{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T02:57:38Z","timestamp":1789095458224,"version":"build-2803163510"},"reference-count":272,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T00:00:00Z","timestamp":1659398400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAD"],"published-print":{"date-parts":[[2022,8,2]]},"abstract":"<jats:p>Network hyperexcitability (NH) has recently been suggested as a potential neurophysiological indicator of Alzheimer\u2019s disease (AD), as new, more accurate biomarkers of AD are sought. NH has generated interest as a potential indicator of certain stages in the disease trajectory and even as a disease mechanism by which network dysfunction could be modulated. NH has been demonstrated in several animal models of AD pathology and multiple lines of evidence point to the existence of NH in patients with AD, strongly supporting the physiological and clinical relevance of this readout. Several hypotheses have been put forward to explain the prevalence of NH in animal models through neurophysiological, biochemical, and imaging techniques. However, some of these hypotheses have been built on animal models with limitations and caveats that may have derived NH through other mechanisms or mechanisms without translational validity to sporadic AD patients, potentially leading to an erroneous conclusion of the underlying cause of NH occurring in patients with AD. In this review, we discuss the substantiation for NH in animal models of AD pathology and in human patients, as well as some of the hypotheses considering recently developed animal models that challenge existing hypotheses and mechanisms of NH. In addition, we provide a preclinical perspective on how the development of animal models incorporating AD-specific NH could provide physiologically relevant translational experimental data that may potentially aid the discovery and development of novel therapies for AD.<\/jats:p>","DOI":"10.3233\/jad-210397","type":"journal-article","created":{"date-parts":[[2021,8,20]],"date-time":"2021-08-20T12:25:29Z","timestamp":1629462329000},"page":"809-836","source":"Crossref","is-referenced-by-count":44,"title":["Functional Neurophysiological Biomarkers of Early-Stage Alzheimer\u2019s Disease: A Perspective of Network Hyperexcitability in Disease Progression"],"prefix":"10.1177","volume":"88","author":[{"given":"Sean","family":"Tok","sequence":"first","affiliation":[{"name":"Department of Neuroscience, Janssen Research & Development, Janssen Pharmaceutica NV, Beerse, Belgium"},{"name":"Groningen Institute for Evolutionary Life Sciences, Faculty of Science and Engineering, University of Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdallah","family":"Ahnaou","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Janssen Research & Development, Janssen Pharmaceutica NV, Beerse, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilhelmus","family":"Drinkenburg","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Janssen Research & Development, Janssen Pharmaceutica NV, Beerse, Belgium"},{"name":"Groningen Institute for Evolutionary Life Sciences, Faculty of Science and Engineering, University of Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","reference":[{"key":"10.3233\/JAD-210397_ref1","doi-asserted-by":"crossref","first-page":"45","DOI":"10.3389\/fphys.2015.00045","article-title":"Cellular hyper-excitability caused by mutations that alter the activation process of voltage-gated sodium channels","volume":"6","author":"Amarouch","year":"2015","journal-title":"Front Physiol"},{"key":"10.3233\/JAD-210397_ref2","doi-asserted-by":"crossref","first-page":"4613","DOI":"10.1523\/JNEUROSCI.0064-06.2006","article-title":"Hyperexcitability, interneurons, and loss of GABAergic synapses in entorhinal cortex in a model of temporal lobe epilepsy","volume":"26","author":"Kumar","year":"2006","journal-title":"J Neurosci"},{"key":"10.3233\/JAD-210397_ref3","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1016\/j.neuint.2011.12.001","article-title":"The astrocyte excitability brief: From receptors to gliotransmission","volume":"61","author":"Parpura","year":"2012","journal-title":"Neurochem Int"},{"key":"10.3233\/JAD-210397_ref4","doi-asserted-by":"crossref","first-page":"46","DOI":"10.2174\/1874609811003010046","article-title":"Treatment of Alzheimer\u2019s disease: Symptomatic and disease-modifying approaches","volume":"3","author":"Galimberti","year":"2010","journal-title":"Curr Aging Sci"},{"key":"10.3233\/JAD-210397_ref5","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1080\/13543784.2017.1323868","article-title":"Why do trials for Alzheimer\u2019s disease drugs keep failing? 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