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Ma L, Steinberg JL, Hasan KM, Narayana PA, Kramer LA, Moeller FG. Working memory load modulation of parieto-frontal connections: evidence from dynamic causal modeling. Hum Brain Mapp 2011; 33:1850-67. [PMID: 21692148 DOI: 10.1002/hbm.21329] [Citation(s) in RCA: 65] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2010] [Revised: 02/20/2011] [Accepted: 03/17/2011] [Indexed: 11/07/2022] Open
Abstract
Previous neuroimaging studies have shown that working memory load has marked effects on regional neural activation. However, the mechanism through which working memory load modulates brain connectivity is still unclear. In this study, this issue was addressed using dynamic causal modeling (DCM) based on functional magnetic resonance imaging (fMRI) data. Eighteen normal healthy subjects were scanned while they performed a working memory task with variable memory load, as parameterized by two levels of memory delay and three levels of digit load (number of digits presented in each visual stimulus). Eight regions of interest, i.e., bilateral middle frontal gyrus (MFG), anterior cingulate cortex (ACC), inferior frontal cortex (IFC), and posterior parietal cortex (PPC), were chosen for DCM analyses. Analysis of the behavioral data during the fMRI scan revealed that accuracy decreased as digit load increased. Bayesian inference on model structure indicated that a bilinear DCM in which memory delay was the driving input to bilateral PPC and in which digit load modulated several parieto-frontal connections was the optimal model. Analysis of model parameters showed that higher digit load enhanced connection from L PPC to L IFC, and lower digit load inhibited connection from R PPC to L ACC. These findings suggest that working memory load modulates brain connectivity in a parieto-frontal network, and may reflect altered neuronal processes, e.g., information processing or error monitoring, with the change in working memory load. Hum Brain Mapp, 2012. © 2011 Wiley Periodicals, Inc.
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Affiliation(s)
- Liangsuo Ma
- Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center, Houston, Texas 77054, USA.
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52
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Klostermann EC, Braskie MN, Landau SM, O'Neil JP, Jagust WJ. Dopamine and frontostriatal networks in cognitive aging. Neurobiol Aging 2011; 33:623.e15-24. [PMID: 21511369 DOI: 10.1016/j.neurobiolaging.2011.03.002] [Citation(s) in RCA: 53] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2010] [Revised: 01/11/2011] [Accepted: 03/01/2011] [Indexed: 11/17/2022]
Abstract
Recent studies have linked dopamine to differences in behavior and brain activity in normal individuals. We explored these relationships in older and younger adults by investigating how functional connectivity between the striatum and prefrontal cortex is related to caudate dopamine and verbal working memory task performance. We studied 12 young and 18 older participants with functional magnetic resonance imaging (fMRI) during this task, and used positron emission tomography with the tracer 6-[(18)F]-fluoro-L-m-tyrosine (FMT) to assess dopamine synthesis capacity. Younger adults had a greater extent of frontal caudate functional connectivity during the load-dependent delay period of the working memory task than the older participants. Across all subjects, the extent of this functional connectivity was negatively correlated with dopamine synthesis capacity, such that participants with the greatest connectivity had the lowest caudate 6-[(18)F]-fluoro-L-m-tyrosine (FMT) signal. Additionally, the extent of functional connectivity was positively correlated with working memory performance. Overall these data suggest interdependencies exist between frontostriatal functional connectivity, dopamine, and working memory performance and that this system is functioning suboptimally in normal aging.
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Affiliation(s)
- Ellen C Klostermann
- Helen Wills Neuroscience Institute, University of California Berkeley, Berkeley, CA 94720-3190, USA.
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53
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Wang X, Yang J, Shu H, Zevin JD. Left fusiform BOLD responses are inversely related to word-likeness in a one-back task. Neuroimage 2011; 55:1346-56. [PMID: 21216293 PMCID: PMC3086000 DOI: 10.1016/j.neuroimage.2010.12.062] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2010] [Revised: 11/22/2010] [Accepted: 12/23/2010] [Indexed: 11/19/2022] Open
Abstract
Although its precise functional contribution to reading remains unclear, there is broad consensus that an activity in the left mid-fusiform gyrus is highly sensitive to written words and word-like stimuli. In the current study, we take advantage of a particularity of the Chinese writing system in order to manipulate word-likeness parametrically, from real characters, to pseudo-characters that vary in whether they contain phonological and semantic cues, to artificial stimuli with varying surface similarity to real characters. In a one-back task, BOLD activity in the left mid-fusiform was inversely related to word-likeness, such that the least activity was observed in response to real characters, and the greatest to artificial stimuli that violate the orthotactic constraints of the writing system. One possible explanation for this surprising result is that the short-term memory demands of the one-back task put more pressure on the visual system when other sources of information cannot be used to aid in detecting repeated stimuli. For real characters and, to a lesser extent for pseudo-characters, information about meaning and pronunciation can contribute to performance, whereas artificial stimuli are entirely dependent on visual information. Consistent with this view, functional connectivity analyses revealed a strong positive relationship between left mid-fusiform and other visual areas, whereas areas typically involved in phonological and semantic processing for text were negatively correlated with this region.
