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E. D’Angelo
Fig. 21.1 Cerebellar granule cell properties. (a) Confocal microscope
reconstruction of a GrC injected with neurobiotin. The image shows the
dendrites with terminal digitization and the thin axon ascending through
the granular layer into the molecular layer (Gall and D’Angelo, unpublished). (b) Synaptic transmission at GrC synapses. In this schematic
drawing, a GrC receives activation from 4 MFs and 2 GoCs. In the
glomerulus, spillover generates slow responses. Several GrC excitatory
synaptic currents (EPSC; red) and inhibitory synaptic currents (IPSC;
blue) generated in responses to minimal stimulation are shown superimposed (Redrawn from D’Angelo 2013). Note spontaneous activity
are propagated from initial segment backward to GrC dendrites and forward to AA synapses in about 0.1ms, thus gen-
generated by GoC discharge. The inset shows the invivo response of a
GrC to air-puff stimulation of the whisker pad, revealing EPSC bursts
with short-term depression (Reprinted from Rancz etal. 2007). (c) The
GrC is silent at rest and generates repetitive spike discharge during current injection. It can generate bursts and is resonant at theta frequency
(Modied from D’Angelo etal. 2001). (d) Ionic currents involved in
GrC spike electrogenesis (Adapted from D’Angelo et al. 2001). I
(Transient Na
+
Na
current), ICa (Ca2+ current), IDR (Delayed Rectier K+ current), IBK
2+
(Ca
+
current), INaR (Resurgent Na+ current), INaP (Persistent
-dependent K+ current), and I
(M-like K+ current)
M-like
NaT
21.2 Glomerular Organization ofGrCs
Synaptic Inputs
erating a close coincidence between excitation of GrCs and
of PCs (Diwakar etal. 2011). During responses to MF prolonged discharges, GrCs show different ranges of adaptation
or even acceleration of ring thanks to the expression of
TRPM2 channels (Masoli etal. 2020).
GrC activity is determined by the interplay of excitatory and
inhibitory inputs, which impinge onto a specialized structure
called cerebellar glomerulus. Each glomerulus is made of a
glial sheet enwrapping a MF terminal and as many as 50 GrC

21 Granule Cells andParallel Fibers
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dendrites, as well as GoC axonal terminals and dendrites. In
the glomerulus, in addition to fast synaptic transmission
between axonal terminals and GrC dendrites, neurotransmitter diffusion in the glomerulus determines spillover effects
and metabotropic activation on all the elements involved,
setting up a complex regulatory mechanism (Mapelli etal.
2014).
MFs release glutamate and activate GrC AMPA and
NMDA receptors (AMPARs and NMDARs), regulating
membrane depolarization and Ca2+ inux (D’Angelo et al.
1990; Silver etal. 1992). AMPARs contain GluR2, have fast
kinetics, and are Ca2+ impermeable. NMDARs contain
NR2A and NR2C subunit conferring specic voltage dependence and kinetics (Rossi etal. 2002; Schwartz etal. 2012).
GoC terminals release GABA activating GrC GABA-A
receptors (Mapelli et al. 2009). Metabotropic receptors on
granule cells (mGluR1 and GABA-B), on MF terminals
(mGluR2 and GABA-B) and on GoC axon terminals
(mGluR2 and GABA-B), regulate neurotransmitter release
and GrC ionic channel gating (Mapelli etal. 2014).
21.3 Synaptic Transmission andPlasticity
The MF-GrC synapse is enriched with synaptic vesicles and
can release quanta at high rate for sustained time periods.
During bursts, the postsynaptic response [i.e., excitatory
postsynaptic current (EPSC)] shows a marked short-term
depression due both to vesicle depletion and AMPAR desensitization (Nieus etal. 2014). Glutamate spillover activates
NMDARs and contributes to generate a slow AMPARdependent component (Rossi et al. 2002). The GoC-GrC
synapse also shows a marked short-term depression during
burst transmission (Mapelli etal. 2009). Both synapses show
complex regulatory mechanisms based on metabotropic
receptors (Mapelli etal. 2014).
