Fiene, M.; Siems, M.; Kammerer, T.; Schneider, T. R.; Engel, A. K.

Background: Intrinsic functional coupling at multiple temporal scales is a hallmark of human brain dynamics. Among these coupling modes, slow co-fluctuations of oscillatory amplitudes, termed amplitude coupling, are thought to represent a key organizing principle of the large-scale functional architecture, constraining and gating network activity. Yet, despite extensive correlational evidence, direct causal access to amplitude coupling remains limited, restricting insight into its functional relevance. Objectives: Here, we investigated whether dual-site amplitude-modulated transcranial alternating current stimulation (AM-tACS) can selectively modulate interhemispheric amplitude coupling in human resting-state networks. Methods: Twenty-eight participants received AM-tACS with a carrier frequency in the beta-band whose amplitude was modulated by low-frequency, scale-free dynamics. By applying dual-site AM-tACS either coherently or incoherently across bilateral parieto-occipital cortices, we tested whether stimulation could systematically enhance or disrupt amplitude co-fluctuations in the electrophysiological aftereffect. Results: Incoherent AM-tACS significantly reduced interhemispheric amplitude coupling between targeted parieto-occipital cortices, with the strongest effects observed in the stimulated beta-band carrier frequency range. This modulation occurred independently of changes in local power or inter-areal phase coupling, indicating a selective effect of AM-tACS on amplitude-based connectivity. Moreover, reductions in amplitude coupling were correlated with the induced electric field strength, suggesting a dose-dependent relationship between stimulation intensity and coupling modulation. Conclusions: Our findings demonstrate that dual-site AM-tACS can causally and selectively modulate amplitude coupling in the human brain. By establishing causal control over lasting amplitude coupling dynamics, this work provides a methodological foundation for future investigations into the functional and behavioral relevance of amplitude coupling in both healthy and pathological brain states.