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Affiliation(s)
- Xiaojuan Wang
- State Key laboratory of Cogntive Neuroscience and Learning, Beijing Normal University, China
| | - Jianfeng Yang
- Institute of Psychology, Chinese Academy of Science, China
| | - Hua Shu
- State Key laboratory of Cogntive Neuroscience and Learning, Beijing Normal University, China
| | - Jason D. Zevin
- Sackler Institute for Developmental Psychobiology, Weill Cornell Medical College, USA
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Ravizza SM, Hazeltine E, Ruiz S, Zhu DC. Left TPJ activity in verbal working memory: Implications for storage- and sensory-specific models of short term memory. Neuroimage 2011; 55:1836-46. [DOI: 10.1016/j.neuroimage.2010.12.021] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2010] [Revised: 11/12/2010] [Accepted: 12/06/2010] [Indexed: 10/18/2022] Open
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55
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Charlton RA, Landau S, Schiavone F, Barrick TR, Clark CA, Markus HS, Morris RG. Up the garden path: A critique of Penke and Deary and further exploration concerning the Charlton et al. path analysis relating loss of white matter integrity to cognition in normal aging. Neurobiol Aging 2010. [DOI: 10.1016/j.neurobiolaging.2009.12.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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56
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Hashimoto RI, Lee K, Preus A, McCarley RW, Wible CG. An fMRI study of functional abnormalities in the verbal working memory system and the relationship to clinical symptoms in chronic schizophrenia. ACTA ACUST UNITED AC 2010; 20:46-60. [PMID: 19395526 DOI: 10.1093/cercor/bhp079] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
There has been evidence for functional abnormalities of the verbal working memory system in schizophrenia. Verbal working memory crucially involves the interplay between the anterior and posterior language systems, and previous studies have shown converging evidence for abnormalities in the posterior language system in schizophrenia. In this functional magnetic resonance imaging study, we measured cortical activity in chronic schizophrenic patients and matched healthy controls during auditory and visual verbal working memory tasks. We employed 1) regional analyses specifically targeting the posterior language system and 2) analyses of functional connectivity between anterior and posterior language regions. We performed these analyses separately for each memory stage and modality. In the regional analyses, the left sylvian-parietal-temporal (Spt) area consistently showed reduced activation during encoding and retrieval stages in schizophrenia. Magnitudes of activation in the left posterior superior temporal sulcus were correlated with the severity of delusions at every memory stage. Functional connectivity analyses revealed reduced connectivity between the left Spt and the anterior insula during the encoding of auditory words. In addition, the connectivity strength was correlated with the severity of auditory hallucinations. These findings identify abnormal components in the verbal working memory system and illustrate their possible overlap with the mechanisms of core schizophrenic symptoms.
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Metzak P, Feredoes E, Takane Y, Wang L, Weinstein S, Cairo T, Ngan ETC, Woodward TS. Constrained principal component analysis reveals functionally connected load-dependent networks involved in multiple stages of working memory. Hum Brain Mapp 2010; 32:856-71. [PMID: 20572208 DOI: 10.1002/hbm.21072] [Citation(s) in RCA: 57] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2009] [Revised: 02/25/2010] [Accepted: 03/16/2010] [Indexed: 11/08/2022] Open
Abstract
Constrained principal component analysis (CPCA) with a finite impulse response (FIR) basis set was used to reveal functionally connected networks and their temporal progression over a multistage verbal working memory trial in which memory load was varied. Four components were extracted, and all showed statistically significant sensitivity to the memory load manipulation. Additionally, two of the four components sustained this peak activity, both for approximately 3 s (Components 1 and 4). The functional networks that showed sustained activity were characterized by increased activations in the dorsal anterior cingulate cortex, right dorsolateral prefrontal cortex, and left supramarginal gyrus, and decreased activations in the primary auditory cortex and "default network" regions. The functional networks that did not show sustained activity were instead dominated by increased activation in occipital cortex, dorsal anterior cingulate cortex, sensori-motor cortical regions, and superior parietal cortex. The response shapes suggest that although all four components appear to be invoked at encoding, the two sustained-peak components are likely to be additionally involved in the delay period. Our investigation provides a unique view of the contributions made by a network of brain regions over the course of a multiple-stage working memory trial.
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Affiliation(s)
- Paul Metzak
- Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada
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58
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Snijders TM, Petersson KM, Hagoort P. Effective connectivity of cortical and subcortical regions during unification of sentence structure. Neuroimage 2010; 52:1633-44. [PMID: 20493954 DOI: 10.1016/j.neuroimage.2010.05.035] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2009] [Revised: 04/26/2010] [Accepted: 05/13/2010] [Indexed: 10/19/2022] Open
Abstract
In a recent fMRI study we showed that left posterior middle temporal gyrus (LpMTG) subserves the retrieval of a word's lexical-syntactic properties from the mental lexicon (long-term memory), while left posterior inferior frontal gyrus (LpIFG) is involved in unifying (on-line integration of) this information into a sentence structure (Snijders et al., 2009). In addition, the right IFG, right MTG, and the right striatum were involved in the unification process. Here we report results from a psychophysical interactions (PPI) analysis in which we investigated the effective connectivity between LpIFG and LpMTG during unification, and how the right hemisphere areas and the striatum are functionally connected to the unification network. LpIFG and LpMTG both showed enhanced connectivity during the unification process with a region slightly superior to our previously reported LpMTG. Right IFG better predicted right temporal activity when unification processes were more strongly engaged, just as LpIFG better predicted left temporal activity. Furthermore, the striatum showed enhanced coupling to LpIFG and LpMTG during unification. We conclude that bilateral inferior frontal and posterior temporal regions are functionally connected during sentence-level unification. Cortico-subcortical connectivity patterns suggest cooperation between inferior frontal and striatal regions in performing unification operations on lexical-syntactic representations retrieved from LpMTG.
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Affiliation(s)
- Tineke M Snijders
- Radboud University Nijmegen, Donders Institute for Brain, Cognition and Behaviour, Centre for Cognitive Neuroimaging, The Netherlands.
