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Iggena D, Jeung S, Maier PM, Ploner CJ, Gramann K, Finke C. Multisensory input modulates memory-guided spatial navigation in humans. Commun Biol 2023; 6:1167. [PMID: 37963986 PMCID: PMC10646091 DOI: 10.1038/s42003-023-05522-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Accepted: 10/30/2023] [Indexed: 11/16/2023] Open
Abstract
Efficient navigation is supported by a cognitive map of space. The hippocampus plays a key role for this map by linking multimodal sensory information with spatial memory representations. However, in human navigation studies, the full range of sensory information is often unavailable due to the stationarity of experimental setups. We investigated the contribution of multisensory information to memory-guided spatial navigation by presenting a virtual version of the Morris water maze on a screen and in an immersive mobile virtual reality setup. Patients with hippocampal lesions and matched controls navigated to memorized object locations in relation to surrounding landmarks. Our results show that availability of multisensory input improves memory-guided spatial navigation in both groups. It has distinct effects on navigational behaviour, with greater improvement in spatial memory performance in patients. We conclude that congruent multisensory information shifts computations to extrahippocampal areas that support spatial navigation and compensates for spatial navigation deficits.
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Affiliation(s)
- Deetje Iggena
- Charité - Universitätsmedizin Berlin, Department of Neurology, Augustenburger Platz 1, 13353, Berlin, Germany.
- Humboldt-Universität zu Berlin, Berlin School of Mind and Brain, Unter den Linden 6, 10099, Berlin, Germany.
| | - Sein Jeung
- Technische Universität Berlin, Department of Biological Psychology and Neuroergonomics, Fasanenstraße 1, 10623, Berlin, Germany
- Norwegian University of Science and Technology, Kavli Institute for Systems Neuroscience, Olav Kyrres gate 9,7030, Trondheim, Norway
- Max-Planck Institute for Human Cognitive and Brain Sciences, Stephanstraße 1a, 04103, Leipzig, Germany
| | - Patrizia M Maier
- Charité - Universitätsmedizin Berlin, Department of Neurology, Augustenburger Platz 1, 13353, Berlin, Germany
- Humboldt-Universität zu Berlin, Berlin School of Mind and Brain, Unter den Linden 6, 10099, Berlin, Germany
| | - Christoph J Ploner
- Charité - Universitätsmedizin Berlin, Department of Neurology, Augustenburger Platz 1, 13353, Berlin, Germany
| | - Klaus Gramann
- Technische Universität Berlin, Department of Biological Psychology and Neuroergonomics, Fasanenstraße 1, 10623, Berlin, Germany
- University of California, San Diego, Center for Advanced Neurological Engineering, 9500 Gilman Dr, La Jolla, CA, 92093, USA
| | - Carsten Finke
- Charité - Universitätsmedizin Berlin, Department of Neurology, Augustenburger Platz 1, 13353, Berlin, Germany
- Humboldt-Universität zu Berlin, Berlin School of Mind and Brain, Unter den Linden 6, 10099, Berlin, Germany
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2
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Twick M, Levy DA. Fractionating the episodic buffer. Brain Cogn 2021; 154:105800. [PMID: 34563762 DOI: 10.1016/j.bandc.2021.105800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Revised: 09/09/2021] [Accepted: 09/09/2021] [Indexed: 10/20/2022]
Abstract
The episodic buffer is a putative component of working memory proposed to account for several short-term memory functions, including unexpectedly preserved immediate prose recall by amnesic patients. Over the course of time, this component has increasingly become associated with binding functions. Considering recent findings regarding the performance of both memory-impaired and healthy individuals on the range of tasks purported to require the contribution of the episodic buffer, we suggest that it should be fractionated into two functional systems. One is a schematic store instantiated in brain areas responsible for conceptual and schema representations, which is likely to be hippocampus-independent, and preserved in the face of amnesia. In contrast, short-term maintenance of novel associative binding is likely to require the contribution of the hippocampus and may therefore not be functionally dissociable from long-term memory.
