Sequential coupling of sleep oscillations enables concept-neuron reactivation and supports information flow across the human hippocampal-cortical circuit

Effective memory consolidation during sleep is thought to rely on the transfer of reactivated memory traces from the hippocampus to the cortex. However, the mechanisms supporting this essential dialogue across brain areas remain poorly understood. Here, we recorded single-neuron activity (n = 1097) in the medial temporal lobe (MTL) of 10 epilepsy patients across 21 nights of sleep. Before sleep, patients engaged in a memory task with stimuli eliciting concept-neuron responses. During non-rapid eye movement (NREM) sleep, neuronal firing locked to sharp wave-ripples (SWR) revealed a directed flow of information from the hippocampus to cortical targets. Notably, within SWR-driven activity, experience-dependent concept neurons exhibited elevated co-activation both within and across MTL regions, indicating selective reactivation of behaviorally relevant information. Cross-regional co-activation of concept cells was markedly enhanced when hippocampal SWRs coincided with cortical slow oscillation-spindle complexes, suggesting an active role of the cortex in shaping interregional communication. These findings provide evidence that SWRs in humans selectively reactivate experience-related neural ensembles across the hippocampal-cortical network, while synergistic interactions with cortical slow oscillation-spindle events might facilitate effective memory consolidation.