Cortical processing depends on finely tuned excitatory and inhibitory connections in neuronal microcircuits. Reduced inhibition by somatostatin-expressing interneurons is a key component of altered inhibition associated with treatment-resistant major depressive disorder (depression), which is implicated in cognitive deficits and rumination, but the link remains to be better established mechanistically in humans. Here we test the effect of reduced somatostatin interneuron-mediated inhibition on cortical processing in human neuronal microcircuits using a data-driven computational approach. We integrate human cellular, circuit, and gene expression data to generate detailed models of human cortical microcircuits in health and depression. We simulate microcircuit baseline and response activity and find a reduced signal-to-noise ratio and increased false/failed detection of stimuli due to a higher baseline activity in depression. We thus apply models of human cortical microcircuits to demonstrate mechanistically how reduced inhibition impairs cortical processing in depression, providing quantitative links between altered inhibition and cognitive deficits.

Cortical processing depends on finely-tuned excitatory and inhibitory connections in neuronal microcircuits. In major depressive disorder (depression), a disrupted balance due to weaker inhibition by somatostatin-expressing interneurons is implicated in cognitive deficits and rumination symptoms. Here, we tested the impact of reduced somatostatin interneuron inhibition on cortical processing in human microcircuits in depression using a data-driven computational approach. We integrated human cellular, circuit and gene-expression data to generate detailed models of human cortical microcircuits in health and depression. We simulated microcircuit baseline and response activity and found reduced signal-to-noise ratio of cortical processing, and increased false/failed detection of stimuli, due to a higher baseline activity (noise) in depression. Our results thus demonstrate mechanistically how reduced inhibition in human neuronal microcircuits impairs cortical processing in depression, thus establishing a target mechanism for novel treatments and providing quantitative links between inhibition and cognitive deficits which could improve the diagnosis of depression.