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59
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Axmacher N, Lenz S, Haupt S, Elger CE, Fell J. Electrophysiological signature of working and long-term memory interaction in the human hippocampus. Eur J Neurosci 2010; 31:177-88. [DOI: 10.1111/j.1460-9568.2009.07041.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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60
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Cognitive Neuroscience Approaches to Individual Differences in Working Memory and Executive Control: Conceptual and Methodological Issues. HANDBOOK OF INDIVIDUAL DIFFERENCES IN COGNITION 2010. [DOI: 10.1007/978-1-4419-1210-7_6] [Citation(s) in RCA: 64] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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61
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Zimmer HD. Visuell-räumliches Arbeitsgedächtnis. PSYCHOLOGISCHE RUNDSCHAU 2010. [DOI: 10.1026/0033-3042/a000007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. In der Multikomponentenkonzeption des Arbeitsgedächtnisses wird explizit eine separate visuelle Teilkomponente postuliert, die in einen Speicher für statische visuelle Informationen (Visual Cache) und einen dynamischen (räumlichen) Wiederholungsprozess (Inner Scribe) unterteilt wird. In der vorliegenden Arbeit wird argumentiert, dass eine solche Aufteilung begrifflich unscharf und nicht geeignet ist, die empirischen Befunde angemessen zu erklären. Die Unterscheidung statisch versus dynamisch trifft nicht die richtige Dimension. Stattdessen sprechen neurowissenschaftliche Befunde eher für eine Trennung zwischen räumlich und visuell, wobei die räumliche Komponente zum Teil supramodal ist, während die visuelle Komponente eine Binnendifferenzierung entlang den repräsentierten Inhalten aufweist. Es wird die These aufgestellt, dass kein separater Speicher postuliert werden muss, um die in der Literatur dokumentierten Phänomene zu erklären. Die Annahme von temporär im visuellen Wahrnehmungsprozess entstehenden Repräsentationen reicht aus, um kurzzeitiges Erinnern zu erklären. Folglich wird das Arbeitsgedächtnis im gleichen verteilten neuronalen Netzwerk realisiert, das die visuelle Informationsverarbeitung in der Wahrnehmung leistet.
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62
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Moody CL, Gennari SP. Effects of implied physical effort in sensory-motor and pre-frontal cortex during language comprehension. Neuroimage 2010; 49:782-93. [DOI: 10.1016/j.neuroimage.2009.07.065] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2009] [Revised: 07/23/2009] [Accepted: 07/24/2009] [Indexed: 10/20/2022] Open
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63
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Axmacher N, Bialleck KA, Weber B, Helmstaedter C, Elger CE, Fell J. Working memory representation in atypical language dominance. Hum Brain Mapp 2009; 30:2032-43. [PMID: 18711708 DOI: 10.1002/hbm.20645] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
One of the most important factors controlling material specific processing in the human brain is language dominance, i.e. hemispheric specialization in semantic processes. Although previous studies have shown that lateralized long-term memory processes in the medial temporal lobes are modified in subjects with atypical (right) language dominance, the effect of language dominance on the neural basis of working memory (WM) has remained unknown. Here, we used functional MRI (fMRI) to study the impact of language dominance on the neural representation of WM. We conducted an n-back task in three different load conditions and with both verbal and nonverbal (spatial) material in matched groups of left and right language dominant subjects. This approach allowed us to investigate regions showing significant interactions between language dominance and material. Overall, right dominant subjects showed an increased inter-individual variability of WM-related activations. Verbal WM involved more pronounced activation of the left fusiform cortex in left dominant subjects and of the right inferior parietal lobule in the right dominant group. Spatial WM, on the other hand, induced activation of right hemispheric regions in left dominant subjects, but no specific activations in right dominant subjects. Taken together, these findings indicate that the neural basis of verbal WM processes depends on language dominance and is more mutable in right dominant subjects. The increased variability in right dominant subjects strongly suggests that a standard network of material-dependent WM processes exists in left dominant subjects, and that right dominant subjects use variable alternative networks.
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64
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Kumar S, Rao SL, Chandramouli BA, Pillai SV. Reduction of functional brain connectivity in mild traumatic brain injury during working memory. J Neurotrauma 2009; 26:665-75. [PMID: 19331523 DOI: 10.1089/neu.2008.0644] [Citation(s) in RCA: 61] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Working memory deficits are present in patients with mild traumatic brain injury (MTBI). Functional connectivity of different brain regions is required for adequate working memory. Brain injury is associated with disrupted connectivity due to microscopic axonal damage. In this investigation, we sought to investigate functional brain connectivity during working memory in MTBI patients. A sample of 30 MTBI patients and 30 age-, education-, and gender-matched normal controls were studied. Working memory was assessed with the Sternberg's verbal and visuo-spatial working memory tasks. Electro-encephalography (EEG) was recorded from 128 channels while subjects performed working memory tasks and during eyes closed resting condition. EEG coherence was computed in theta; lower and upper alpha; and lower and upper beta frequency bands during the encoding, retention, and retrieval stages of working memory as well as during eyes-closed rest. We found that the MTBI patients had impaired verbal and visuo-spatial working memory. The different stages of working memory were associated with poor intrahemispheric coherence in long-range (fronto-parietal) and mid-range (fronto-temporal and temporo-parietal) regions as well as poor interhemispheric coherence in the frontal and temporal regions in the MTBI patients. The deficit in coherence was present in theta, alpha, and beta frequency bands. However, the MTBI and the control group had comparable coherence values in intra- and inter-hemispheric regions during eyes closed rest. We suggest that the inter- and intra-hemispheric functional connectivity is impaired in MTBI during working memory performance.