The MF-GrC relay is site of long-term synaptic plasticity,
which manifests as long-term potentiation (LTP) or longterm depression (LTD) depending on input bursts patterns:
long high-frequency bursts generate LTP, and vice versa
(Gall etal. 2005; D’Errico etal. 2009). This LTP and LTD
depend on NMDARs and metabotropic glutamate receptors
(mGluRs) receptors depending on the input patterns and
require Ca2+ entry and NO (Gall etal. 2005). MF-GrC plasticity is expressed presynaptically through an increase in
release probability and can ne tune the delay to st spike in
GrCs by controlling quantal release and EPSC short-term
plasticity (Nieus etal. 2014). LTP and LTD can also be generated through the precise coincidence of pre-and postsynaptic spikes (spike-timing-dependent plasticity, STDP
(Sgritta etal. 2017). Following patterned input bursts, GrCs
also show persistent changes in intrinsic excitability (Armano
etal. 2000; see Chap. 38).
NO generated by granule cells plays a critical role not
only for LTP and LTD but also for regulating neurovascular
coupling and blood ow in the cerebellum (Mapelli et al.
2017; Gagliano etal. 2021).
21.4 Granular Layer Coding
andTransmission ofGrC Output
totheMolecular Layer Through AA
andPF
While theory predicts that sparse coding is critical for GCL
functioning (Marr 1969), empirical evidence suggests that
GrCs are activated in dense clusters (Diwakar etal. 2011;
Gilmer and Person 2018). The structural organization of GrC
dendrites and connections imposes constraints on GCL
information coding (Billings etal. 2014; Gilmer and Person
2017; Lanore etal. 2021) under inhibitory GoC control gen-
erating a high-dimensional input–output space (Duguid etal.
2015; Powell etal. 2015; Casali etal. 2020). By exploiting
their ionic channels and synaptic properties, the GrCs efciently recode input spikes trains into bursts with precise
timing and number of emitted spikes (Nieus et al. 2014).
GrCs transmit their output spike patterns through the AA and
PFs to PCs, GoCs and MLIs (Mapelli etal. 2013; Masoli and
D’Angelo 2017). AA and PFs are normally myelinated and
conduct spikes at around 0.1m/s. The PF–PC synapse has
normally a low release probability and shows short-term
facilitation, so that it responds better to spike doublets or
triplets (van Beugen etal. 2013; Rizza etal. 2021). Moreover,
following patterned activity, the PF terminals generate various forms of long-term synaptic plasticity, some of which are
presynaptic and involve NMDARs and NO production.
Neurotransmission at synapses with MLIs and GoCs also
involve forms of short- and long-term plasticity but these are
less known (D’Angelo 2014; Masoli etal. 2020, see Chaps.
43 and 45).
21.5 Functional Activation ofGrCs InVitro
andInVivo
Experiments invitro have revealed complex patterns of granule cell activation, which occurs in center surround and can
generate combinatorial operations (D’Angelo 2013; Gandol
et al. 2014). Recordings in vivo have conrmed that the
properties observed in vitro actually regulate GrC activity
during responses to sensorimotor inputs (Rancz etal. 2007;
Lanore etal. 2021). Most GrCs are normally silent and then
respond in short burst or long spike sequences depending on
the input MF patterns. Computational modeling has allowed
to investigate the implications of GrC properties for the granular layer and cerebellar function (Masoli etal. 2020, Masoli

152
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E. D’Angelo
et al. 2017; Casali et al. 2019; De Schepper et al. 2021;
Solinas et al. 2010; Casali et al. 2020). The picture that
emerges is that of a fast relay neuron, which can regulate
timing and intensity of spike transmission to PCs exploiting
long-term synaptic plasticity and glomerular interactions.
Acknowledgements We thank Simona Tritto for technical assistance.
This work was supported by European Union grants to ED [CEREBNET
FP7-ITN238686, REALNET FP7-ICT270434, Human Brain Project
(HBP-604102)].
