which encodes a cytoplasmic fatty-acid binding protein that appears to contribute to the larger size of human astrocytes (Kelley et al., 2018). Another example is CD44, which encodes a cell-surface glycoprotein involved in cell-cell interactions, cell adhesion, and migration. CD44 is prominently expressed by varicose projection and intralaminar astrocytes, potentially explaining their morphological signature characterized by long unbranched processes that extend across adjacent astrocytes (Sosunov et al., 2014). Human astrocytes' spatial location and transcriptional identity are determined by their embryonic site of origin, independent of neurons (de Majo et al.,
Besides anatomic distribution, age and pathology are crucial in determining astrocyte transcriptional and functional identity. In line with the observed limited response of the white matter to injury in fetal brains, human fetal astrocytes exhibit significantly lower expression levels of pro- and anti-inflammatory microRNAs (MiRs) compared to adult human astrocytes (Rao et al., 2016). Similarly, MiR-124, the regulator of the type 2 excitatory amino acid transporter (EAAT2), shows low or undetectable levels in fetal astrocytes but is abundant in adult astrocytes (Fine et al.,
4. Human-specific differences in synaptic properties and collective dynamics
Human cortical circuits demonstrate distinctive signatures of collective activity, arising not only from specific biophysical features of human cortical neurons, but also from their unique functional connectivity to one another. Some of the first evidence identifying the unique network properties of human cortical circuits came from quadruple patch recordings that revealed long lasting polysynaptic events in human cortical circuits could be elicited with a single presynaptic action potential, that were an order of magnitude longer than observed in other species (Molnár et al., 2008). These polysynaptic events arose from a unique sequence of events that involved axo-axonic interneurons generating a third order spike in pyramidal neurons. In part these reverberant activities have been attributed to the larger presynaptic active zones, postsynaptic densities, and vesicle pools of pyramidal neurons from the MTG than in mice (Figures 5A–H) (Benavides-Piccione et al.,
Figure 5

Glutamate synaptic morphology in human and rodent cortices lay the foundation for species-specific differences in information processing. Electron microscopy images of 20 nm thick sections reveals that human synapses are larger in size (A) and have increased docking of vesicle pools (B) when compared to rat synapses (E, F). Further 3D reconstructions of synapses demonstrates that human synapses also have a larger presynaptic active zone (pictured in blue) compared to rats (pictured in red) (C, G). This information is summarized in (D, H) which demonstrate that human synapses (D) are overall larger in size with increased vesicle pools, presynaptic active zones, and density of postsynaptic channels as compared to rodents (H). The consequent production of synaptic currents between human cortical neurons is stronger and larger. The electron microscopic images of 20 nm thick sections of the axon terminals and synapse for a human and rat as well as their 3D reconstructions were obtained from the eLife publication by Molnár et al. (2016). Inclusion of these figures falls under the Creative Commons Attribution 4.0 International Public License (https://creativecommons.org/licenses/by/4.0/legalcode). Created with BioRender.com.
These unique aspects of synaptic physiology coupled with human specific biophysical properties (Moradi Chameh et al., 2021; Rich et al., 2021; Inibhunu et al., 2023) may underlie the emergence of in-vitro theta oscillations, which in general are not elicited in in-vitro rodent cortical slices, yet are the most ubiquitous oscillations in the human brain (Groppe et al., 2013). Human cortical slices have been shown to generate theta oscillations when exposed to kainic acid and carbachol (a cholinergic agonist) (Florez et al.,
5. Within-cell type heterogeneity in the context of human neurosurgical tissue
A critical question regarding the cellular electrophysiology of human neurons from epilepsy patients, is whether or not the measured means of the biophysical parameters reflect normality. Here, we reviewed that the proximity of pyramidal neurons to the epileptogenic focus demonstrates more morphological and synaptic changes as well as increased susceptibility to electrical and convulsant chemicals. However, when examining the intrinsic biophysical parameters derived from epilepsy vs. control conditions, where the control tissue consists of healthy, non-epileptogenic neurons from tumor patients, there is no appreciable difference. In turn, we here present another line of evidence to support the notion that means of biophysical parameters of human cortical neurons, particularly those from the MTG likely reflect normalcy. Below we introduce the concept of biophysical diversity as represented by the population variance of a or multiple within-cell type biophysical features. We argue that the decrease in variability can explain how in light of “normal” mean parameter values pathological dynamics arise for decreases in their standard deviation.