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Affiliation(s)
- Sanjay Kumar
- Behavioural Brain Sciences, School of Psychology, University of Birmingham, Birmingham, B15 2TT, United Kingdom.
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65
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Charlton RA, Barrick TR, Lawes INC, Markus HS, Morris RG. White matter pathways associated with working memory in normal aging. Cortex 2009; 46:474-89. [PMID: 19666169 DOI: 10.1016/j.cortex.2009.07.005] [Citation(s) in RCA: 126] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2008] [Revised: 05/21/2009] [Accepted: 07/11/2009] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Previous studies by our group have found that white matter integrity as determined by Diffusion Tensor Imaging (DTI) is associated with working memory decline. It has been proposed that subtle white matter integrity loss may lead to the disruption of working memory in particular because it relies on the dynamic and reiterative activity of cortico-cortical pathways. METHODS DTI and working memory measurement were acquired for 99 adults from our GENIE study of healthy middle aged and elderly individuals. Voxel-based statistics were used to identify clusters of voxels in mean diffusivity images specifically associated with variations in working memory performance. Tractography then identified the cortico-cortical white matter pathways passing through these clusters, between the temporal, parietal and frontal cortices. RESULTS Significant clusters were identified which were associated with working memory in the white matter of the temporal and frontal lobes, the cingulate gyrus, and in the thalamus. The tracts that passed through these clusters included the superior parietal lobule pathway, the medial temporo-frontal pathway, the uncinate fasciculus, the fronto-parietal fasciculus, and the cingulum. CONCLUSIONS Significant clusters were identified in the white matter that were associated with working memory performance. Tractography performed through these clusters identified white matter fiber tracts which pass between grey matter regions known to be activated by working memory tasks and also mirror working memory pathways suggested by previous functional connectivity imaging.
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Affiliation(s)
- Rebecca A Charlton
- Centre for Clinical Neuroscience, Division of Cardiac and Vascular Sciences, St George's University of London, Cranmer Terrace, UK.
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66
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Functional connectivity reveals inefficient working memory systems in post-traumatic stress disorder. Psychiatry Res 2009; 172:235-41. [PMID: 19398308 DOI: 10.1016/j.pscychresns.2008.07.014] [Citation(s) in RCA: 50] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2008] [Revised: 06/04/2008] [Accepted: 07/04/2008] [Indexed: 11/28/2022]
Abstract
We applied a covariance-based multivariate analysis to functional magnetic resonance imaging (fMRI) data to investigate abnormalities in working memory (WM) systems in patients with post-traumatic stress disorder (PTSD). Patients (n=13) and matched controls (n=12) were scanned with fMRI while updating or maintaining trauma-neutral verbal stimuli in WM. A multivariate statistical analysis was used to investigate large-scale brain networks associated with these experimental tasks. For the control group, the first network reflected brain activity associated with WM updating and principally involved bilateral prefrontal and bilateral parietal cortex. Controls' second network was associated with WM maintenance and involved regions typically activated during storage and rehearsal of verbal material, including lateral premotor and inferior parietal cortex. In contrast, PTSD patients appeared to activate a single fronto-parietal network for both updating and maintenance tasks. This is indicative of abnormally elevated activity during WM maintenance and suggests inefficient allocation of resources for differential task demands. A second network in PTSD, which was not activated in controls, showed regions differentially activated between WM tasks, including the anterior cingulate, medial prefrontal cortex, fusiform and supplementary motor area. These activations may be linked to hyperarousal and abnormal reactivity, which are characteristic of PTSD.
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67
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Abstract
Intelligent organisms are capable of tracking objects even when they temporarily disappear from sight, a cognitive capacity commonly referred to as visual working memory (VWM). The neural basis of VWM has been the subject of significant scientific debate, with recent work focusing on the relative roles of posterior visual areas, such as the inferior temporal cortex (ITC), and the prefrontal cortex. Here we reexamined the contribution of ITC to VWM by recording from highly selective individual ITC neurons as monkeys engaged in multiple versions of an occlusion-based memory task. As expected, we found strong evidence for a role of ITC in stimulus encoding. We also found that almost half of these selective cells showed stimulus-selective delay period modulation, with a small but significant fraction exhibiting differential responses even in the presence of simultaneously visible interfering information. When we combined the informational content of multiple neurons, we found that the accuracy with which we could decode memory content increased drastically. The memory epoch analyses suggest that behaviorally relevant visual memories were reinstated in ITC. Furthermore, we observed a population-wide enhancement of neuronal response to a match stimulus compared with the same stimulus presented as a nonmatch. The single-cell enhancement preceded any match effects identified in the local field potential, leading us to speculate that enhancement is the result of neural processing local to ITC. Moreover, match enhancement was only later followed by the more commonly observed match suppression. Altogether, the data support the hypothesis that, when a stimulus is held in memory, ITC neurons are actively biased in favor of task-relevant visual representations and that this bias can immediately impact subsequent recognition events.