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Further Reading
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tion of intrinsic excitability at the mossy ber–granule cell synapse
of rat cerebellum. J Neurosci 20(14):5208–5216
Casali S, Marenzi E, Medini C, Casellato C, D’Angelo E (2019)
Reconstruction and simulation of a scaffold model of the cerebellar
network. Front Neuroinform 13:37
Casali S, Tognolina M, Gandol D, Mapelli J, D’Angelo E (2020)
Cellular-resolution mapping uncovers spatial adaptive ltering at
the rat cerebellum input stage. Commun Biol 3(1):635
De Schepper R, Robin AG, Masoli S, Rizza MF, Antonietti A, Casellato
C, D’Angelo E (2021) Scaffold modelling captures the structure–
function–dynamics relationship in brain microcircuits. bioRxiv
2021:454314
Diwakar S, Lombardo P, Solinas S, Naldi G, D’Angelo E (2011)
Local eld potential modeling predicts dense activation in cerebel-
lar granule cells clusters under LTP and LTD control. PLoS One
6(7):e21928
Dover K, Marra C, Solinas S, Popovic M, Subramaniyam S, Zecevic
D, D’Angelo E, Goldfarb M (2016) FHF-independent conduction
of action potentials along the leak-resistant cerebellar granule cell
axon. Nat Commun 7:12895
Duguid I, Branco T, Chadderton P, Arlt C, Powell K, Häusser
M (2015) Control of cerebellar granule cell output by sen-
sory-evoked Golgi cell inhibition. Proc Natl Acad Sci U S A
112(42):13099–13104
Gagliano G, Monteverdi A, Casali S, Laforenza U, Gandini Wheeler-
Kingshott CAM, D’Angelo E, Mapelli L (2021) Non-linear
frequency- dependence of neurovascular coupling in the cerebel-
lar cortex implies vasodilation–vasoconstriction competition. Cell
11(6):1047

21 Granule Cells andParallel Fibers
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Galliano E, Gao Z, Schonewille M, Todorov B, Simons E, Pop AS,
D’Angelo E, Van Den Maagdenberg AMJM, Hoebeek FE, De
Zeeuw CI (2013) Silencing the majority of cerebellar granule cells
uncovers their essential role in motor learning and consolidation.
Cell Rep 3(4):1239–1251
Gilmer JI, Person AL (2017) Morphological constraints on cerebellar
granule cell combinatorial diversity. J Neurosci 37(50):12153–12166
Gilmer JI, Person AL (2018) Theoretically sparse, empirically
dense: new views on cerebellar granule cells. Trends Neurosci
41(12):874–877
Lanore F, Alex Cayco-Gajic N, Gurnani H, Coyle D, Angus Silver R
(2021) Cerebellar granule cell axons support high-dimensional representations. Nat Neurosci 24(8):1142–1150
Mapelli L, Gagliano G, Soda T, Laforenza U, Moccia F, D’Angelo
EU (2017) Granular layer neurons control cerebellar neurovascular coupling through an NMDA receptor/NO-dependent system. J
Neurosci 37(5):1340–1351
Marr D (1969) A theory of cerebellar cortex. J Physiol 202(2):437–470
Masoli S, D’Angelo E (2017) Synaptic activation of a detailed pur-
kinje cell model predicts voltage-dependent control of burst-pause
responses in active dendrites. Front Cell Neurosci 11:1–18
Masoli S, Rizza MF, Sgritta M, Van Geit W, Schürmann F, D’Angelo
E (2017) Single neuron optimization as a basis for accurate bio-
physical modeling: the case of cerebellar granule cells. Front Cell
Neurosci 11:71
Masoli S, Ottaviani A, D’Angelo E (2020a) Cerebellar Golgi cell mod-
els predict dendritic processing and mechanisms of synaptic plasticity. PLoS Comput Biol 16(12):e1007937
Masoli S, Tognolina M, Laforenza U, Moccia F, D’Angelo E (2020b)
Parameter tuning differentiates granule cell subtypes enriching
transmission properties at the cerebellum input stage. Commun Biol
3(1):1–12
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tion of locomotion in single cerebellar granule cells. Elife 4:e07290
Rizza MF, Locatelli F, Masoli S, Sánchez-Ponce D, Muñoz A, Prestori
F, D’Angelo E (2021) Stellate cell computational modeling predicts
signal ltering in the molecular layer circuit of cerebellum. Sci Rep
11(1):3873
Sgritta M, Locatelli F, Soda T, Prestori F, D’Angelo EU (2017) Hebbian
spike-timing dependent plasticity at the cerebellar input stage. J
Neurosci 37(11):2809–2823
van Beugen BJ, Gao Z, Boele HJ, Hoebeek F, De Zeeuw CI (2013)
High frequency burst ring of granule cells ensures transmission
at the parallel ber to Purkinje cell synapse at the cost of temporal
coding. Front Neural Circuits 7:95

Purkinje Cells
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ThéoRossi andPhilippeIsope
22
Abstract
Purkinje cells (PCs), the sole output neuron of the cere-
bellar cortex, are inhibitory projection neurons targeting
the cerebellar and vestibular nuclei. They compute excit-
atory information from granule cells (GCs) and climbing
bers (CFs), and inhibitory information from molecular
interneurons (MLIs). PCs display two distinct types of the
action potential, the simple spike (SS), which is a regular
action potential elicited spontaneously and modulated by
GCs, and the complex spike (CS), which is generated by
the climbing ber input. PC dysfunctions lead to the
motor as well as non-motor cerebellar disorders.
