RT Journal Article SR Electronic T1 Spatiotemporal patterns of transcranial electrical stimulation can strengthen the metamemory of individual episodic memories in humans JF bioRxiv FD Cold Spring Harbor Laboratory SP 672378 DO 10.1101/672378 A1 Praveen K. Pilly A1 Steven W. Skorheim A1 Ryan J. Hubbard A1 Nicholas A. Ketz A1 Shane M. Roach A1 Aaron P. Jones A1 Bradley Robert A1 Natalie B. Bryant A1 Itamar Lerner A1 Arno Hartholt A1 Teagan S. Mullins A1 Jaehoon Choe A1 Vincent P. Clark A1 Michael D. Howard YR 2019 UL http://biorxiv.org/content/early/2019/06/15/672378.abstract AB Long-term retention of memories critically depends on consolidation processes, which occur during slow-wave oscillations (SWOs) in non-rapid eye movement (NREM) sleep. We designed a non-invasive system that can tag one-shot experiences of naturalistic episodes within immersive virtual reality (VR) with unique spatiotemporal amplitude-modulated patterns (STAMPs) of transcranial electrical stimulation (tES). We demonstrate that these STAMPs can be re-applied during UP states of SWOs on two consecutive nights to achieve a 19.43% improvement in the metamemory of targeted episodes at 48 hours after the one-shot viewing, compared to the control episodes. Further, we found an interaction between pre-sleep metamemory of targeted episodes and the number of STAMP applications for those episodes during sleep, and that STAMPs elicit increases in left temporal slow-spindle (9-12 Hz) power that are predictive of overnight metamemory improvements. These results prescribe an optimal strategy to leverage STAMPs for boosting metamemory based on pre-sleep performance and tracking the STAMP-induced biomarker during sleep, and suggest that real-world episodic memories can be modulated in a targeted manner even with coarser, non-invasive spatiotemporal stimulation.