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68
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Snijders TM, Vosse T, Kempen G, Van Berkum JJA, Petersson KM, Hagoort P. Retrieval and unification of syntactic structure in sentence comprehension: an FMRI study using word-category ambiguity. ACTA ACUST UNITED AC 2008; 19:1493-503. [PMID: 19001084 DOI: 10.1093/cercor/bhn187] [Citation(s) in RCA: 181] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Sentence comprehension requires the retrieval of single word information from long-term memory, and the integration of this information into multiword representations. The current functional magnetic resonance imaging study explored the hypothesis that the left posterior temporal gyrus supports the retrieval of lexical-syntactic information, whereas left inferior frontal gyrus (LIFG) contributes to syntactic unification. Twenty-eight subjects read sentences and word sequences containing word-category (noun-verb) ambiguous words at critical positions. Regions contributing to the syntactic unification process should show enhanced activation for sentences compared to words, and only within sentences display a larger signal for ambiguous than unambiguous conditions. The posterior LIFG showed exactly this predicted pattern, confirming our hypothesis that LIFG contributes to syntactic unification. The left posterior middle temporal gyrus was activated more for ambiguous than unambiguous conditions (main effect over both sentences and word sequences), as predicted for regions subserving the retrieval of lexical-syntactic information from memory. We conclude that understanding language involves the dynamic interplay between left inferior frontal and left posterior temporal regions.
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Affiliation(s)
- Tineke M Snijders
- F.C. Donders Centre for Cognitive Neuroimaging, Nijmegen, the Netherlands.
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69
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Abstract
Behavioral research has led to the view that items in short-term memory can be parsed into two categories: a single item in the focus of attention that is available for immediate cognitive processing and a small set of other items that are in a heightened state of activation but require retrieval for further use. We examined this distinction by using an item-recognition task. The results show that the item in the focus of attention is represented by increased activation in inferior temporal representational cortices relative to other information in short-term memory. Functional connectivity analyses suggest that activation of these inferior temporal regions is maintained via frontal- and posterior-parietal contributions. By contrast, other items in short-term memory demand retrieval mechanisms that are represented by increased activation in the medial temporal lobe and left mid-ventrolateral prefrontal cortex. These results show that there are two distinctly different sorts of access to information in short-term memory, and that access by retrieval operations makes use of neural machinery similar to that used in long-term memory retrieval.
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70
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Interactions between medial temporal lobe, prefrontal cortex, and inferior temporal regions during visual working memory: a combined intracranial EEG and functional magnetic resonance imaging study. J Neurosci 2008; 28:7304-12. [PMID: 18632934 DOI: 10.1523/jneurosci.1778-08.2008] [Citation(s) in RCA: 140] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
It is a fundamental question whether the medial temporal lobe (MTL) supports only long-term memory encoding, or contributes to working memory (WM) processes as well. Recent data suggest that the MTL is activated whenever multiple items or item features are being maintained in WM. This may rely on interactions between the MTL or the prefrontal cortex (PFC) and content-specific areas in the inferior temporal (IT) cortex. Here, we investigated the neural mechanism through which the MTL, PFC, and IT cortex interact during WM maintenance. First, we quantified phase synchronization of intracranial EEG data in epilepsy patients with electrodes in both regions. Second, we used directional coupling analysis to study whether oscillatory activity in the IT cortex drives the MTL or vice versa. Finally, we investigated functional connectivity in functional magnetic resonance imaging data of healthy subjects with seeds in the MTL and PFC. With increasing load, EEG phase synchronization between the IT cortex and anterior parahippocampal gyrus and within the MTL increased. Coupling was bidirectional in all load conditions, but changed toward an increased top-down (anterior parahippocampal gyrus --> IT) coupling in the high gamma range (51-75 Hz) with increasing load. Functional connectivity between the MTL seed and the visual association cortex increased with load, but activity within the MTL and the PFC correlated with fewer voxels, suggesting that more specific neural networks were engaged. These data indicate that WM for multiple items depends on an increased strength of top-down control of activity within the IT cortex by the MTL.
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71
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Yue Z, Zhang M, Zhou X. Updating verbal and visuospatial working memory: Are the processes parallel? Sci Bull (Beijing) 2008. [DOI: 10.1007/s11434-008-0299-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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72
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Fiebach CJ, Friederici AD, Smith EE, Swinney D. Lateral inferotemporal cortex maintains conceptual-semantic representations in verbal working memory. J Cogn Neurosci 2008; 19:2035-49. [PMID: 17892385 DOI: 10.1162/jocn.2007.19.12.2035] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Verbal working memory, that is, the temporary maintenance of linguistic information in an activated state, is typically assumed to rely on phonological representations. Recent evidence from behavioral, neuropsychological, and electrophysiological studies, however, suggests that conceptual-semantic representations may also be maintained in an activated state. We developed a new semantic working memory task that involves the maintenance of a novel conceptual combination. Functional magnetic resonance imaging data acquired during the maintenance of conceptual combinations, relative to an item recognition task without the possibility of conceptual combination, demonstrate increased activation in the posterior left middle and inferior temporal gyri (known to be involved in conceptual representations) and left inferior frontal gyrus (known to be involved in semantic control processes). We suggest that this temporo-frontal system supports maintenance of conceptual information in working memory, with the frontal regions controlling the sustained activation of heteromodal conceptual representations in the inferior temporal cortex.
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Abstract
Abstract
The phonological loop system of Baddeley and colleagues' Working Memory model is a major accomplishment of the modern era of cognitive psychology. It was one of the first information processing models to make an explicit attempt to accommodate both traditional behavioral data and the results of neuropsychological case studies in an integrated theoretical framework. In the early and middle 1990s, the purview of the phonological loop was expanded to include the emerging field of functional brain imaging. The modular and componential structure of the phonological loop seemed to disclose a structure that might well be transcribed, intact, onto the convolutions of the brain. It was the phonological store component, however, with its simple and modular quality, that most appealed to the neuroimaging field as the psychological “box” that might most plausibly be located in the brain. Functional neuroimaging studies initially designated regions in the parietal cortex as constituting the “neural correlate” of the phonological store, whereas later studies pointed to regions in the posterior temporal cortex. In this review, however, we argue the phonological store as a theoretical construct does not precisely correspond to a single, functionally discrete, brain region. Rather, converging evidence from neurology, cognitive psychology, and functional neuroimaging argue for a reconceptualization of phonological short-term memory as emerging from the integrated action of the neural processes that underlie the perception and production of speech.