Keywords
Purkinje cells · Zebrin · Dendritic integration · Simple
spike · Complex spike · Spontaneous activity
22.1 PC Identity
22.1.1 Morphology
PCs were discovered in 1837 by a Czech anatomist, Jan
Evangelista Purkynĕ and described by Ramón y Cajal in
1899 using Golgi’s staining method. PCs have a very large
planar and multibranched dendritic tree oriented in the parasagittal plane and they are aligned in a single layer. The dendritic arbor stems from a primary dendrite that emerges from
a large pear-shaped cell body with a single axon (Fig.22.1ai).
A very high density of elongated spines (660,000/mm2 in
rats) arranged in helix covers the most distal dendrites, the
spiny branchlets (Fig.22.1aii, iii; Harvey and Napper 1991).
T. Rossi · P. Isope (*)
Institut des Neurosciences Cellulaires et Integratives CNRS,
Université de Strasbourg, Strasbourg, France
e-mail: t.rossi@inci-cnrs.unistra.fr;
philippe.isope@inci-cnrs.unistra.fr
Each spine receives a single input from the GC axon, the
parallel ber (PF), as an en passant bouton. PCs receive converging inputs from about 175,000 glutamatergic PF synapses (Fig. 22.1aiii, v). Since the total number of PCs is
338,000 in rats (220,000 in mice, 7,100,000 in monkeys,
15,000,000 in humans), the rat cerebellum may contain
around 62 billion PF–PC synapses (Harvey and Napper
1991), which are a major site of information storage in the
cerebellum (Ito 2006). Proximal and secondary dendritic
branches are essentially smooth and carry clusters of stubby
spines (200–300 thorny spines) all contacted by a single glutamatergic CF originating in the inferior olive (Fig.22.1aiv).
During development, PF and CF excitatory inputs compete
for their respective territory on the dendritic tree with specic interacting pre and postsynaptic proteins enabling PF–
PC or CF–PC synapses formation (e.g., cerebellin—GluD2
receptor, neurexin—neuroligin; Uemura etal. 2010; Yuzaki
2017). While in early life several CFs contact a single PC,
this multi-innervation regresses during the 2–3 rst postnatal
weeks yielding a single CF on the PC dendrites. Any alteration in this developmental step leads to severe motor coordination impairments (Kano and Hashimoto 2012). The
smooth dendritic parts and the soma are also contacted by
axons of the local inhibitory molecular layer interneurons
(MLIs), the stellate, and the basket cells (Fig.22.1av; Palay
and Chan-Palay 1974).
22.1.2 Diversity
While all PCs are GABAergic inhibitory neurons and express
calbindin (a calcium binding protein), a combination of neurochemical markers, the zebrins, involved in developmental
and other physiological mechanisms dene an array of nonuniform cerebellar modules (Apps and Hawkes 2009; Apps
etal. 2018). Zebrin markers are expressed in subsets of PCs
dening parasagittal bands. These bands coincide with
boundaries of CF inputs originating in specic subnuclei of
© The Author(s), under exclusive license to Springer Nature Switzerland AG 2023
D. L. Gruol et al. (eds.), Essentials of Cerebellum and Cerebellar Disorders, https://doi.org/10.1007/978-3-031-15070-8_22
155

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T. Rossi and P. Isope
a
i
ii
iv
iii
v
PFs
GC exc.
CF exc.
MLI inh.
b
Intracellular recordings Extracellular recordings
10 ms
10 mV
25 ms
GrCs
MLIs
PC
CF
10 µV
10 ms
c
Normal Purkinje cell discharge Pathological
Fig. 22.1 The Purkinje cell. (ai), rat PC lled with biocytin and
revealed using avidin–streptavidin complex. Scale bar: 10μm. (ii), PC
dendrites magnication from (ai). Scale bar: 5μm. (iii), a PF bouton
(red) contacting a PC spine (green) lled with biocytin and revealed
using different colors. Scale bar: 1μm. Pictures from (ai–iii) courtesy
of Boris Barbour. (iv) A CF (green) contacting PC dendrites (blue).
