Shin DS, Carlen PL. Enhanced I h depresses rat entopeduncular nucleus neuronal activity from high-frequency stimulation or raised K e ϩ . J Neurophysiol 99: 2203-2219, 2008. First published February 27, 2008 doi:10.1152/jn.01065.2007. High-frequency stimulation (HFS) is used to treat a variety of neurological diseases, yet its underlying therapeutic action is not fully elucidated. Previously, we reported that HFS-induced elevation in [K ϩ ] e or bath perfusion of raised K e ϩ depressed rat entopeduncular nucleus (EP) neuronal activity via an enhancement of an ionic conductance leading to marked depolarization. Herein, we show that the hyperpolarization-activated (I h ) channel mediates the HFS-or K ϩ -induced depression of EP neuronal activity. The perfusion of an I h channel inhibitor, 50 M ZD7288 or 2 mM CsCl, increased input resistance by 23.5 Ϯ 7% (ZD7288) or 35 Ϯ 10% (CsCl), hyperpolarized cells by 3.4 Ϯ 1.7 mV (ZD7288) or 2.3 Ϯ 0.9 mV (CsCl), and decreased spontaneous action potential (AP) frequency by 51.5 Ϯ 12.5% (ZD7288) or 80 Ϯ 13.5% (CsCl). The I h sag was absent with either treatment, suggesting a block of I h channel activity. Inhibition of the I h channel prior to HFS or 6 mM K ϩ perfusion not only prevented the previously observed decrease in AP frequency, but increased neuronal activity. Under voltage-clamp conditions, I h currents were enhanced in the presence of 6 mM K ϩ . Calcium is also involved in the depression of EP neuronal activity, since its removal during raised K e ϩ application prevented this attenuation and blocked the I h sag. We conclude that the enhancement of I h channel activity initiates the HFS-and K ϩ -induced depression of EP neuronal activity. This mechanism could underlie the inhibitory effects of HFS used in deep brain stimulation in output basal ganglia nuclei.