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Affiliation(s)
- Bradley R Buchsbaum
- Department of Psychology, University of California, Berkeley, CA 94720-3190, USA.
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74
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Axmacher N, Schmitz DP, Weinreich I, Elger CE, Fell J. Interaction of working memory and long-term memory in the medial temporal lobe. ACTA ACUST UNITED AC 2008; 18:2868-78. [PMID: 18403397 DOI: 10.1093/cercor/bhn045] [Citation(s) in RCA: 53] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Recent findings indicate that regions in the medial temporal lobe (MTL) do not only play a crucial role in long-term memory (LTM) encoding, but contribute to working memory (WM) as well. However, very few studies investigated the interaction between these processes so far. In a new functional magnetic resonance imaging paradigm comprising both a complex WM task and an LTM recognition task, we found not only that some items were successfully processed in WM but later forgotten, but also that a significant number of items which were not successfully processed in the WM task were subsequently recognized. Activation in the parahippocampal cortex (PHC) during successful WM was predictive of subsequent LTM, but was correlated with subsequent forgetting if the WM task was not successfully solved. The contribution of the PHC to LTM encoding thus crucially depends on whether an item was successfully processed in the WM task. Functional connectivity analysis revealed that across-trial fluctuations in PHC activity were correlated with activation in extensive regions if WM and LTM tasks were correctly solved, whereas connectivity broke down during unsuccessful attempts to do the task, suggesting that activity in the PHC during WM has to be well controlled to support LTM formation.
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Affiliation(s)
- Nikolai Axmacher
- Department of Epileptology, University of Bonn, 53105 Bonn, Germany.
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75
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van Nee DE, Berman MG, Moore KS, Jonides J. Neuroscientific Evidence About the Distinction Between Short- and Long-Term Memory. CURRENT DIRECTIONS IN PSYCHOLOGICAL SCIENCE 2008; 17:102-106. [PMID: 25392602 DOI: 10.1111/j.1467-8721.2008.00557.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
What have neuroscientific techniques contributed to the development of psychological theory about short- and long-term memory? We argue that the contributions have been varied: In some cases, data about brain mechanisms have been vital to the advancement of psychological theory; in other cases, neuroscientific data and behavioral data from normal participants have made equal contributions; and in yet other cases, the data from neuroscientific approaches have actually led psychological theory astray. We illustrate these various contributions by focusing on the relationship of short- to long-term memory.
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76
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Sreenivasan KK, Katz J, Jha AP. Temporal characteristics of top-down modulations during working memory maintenance: an event-related potential study of the N170 component. J Cogn Neurosci 2008; 19:1836-44. [PMID: 17958486 DOI: 10.1162/jocn.2007.19.11.1836] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
We investigated the top-down influence of working memory (WM) maintenance on feedforward perceptual processing within occipito-temporal face processing structures. During event-related potential (ERP) recordings, subjects performed a delayed-recognition task requiring WM maintenance of faces or houses. The face-sensitive N170 component elicited by delay-spanning task-irrelevant grayscale noise probes was examined. If early feedforward perceptual activity is biased by maintenance requirements, the N170 ERP component elicited by probes should have a greater N170 amplitude response during face relative to house WM trials. Consistent with this prediction, N170 elicited by probes presented at the beginning, middle, and end of the delay interval was greater in amplitude during face relative to house WM. Thus, these results suggest that WM maintenance demands may modulate early feedforward perceptual processing for the entirety of the delay duration. We argue based on these results that temporally early biasing of domain-specific perceptual processing may be a critical mechanism by which WM maintenance is achieved.
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77
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Gazzaley A, Rissman J, Cooney J, Rutman A, Seibert T, Clapp W, D'Esposito M. Functional interactions between prefrontal and visual association cortex contribute to top-down modulation of visual processing. Cereb Cortex 2007; 17 Suppl 1:i125-35. [PMID: 17725995 PMCID: PMC4530799 DOI: 10.1093/cercor/bhm113] [Citation(s) in RCA: 194] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Attention-dependent modulation of neural activity in visual association cortex (VAC) is thought to depend on top-down modulatory control signals emanating from the prefrontal cortex (PFC). In a previous functional magnetic resonance imaging study utilizing a working memory task, we demonstrated that activity levels in scene-selective VAC (ssVAC) regions can be enhanced above or suppressed below a passive viewing baseline level depending on whether scene stimuli were attended or ignored (Gazzaley, Cooney, McEvoy, et al. 2005). Here, we use functional connectivity analysis to identify possible sources of these modulatory influences by examining how network interactions with VAC are influenced by attentional goals at the time of encoding. Our findings reveal a network of regions that exhibit strong positive correlations with a ssVAC seed during all task conditions, including foci in the left middle frontal gyrus (MFG). This PFC region is more correlated with the VAC seed when scenes were remembered and less correlated when scenes were ignored, relative to passive viewing. Moreover, the strength of MFG-VAC coupling correlates with the magnitude of attentional enhancement and suppression of VAC activity. Although our correlation analyses do not permit assessment of directionality, these findings suggest that PFC biases activity levels in VAC by adjusting the strength of functional coupling in accordance with stimulus relevance.