Picture from (González-Calvo etal. 2021) (v), diagram of the monosynaptic PF-PC and the disynaptic PF-MLI-PC pathways. MLIs molecular
layer interneurons (stellate and basket cells), PC Purkinje cell, GCs
granule cells, PFs parallel ber, GC exc. GC excitation, CF exc CF
Purkinje cell discharge
excitation, MLI inh. MLI inhibition. (b) Left panel, simple spikes
(black) and a complex spike (blue) recorded in a PC using whole-cell
patch clamp in acute cerebellar slices. Note the fast repolarization and
spontaneous after-depolarization of SSs, and the after hyperpolarization
(AHP) at the end of the CS. Right panel, simple SSs and a CS recorded
in juxtacellular mode in an anesthetized animal. (c) Left panel, diagram
illustrating regular spiking behavior of SSs (black ticks), the low frequency of CS (blue ticks) and the pause in SSs observed after a CS.
Right panel, illustration of an erratic PC discharge underlying cerebellar dysfunctions

22 Purkinje Cells
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the inferior olive and conveying similar integrated sensorimotor information (Ruigrok 2011). Furthermore, zebrin markers are associated with specic physiological properties. For
example, a subset of PCs (called zebrin II positive) expresses
aldolase C (a glycolytic enzyme), EAAT4 (a glutamate transporter), and PLCβ3 (a phospholipase involved in intracellular transduction pathways), while another subset of PCs
(zebrin II negative) expresses PLCβ4, a very low level of
EAAT4 and no aldolase C.Therefore, PCs belonging to different bands can develop specic computations (Cerminara
etal. 2015). Notably, long-term depression (LTD) at the PF–
PC synapses is facilitated in zebrin II negative bands as the
level of expression of EAAT4 is low (Wadiche and Jahr
2005; De Zeeuw 2021). Also, the mean PC ring rate is
higher in zebrin II negative bands (Zhou etal. 2014).
22.2 PC Activity
22.2.1 Two Types ofAction Potentials
PCs emit two types of action potentials, a classical fast spike,
the simple spike (SS), and a longer fat spike, the complex
spike (CS), elicited by a CF input as an all-or-none event at
low frequency (1–2Hz; Fig.22.1b; Eccles etal. 1967). While
SSs are exclusively generated at the axonal initial segment
(AIS; Palmer etal. 2010), CSs are the result of a strong dendritic depolarization leading to an initial sodium spike elicited at the AIS followed by smaller sodium spikelets (Davie
etal. 2008). The number of spikelets and the shape of the CS
is PC-specic, but can be regulated by activity-dependent
processing (Weber et al. 2003; Yang and Lisberger 2014).
The depolarization induced by the CS also activates high
(Cav2.1, called P/Q type) and low-threshold (Cav3.1, called
T-type) voltage-dependent calcium channels in the dendritic
shaft and spines (Otsu etal. 2014), leading to an after hyperpolarization of the cell (Schmolesky etal. 2002). Calcium
entry propagates as a calcium spike and controls long-term
synaptic plasticity at the PF–PC synapses (Wang etal. 2000).
The two types of action potentials (SS and CS) interact in
PCs. For example, an increase (or a decrease) in CS frequency induces a decrease (or an increase) in SS frequency
(De Zeeuw etal. 2011). In addition, a CS is always followed
by a pause in SS activity (Fig.22.1c). This latter effect has
been associated to a strong activation of calcium activated
potassium channels as well as the activation of local inhibitory interneurons by CFs (Szapiro and Barbour 2007). PC
axons are myelinated and propagate SSs and CSs reliably to
the cerebellar nuclei, transmitting both rate and temporal
code to specic subsets of nuclear neurons (Khaliq and
Raman 2005).
