“…We propose that this question is answered by recent studies showing that increased activation of STN axons during DBS elicits a form of short term depression believed to arise from a combination of axonal and synaptic failures [65,78,55,2], consistent with similar findings during high frequency stimulation in other brain regions [4,35,3,46,19,51,10,37,21]. Theoretical studies and empirical studies in other brain systems show that short term depression can suppress the synaptic transfer of low frequency oscillations, information and synchrony during periods of increased presynaptic spiking [1,27,29,44,50,63,62], and experimental evidence suggests these effects can suppress the synaptic transfer of parkinsonian activity patterns during DBS [3,2]. In this article, we systematically explore the hypothesis that DBS-induced axonal and synaptic failure produce short term depression that can suppress the synaptic transfer of pathological spiking patterns from STN to basal ganglia output nuclei while still producing an increase of total STN synaptic output during DBS.…”