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Affiliation(s)
- Adam Gazzaley
- Department of Neurology and Physiology, Keck Center of Integrative Neuroscience, University of California, San Francisco, CA 94143-2522, USA.
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78
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Rissman J, Gazzaley A, D'Esposito M. Dynamic adjustments in prefrontal, hippocampal, and inferior temporal interactions with increasing visual working memory load. Cereb Cortex 2007; 18:1618-29. [PMID: 17999985 DOI: 10.1093/cercor/bhm195] [Citation(s) in RCA: 102] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
The maintenance of visual stimuli across a delay interval in working memory tasks is thought to involve reverberant neural communication between the prefrontal cortex and posterior visual association areas. Recent studies suggest that the hippocampus might also contribute to this retention process, presumably via reciprocal interactions with visual regions. To characterize the nature of these interactions, we performed functional connectivity analysis on an event-related functional magnetic resonance imaging data set in which participants performed a delayed face recognition task. As the number of faces that participants were required to remember was parametrically increased, the right inferior frontal gyrus (IFG) showed a linearly decreasing degree of functional connectivity with the fusiform face area (FFA) during the delay period. In contrast, the hippocampus linearly increased its delay period connectivity with both the FFA and the IFG as the mnemonic load increased. Moreover, the degree to which participants' FFA showed a load-dependent increase in its connectivity with the hippocampus predicted the degree to which its connectivity with the IFG decreased with load. Thus, these neural circuits may dynamically trade off to accommodate the particular mnemonic demands of the task, with IFG-FFA interactions mediating maintenance at lower loads and hippocampal interactions supporting retention at higher loads.
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Affiliation(s)
- Jesse Rissman
- Henry H. Wheeler, Jr. Brain Imaging Center, Department of Psychology, University of California-Berkeley, Berkeley, CA 94720, USA.
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79
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Fiebach CJ, Friederici AD, Smith EE, Swinney D. Lateral Inferotemporal Cortex Maintains Conceptual—Semantic Representations in Verbal Working Memory. J Cogn Neurosci 2007. [DOI: 10.1162/jocn.2007.91203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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80
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Abstract
Working memory refers to the temporary retention of information that was just experienced or just retrieved from long-term memory but no longer exists in the external environment. These internal representations are short-lived, but can be stored for longer periods of time through active maintenance or rehearsal strategies, and can be subjected to various operations that manipulate the information in such a way that makes it useful for goal-directed behaviour. Empirical studies of working memory using neuroscientific techniques, such as neuronal recordings in monkeys or functional neuroimaging in humans, have advanced our knowledge of the underlying neural mechanisms of working memory. This rich dataset can be reconciled with behavioural findings derived from investigating the cognitive mechanisms underlying working memory. In this paper, I review the progress that has been made towards this effort by illustrating how investigations of the neural mechanisms underlying working memory can be influenced by cognitive models and, in turn, how cognitive models can be shaped and modified by neuroscientific data. One conclusion that arises from this research is that working memory can be viewed as neither a unitary nor a dedicated system. A network of brain regions, including the prefrontal cortex (PFC), is critical for the active maintenance of internal representations that are necessary for goal-directed behaviour. Thus, working memory is not localized to a single brain region but probably is an emergent property of the functional interactions between the PFC and the rest of the brain.
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Affiliation(s)
- Mark D'Esposito
- Helen Wills Neuroscience Institute and Department of Psychology, University of California, 132 Barker Hall, Berkeley, CA 94720-3190, USA.
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81
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Baker CI, Liu J, Wald LL, Kwong KK, Benner T, Kanwisher N. Visual word processing and experiential origins of functional selectivity in human extrastriate cortex. Proc Natl Acad Sci U S A 2007; 104:9087-92. [PMID: 17502592 PMCID: PMC1885632 DOI: 10.1073/pnas.0703300104] [Citation(s) in RCA: 259] [Impact Index Per Article: 15.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2007] [Indexed: 11/18/2022] Open
Abstract
How do category-selective regions arise in human extrastriate cortex? Visually presented words provide an ideal test of the role of experience: Although individuals have extensive experience with visual words, our species has only been reading for a few thousand years, a period not thought to be long enough for natural selection to produce a genetically specified mechanism dedicated to visual word recognition per se. Using relatively high-resolution functional magnetic resonance imaging (1.4 x 1.4 x 2-mm voxels), we identified a small region of extrastriate cortex in most participants that responds selectively to both visually presented words and consonant strings, compared with line drawings, digit strings, and Chinese characters. Critically, we show that this pattern of selectivity is dependent on experience with specific orthographies: The same region responds more strongly to Hebrew words in Hebrew readers than in nonreaders of Hebrew. These results indicate that extensive experience with a given visual category can produce strong selectivity for that category in discrete cortical regions.