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Affiliation(s)
- Moran Twick
- Ashkelon Academic College, Baruch Ivcher School of Psychology, Interdisciplinary Center Herzliya, Israel
| | - Daniel A Levy
- Baruch Ivcher School of Psychology, Interdisciplinary Center Herzliya, Israel.
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3
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Dickerson F, Schroeder JR, Nimgaonkar V, Gold J, Yolken R. The association between exposure to herpes simplex virus type 1 (HSV-1) and cognitive functioning in schizophrenia: A meta-analysis. Psychiatry Res 2020; 291:113157. [PMID: 32593064 DOI: 10.1016/j.psychres.2020.113157] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2019] [Revised: 05/26/2020] [Accepted: 05/29/2020] [Indexed: 12/12/2022]
Abstract
Cognitive deficits are characteristic of schizophrenia but their etiology is not understood. Previous studies show an association between viral exposures and cognitive impairment. This meta-analysis was undertaken to determine the relationship of herpes simplex virus type 1 (HSV-1) exposure and cognitive functioning in schizophrenia. A systematic search was performed for studies comparing the cognitive functioning of HSV-1 seropositive vs. seronegative persons with schizophrenia. The primary outcome was the standardized mean difference (SMD) in composite cognitive score using Hedges' g. Secondary outcomes were SMDs in 9cognitive domains. Study heterogeneity was estimated using the I2 index and formal tests of heterogeneity using Cochran's Q. In a sample of 3516 individuals from 9 studies the SMD was negative for the composite score and all 9 domains indicating a significant deficit for seropositive individuals in 8 domains. The SMDs ranged from -0.11 (Working Memory) to -0.36 (Visual Spatial). Cochran's Q test indicated heterogeneity for one domain. The I2 index of heterogeneity was in the low -moderate range for all but one domain. Exposure to HSV-1 is associated with decreased cognitive functioning in schizophrenia. An increased understanding of HSV-1 exposure might lead to improved methods for the prevention and treatment of cognitive deficits in schizophrenia.
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Affiliation(s)
- Faith Dickerson
- Sheppard Pratt Health System, 6501 North Charles Street, Baltimore, MD 21204.
| | | | - Viswajit Nimgaonkar
- Department of Psychiatry, University of Pittsburgh, 3811 O'Hara St., Pittsburgh, PA 15213
| | - James Gold
- Maryland Psychiatric Research Center, 55 Wade Ave, Catonsville, MD 21228
| | - Robert Yolken
- Johns Hopkins School of Medicine, 600 North Wolfe St., Baltimore, MD 21287
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4
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Disentangling Hippocampal and Amygdala Contribution to Human Anxiety-Like Behavior. J Neurosci 2019; 39:8517-8526. [PMID: 31501296 PMCID: PMC6807285 DOI: 10.1523/jneurosci.0412-19.2019] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2019] [Revised: 08/25/2019] [Accepted: 08/29/2019] [Indexed: 01/28/2023] Open
Abstract
Anxiety comprises a suite of behaviors to deal with potential threat and is often modeled in approach–avoidance conflict tasks. Collectively, these tests constitute a predominant preclinical model of anxiety disorder. A body of evidence suggests that both ventral hippocampus and amygdala lesions impair anxiety-like behavior, but the relative contribution of these two structures is unclear. A possible reason is that approach–avoidance conflict tasks involve a series of decisions and actions, which may be controlled by distinct neural mechanisms that are difficult to disentangle from behavioral readouts. Here, we capitalize on a human approach–avoidance conflict test, implemented as computer game, that separately measures several action components. We investigate three patients of both sexes with unspecific unilateral medial temporal lobe (MTL) damage, one male with selective bilateral hippocampal (HC), and one female with selective bilateral amygdala lesions, and compare them to matched controls. MTL and selective HC lesions, but not selective amygdala lesions, increased approach decision when possible loss was high. In contrast, MTL and selective amygdala lesions, but not selective HC lesions, increased return latency. Additionally, selective HC and selective amygdala lesions reduced approach latency. In a task targeted at revealing subjective assumptions about the structure of the computer game, MTL and selective HC lesions impacted on reaction time generation but not on the subjective task structure. We conclude that deciding to approach reward under threat relies on hippocampus but not amygdala, whereas vigor of returning to safety depends on amygdala but not on hippocampus. SIGNIFICANCE STATEMENT Approach–avoidance conflict tests are widely investigated in rodents, and increasingly in humans, to understand the neural basis of anxiety-like behavior. However, the contribution of the most relevant brain regions, ventral hippocampus and amygdala, is incompletely understood. We use a human computerized test that separates different action components and find that hippocampus, but not amygdala, lesions impair approach decisions, whereas amygdala, but not hippocampus, lesions impair the vigor of return to safety.