22.2.2 Spontaneous SS Activity
PCs are spontaneously ring neurons that elicit SSs between
10 and 100Hz during all their life without the need of excitatory inputs (Fig.22.1b, c; Latham and Paul 1971; Gruol and
Franklin 1987; Häusser and Clark 1997; Raman and Bean
1997). This pacemaker activity is regulated by several types
of voltage-gated ionic channels. A cationic non-specic ion
channel activated by membrane hyperpolarization (Ih current) can depolarize PCs below −70mV enabling voltagedependent sodium channels to open and trigger a SS
(Fig. 22.1b). The PC–SS is mediated by several sodium
channels including the Nav1.6 channel that reopens after
inactivation yielding a resurgent depolarizing current
(Raman and Bean 1997). The combined activation of Ih and
resurgent currents enables PC tonic ring (Raman and Bean
1997; Williams etal. 2002; Swensen and Bean 2003). Tonic
ring is also controlled by the interplay between fast highthreshold potassium channels (Kv3.3; Akemann and Knöpfel
2006) and voltage-dependent calcium channels (Cav2.1 and
Cav3.1; Swensen and Bean 2003). The former repolarizes
quickly the cell after a SS (Fig.22.1b), while the latter triggers the opening of calcium-dependent potassium channels
(KCa 1, 2, or 3, called BK, SK, and IK channels, respectively; Womack etal. 2009). The resulting hyperpolarization
activates Ih current, which triggers another cycle of depolarization. Many of these conductances underlying spiking
behavior are active at “rest” suggesting that PCs do not have
proper resting membrane potential. Furthermore, in rodents,
these conductances lead to a bistable state with silent (a
down state) or tonically active (an up state) PCs. Strong
depolarization such as a CS or inhibition can bidirectionally
toggle PCs from one to the other (Williams et al. 2002;
Loewenstein etal. 2005; but see Schonewille etal. 2006;
Hong etal. 2016).
22.2.3 PC Integration ofGC Inputs: Passive
andActive Mechanisms
GC inputs control the frequency of PC discharge via direct
PF–PC synapses located on dendritic spines (Eccles et al.
1967). PFs release glutamate that binds to non-calcium
permeant AMPA receptors (heteromeric GluA1–4; Perkel
etal. 1990; Lambolez etal. 1992) and to mGluR1 receptors
following burst of PF stimulation (Batchelor and Garthwaite
1993). Excitatory postsynaptic potentials are integrated and
heavily ltered along the PC dendritic tree before reaching
the soma (Roth and Häusser 2001). A single PF input is
unlikely to inuence PC discharge as it induces only a small
depolarization at the soma (<100μV) and most of the PF–PC

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T. Rossi and P. Isope
synapses are silent (Isope and Barbour 2002). However, temporal summation or coincident activation of a few PF inputs
drive PC ring rate (Walter and Khodakhah 2006; GrangerayVilmint etal. 2018). Moreover, active conductances located
in PC dendrites and spines inuence dendritic integration:
low-threshold voltage-dependent potassium channels (Kv1
and Kv4 family; Engbers etal. 2012) alter electrotonic propagation of postsynaptic potentials, and voltage-dependent
calcium channels trigger intracellular regulatory pathways.
While a burst of PF inputs activates Cav3.1 channels and
mGluR1 receptors (Takechi et al. 1998; Hildebrand et al.
2009), the combination of PF and CF inputs elicits a supra-
linear calcium rise via the activation of Cav2.1 channels
(Wang et al. 2000). Calcium rise in PC dendrites directly
inuence PC somatic spiking behavior via the activation of
calcium-dependent potassium channels (BK, SK, and IK
channels) as their activation can delay the occurrence of SSs
(Edgerton and Reinhart 2003; Womack etal. 2009; Engbers
et al. 2012). Moreover, the intracellular calcium rise triggered by synaptic inputs underlies long-term plasticity at the
PF–PC synapses (Ito 2001; Jörntell and Hansel 2006); in
particular, repetitive PF stimulation leads to long-term potentiation, while the conjunctive activation of PF and CF induces
long-term depression (Hansel et al. 2006; Piochon et al.
2016). Finally, the activity-dependent regulation of voltage-
dependent conductances (e.g., Ih or SK channels) durably
alters PC intrinsic excitability and have been associated to
homeostatic plasticity and learning processes (Belmeguenai
etal. 2010; Titley etal. 2020).
22.2.4 PC are Inhibited by MLIs
PFs make glutamatergic contacts not only to PC dendritic
spines, but also to the GABAergic MLIs, the stellate and basket cells, which provide a feedforward inhibition to PCs.
Hence, GCs control the balance between synaptic excitation
and inhibition impinging on PCs (Mittmann et al. 2005;
Jelitai et al. 2016; Grangeray-Vilmint et al. 2018).
Furthermore, the interplay between postsynaptic long-term
and presynaptic short-term plasticity at the GC-MLI, GC-PC,
and MLI-PC connections can generate a wide range ring
frequency in PCs, from a complete stop to very high frequencies (up to 200 Hz). Therefore, the GC-MLI-PC pathway
determine the dynamic range of PC discharge. Basket cells
inhibit PC dendrites both through chemical synapses and
ephaptic coupling mediated by an axo-axonic connection
(called the pinceau) around PC AIS (Blot and Barbour 2014).