An often-overlooked aspect of the biophysical features of neurons is their variance within a cell-type (Santhakumar and Soltesz, 2004). Recent RNA-seq and patch-seq studies have reinforced that transcriptomic and electrophysiological variability of given cell-type is an important lens through which to understand cellular diversity (Tasic et al., 2016; Scala et al., 2021), and that such variability, beyond biological noise, is an important design feature of the brain (Cembrowski and Menon,
Our physiology data from the resected human neurosurgical tissue suggests that such epilepsy-driven neural homogenization might occur via intrinsic plasticity mechanisms (Zhang and Linden, 2003; Beck and Yaari,
Figure 6

Loss of within-cell type transcriptomic heterogeneity in genes associated with intrinsic neuronal properties of the human dentate gyrus. We examined the transcriptomic heterogeneity of genes associated with intrinsic neuronal properties, such as resting membrane potential (Vrest) and action potential threshold (rheobase) (A). Analysis of existing hippocampal snRNA-seq data (Buchin et al.,
An additional potential mechanism for neural homogenization is through ion channel degeneracy (Goaillard and Marder, 2021; Stöber et al., 2023), whereby biophysical homogenization could arise via a myriad of ion channels expression level changes while rendering neurons similar biophysical (Goaillard and Marder, 2021). Indeed, in face of environmental insults, lobster stomatogastric ganglion neurons maintain their designated function through profound changes in ion channel expression levels (Goaillard and Marder, 2021). We propose that epileptogenesis might be such an insult that increases biophysically homogeneity rendering circuits unstable (Aradi and Soltesz,
This conclusion is further strengthened by orthogonal data obtained from studies in tumor patients without epilepsy, who show no difference in the mean values of biophysical parameters between epilepsy and control groups (Deitcher et al.,
In summary, the above observations help to reconcile the original work in human cortical tissue where the in vitro search for the “epileptic neuron” failed (Ward, 2010). In light of the human cortical studies reviewed above, neural homogenization is enough to destabilize networks toward seizure-like states, without observed changes in mean parameter values.
6. Conclusion
The advent of investigations using resected brain tissue from humans has advanced both neurosciences, and more specifically the study of human brain mechanisms. Through the characterization of human neuronal biophysical properties, the intra- and inter-species differences that exist relative to commonly employed preclinical animal models are being addressed. Furthermore, by reviewing various morphological, electrophysiological, and transcriptomic studies, we have emphasized the significant species-related differences that exist between neuronal structure and functioning which necessitate the importance of conducting research on the human brain in addition to preclinical animal models. Finally, we suggest that within-cell type heterogeneity in morphological, electrophysiological, and transcriptomic features of neurons is a design feature conserved across species, with losses of such diversity able to explain pathological brain activity despite unaltered mean values.
Statements
Author contributions
HMC contributed to the content and structure, conducted a literature search to acquire relevant information, wrote the initial draft and graphic design. MF contributed to the manuscript by writing, editing, and graphic design. MM contributed to the graphic design and editing. KA and SJT contributed to data analysis and graphic design for Figure 6, and editing. SR, LZ, and JL contributed to editing. MDP contributed to writing of the astrocytes section. TV contributed to the writing, editing, content and structure, and accuracy of the document's descriptions throughout. All authors contributed to the article and approved the submitted version.
Funding
The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by Toronto General and Western Hospital Foundation, National Sciences and Engineering Research Council of Canada (NSERC Grants RGPIN-2020-07143 to TV) and generous support from the Centre for Addiction and Mental Health Discovery Fund.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Publisher’s note
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Summary
Keywords
human cortical tissue, rodent cortical tissue, epilepsy, pyramidal neurons, electrophysiology, morphology, transcriptomic, astrocyte
Citation
Chameh HM, Falby M, Movahed M, Arbabi K, Rich S, Zhang L, Lefebvre J, Tripathy SJ, De Pittà M and Valiante TA (2023) Distinctive biophysical features of human cell-types: insights from studies of neurosurgically resected brain tissue. Front. Synaptic Neurosci. 15:1250834. doi: 10.3389/fnsyn.2023.1250834
Received
30 June 2023
Accepted
21 August 2023
Published
04 October 2023
Volume
15 - 2023
Edited by
Wei Xu, University of Texas Southwestern Medical Center, United States
Reviewed by
Man Jiang, Huazhong University of Science and Technology, China; Ning Zhou, ShanghaiTech University, China
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© 2023 Chameh, Falby, Movahed, Arbabi, Rich, Zhang, Lefebvre, Tripathy, De Pittà and Valiante.
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*Correspondence: Homeira Moradi Chameh Homeira.Moradi@uhn.caTaufik A. Valiante Taufik.Valiante@uhn.ca
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