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Affiliation(s)
- Chris I. Baker
- *Laboratory of Brain and Cognition, National Institute of Mental Health, National Institutes of Health, 10 Center Drive, Building 10, Room 4C104, Bethesda, MD 20892
| | - Jia Liu
- State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing 100875, China
| | - Lawrence L. Wald
- Massachusetts General Hospital/Massachusetts Institute of Technology/Harvard Medical School Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, 13th Street, Charlestown, MA 02129; and
| | - Kenneth K. Kwong
- Massachusetts General Hospital/Massachusetts Institute of Technology/Harvard Medical School Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, 13th Street, Charlestown, MA 02129; and
| | - Thomas Benner
- Massachusetts General Hospital/Massachusetts Institute of Technology/Harvard Medical School Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, 13th Street, Charlestown, MA 02129; and
| | - Nancy Kanwisher
- Massachusetts General Hospital/Massachusetts Institute of Technology/Harvard Medical School Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, 13th Street, Charlestown, MA 02129; and
- McGovern Institute for Brain Research and Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Cambridge, MA 02139
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82
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Context-dependent interpretation of words: evidence for interactive neural processes. Neuroimage 2007; 35:1278-86. [PMID: 17321757 DOI: 10.1016/j.neuroimage.2007.01.015] [Citation(s) in RCA: 62] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2006] [Revised: 01/07/2007] [Accepted: 01/14/2007] [Indexed: 10/23/2022] Open
Abstract
The meaning of a word usually depends on the context in which it occurs. This study investigated the neural mechanisms involved in computing word meanings that change as a function of syntactic context. Current semantic processing theories suggest that word meanings are retrieved from diverse cortical regions storing sensory-motor and other types of semantic information and are further integrated with context in left inferior frontal gyrus (LIFG). Our fMRI data indicate that brain activity in an area sensitive to motion and action semantics--the posterior middle temporal gyrus (PMTG)--is modulated by a word's syntactic context. Ambiguous words such as bowl were presented in minimal disambiguating contexts indicating object (the bowl) or action (to bowl) meanings and were compared to low-ambiguity controls. Ambiguous words elicited more activity than low-ambiguity controls in LIFG and various meaning-related areas such as PMTG. Critically, ambiguous words also elicited more activity in to--contexts than the--contexts in PMTG and LIFG, suggesting that contextual integration strengthened the action meaning in both areas. The pattern of results suggests that the activation of lexical information in PMTG was sensitive to contextual disambiguating information and that processing context-dependent meanings may involve interactions between frontal and posterior areas.
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83
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Lisman JE. Role of the dual entorhinal inputs to hippocampus: a hypothesis based on cue/action (non-self/self) couplets. THE DENTATE GYRUS: A COMPREHENSIVE GUIDE TO STRUCTURE, FUNCTION, AND CLINICAL IMPLICATIONS 2007; 163:615-25. [PMID: 17765741 DOI: 10.1016/s0079-6123(07)63033-7] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
The hippocampus sits at the highest level of memory processing circuits and receives two major inputs, one coming from the lateral entorhinal cortex and one coming from the medial entorhinal cortex. This duality must be of fundamental importance, but its functional meaning remains unclear. A computational model used for robot navigation (Verschure, P.F., et al. (2003). Nature, 425: 620-624) has a dual information structure that may provide insight. In this model, information is stored as couplets consisting of information about the current sensory cues and information about the current action of the robot. Sequences of such couplets are stored in a short-term memory buffer and transferred to a long-term memory store whenever a goal is found. The overall system enhances the ability of the robot to find reward sites because stored sequences enable the robot to retrace the path to a goal site whenever any of the cues along the path to a goal is subsequently encountered. A review of the literature suggests that the idea of cue/action couplets can be usefully mapped onto the function of the entorhinal cortex. Cue information may be supplied by the lateral entorhinal cortex whereas action (motor) information may be supplied by the medial entorhinal cortex. However, given that self-position information is prominent in the medial pathway and that this is not directly related to action, a modified formulation of the duality is proposed in which the fundamental distinction is between information about non-self vs. information about self. According to this view, the lateral entorhinal pathway carries information about external (non-self) cues and their positions (in egocentric coordinates) whereas the medial entorhinal pathway carries information about the organism itself, including its position (in allocentric coordinates), motor actions and goals.
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Affiliation(s)
- John E Lisman
- Department of Biology and Volen Center for Complex Systems, Brandeis University, Waltham, MA 02454, USA.
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84
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Rudner M, Fransson P, Ingvar M, Nyberg L, Rönnberg J. Neural representation of binding lexical signs and words in the episodic buffer of working memory. Neuropsychologia 2007; 45:2258-76. [PMID: 17403529 DOI: 10.1016/j.neuropsychologia.2007.02.017] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2006] [Revised: 02/15/2007] [Accepted: 02/18/2007] [Indexed: 11/30/2022]
Abstract
The episodic buffer accommodates formation and maintenance of unitary multidimensional representations based on information in different codes from different sources. Formation, based on submorphemic units, engages posterior brain regions, while maintenance engages frontal regions. Using a hybrid fMRI design, that allows separate analysis of transient and sustained components, an n-back task and an experimental group of 13 hearing native signers, with experience of Swedish Sign Language and Swedish since birth, we investigated binding of lexical signs and words in working memory. Results show that the transient component of these functions is supported by a buffer-specific network of posterior regions including the right middle temporal lobe, possibly relating to binding of phonological loop representations with semantic representations in long-term memory, as well as a loop-specific network, in line with predictions of a functional relationship between loop and buffer. The left hippocampus was engaged in transient and sustained components of buffer processing, possibly reflecting the meaningful nature of the stimuli. Only a minor role was found for executive functions in line with other recent work. A novel representation of the sustained component of working memory for audiovisual language in the right inferior temporal lobe may be related to perception of speech-related facial gestures. Previous findings of sign and speech loop representation in working memory were replicated and extended. Together, these findings support the notion of a module that mediates between codes and sources, such as the episodic buffer, and further our understanding of its nature.
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Affiliation(s)
- Mary Rudner
- The Swedish Institute for Disability Research, Department of Behavioural Sciences, Linköping University, S-581 83 Linköping, Sweden.
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