As an action potential travels in the pinceau, extracellular
ionic concentrations are modied inhibiting instantaneously
PC ring via ephaptic coupling.
22.3 PC Roles andCerebellar Disorders
22.3.1 Physiological Role oftheSpontaneous
Activity ofPCs
PCs are the sole output neuron of the cerebellar cortex;
hence, the rate and temporal code generated by the population of PCs constitute the major outcome of cerebellar computation. Understanding how this message is transmitted to
the cerebellar nuclei and the rest of the brain is essential to
unravel the role of the cerebellum in the brain. PCs discharge
can inhibit and entrain cerebellar nuclei (Person and Raman
2012; Özcan etal. 2020). Many experiments have demon-
strated that PC discharge is modied before, during, and
after a movement suggesting that the cerebellum is involved
in movement preparation, execution, and correction (Thach
etal. 1992; Ito 2006; Shadmehr etal. 2010; Chen etal. 2016).
Indeed, a wealth of studies suggest that the cerebellum can
predict the sensory consequences of a motor command originating in the cerebral cortex and transmitted by the mossy
ber pathway to the cerebellar cortex. The prediction is made
using internal models of the body that are encoded in the
cerebellum, notably at the PF-PC synapses (Wolpert et al.
1998; Ebner and Pasalar 2008; Sokolov etal. 2017). If the
prediction in incorrect, an error message is elicited and
relayed by the CF to PCs in order to alter synaptic weights at
the PF–PC synapses and modify the output of the cerebellum
to correct the following movement (Yang and Lisberger
2014; Raymond and Medina 2018). Although the classical
view of the cerebellum limits its roles to the sensorimotor
adaptation, many studies have now demonstrated that the different regions of the cerebellar cortex are associated to nonmotor behaviors, such as language, working memory, or
emotional control (Sokolov etal. 2017; Diedrichsen et al.
2019; Schmahmann etal. 2019).
22.3.2 Cerebellar Disorders
Motor and non-motor roles of the cerebellum require PC discharge integrity. PCs re SS at a regular and steady rate most
of the time, while relevant information is transmitted by frequency modulation, burst, or pauses in SSs. Many studies
have shown that any alteration in PC discharge leads to
motor disorders (Hoxha etal. 2018; Cook etal. 2021). For
example, the selective genetic deletion of Nav1.6 sodium
channels or an auxiliary subunit (β4-Nav1.6) in PCs suppresses the resurgent sodium current, reduces PCs intrinsic
ring rate (Levin etal. 2006; Ransdell etal. 2017), and leads
to severe motor coordination and balance decits. Similarly,
in Kv3.3 knockout mice, PC ring rate is decreased and

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motor coordination is impaired. Rescuing Kv3.3 channels
specically in PCs restore ring rate and motor skills (Joho
etal. 2006; Hurlock et al. 2008). In humans, many of the
neurodegenerative diseases involving cerebellar decits such
as spinocerebellar ataxias (SCAs) are associated to specic
PC loss or dysfunction (Meera etal. 2016; Binda etal. 2020).
Reduced activity of BK and Kv3 channels in a PC-specic
mouse model of SCA2 impairs pacemaker activity in PCs,
and alters gait regularity and motor coordination (Dell’Orco
etal. 2017). In a mouse model of episodic ataxia 2 (EA2), a
mutation in Cav2.1 channels reduces the activation of SK
channels, altering time precision of PC discharge.
Interestingly, pharmacological activation of SK channels can
restore PC ring rate and improve motor skills and movement disorders (Walter etal. 2006). Finally, neurodevelopmental diseases, such as autism spectrum disorders or
schizophrenia can also be associated with PC dysfunctions
(Wang etal. 2014). Indeed, imaging or postmortem studies
of autistic patients have shown cerebellar abnormalities.
Notably, specic deletion of Tsc1 gene (for Tuberous
Sclerosis Complex disorder, a major monogenic causes of
autism in humans) in mice PCs, whose protein negatively
regulates mammalian target of rapamycin (mTOR) signaling
pathway in dendrites, induces PC loss, impairs PC excitability, and leads to severe autistic-like behaviors (Tsai etal.
2012).
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