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5
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Shan PW, Liu W, Liu C, Han Y, Wang L, Chen Q, Tian H, Sun X, Luan S, Lin X, Jiang D, Zhuo C. Aberrant functional connectivity density in patients with treatment-refractory obsessive-compulsive disorder: a pilot study. J Int Med Res 2019; 47:2434-2445. [PMID: 31006380 PMCID: PMC6567710 DOI: 10.1177/0300060518807058] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Objective Functional connectivity (FC) is altered in patients with obsessive-compulsive disorder (OCD). Most previous studies have focused on the strength of FC in patients with OCD; few have examined the number of functional connections in these patients. The number of functional connections is an important index for assessing aberrant FC. In the present study, we used FC density (FCD) mapping to explore alterations in the number of functional connections in patients with treatment-refractory OCD (TROCD) using the FCD index. Methods Twenty patients with TROCD and 20 patients with OCD in clinical remission were enrolled in the study. Global FCD (gFCD) was adopted to compare the differences between the two groups of patients. Results The gFCD in the left middle temporal gyrus was lower in the patients with TROCD than in those with remitted OCD, suggesting that decreased information processing ability may play a significant role in TROCD. Conclusion The left middle temporal gyrus is a key component of the emotional processing circuit and attentional processing circuit. Decreased information processing ability in this brain region may play a significant role in TROCD; however, further well-designed follow-up studies are needed to support this hypothesis.
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Affiliation(s)
- Pei Wei Shan
- 1 Department of Psychiatry, Wenzhou Seventh People's Hospital, Wenzhou, Zhejiang Province, China
| | - Wei Liu
- 2 Department of Psychiatry, The First Affiliated Hospital of Harbin Medical University, Harbin City, Heilongjiang Province, China
| | - Caixing Liu
- 3 Department of Psychiatry, Qingdao Mental Health Center, Shandong Province, China
| | - Yunyi Han
- 1 Department of Psychiatry, Wenzhou Seventh People's Hospital, Wenzhou, Zhejiang Province, China
| | - Lina Wang
- 4 Department of Psychiatry, Tianjin Anding Hospital, Tianjin Mental Health Center, Tianjin City 300300, China
| | - Qinggang Chen
- 4 Department of Psychiatry, Tianjin Anding Hospital, Tianjin Mental Health Center, Tianjin City 300300, China
| | - Hongjun Tian
- 4 Department of Psychiatry, Tianjin Anding Hospital, Tianjin Mental Health Center, Tianjin City 300300, China
| | - Xiuhai Sun
- 5 Department of Neurology, Zoucheng People's Hospital, Jining Medical University Affiliated to Zoucheng Hospital, Shandong Province, China
| | - Shuxin Luan
- 6 Department of Psychiatry, Jilin University, Jinlin Province, China
| | - Xiaodong Lin
- 1 Department of Psychiatry, Wenzhou Seventh People's Hospital, Wenzhou, Zhejiang Province, China
| | - Deguo Jiang
- 1 Department of Psychiatry, Wenzhou Seventh People's Hospital, Wenzhou, Zhejiang Province, China
| | - Chuanjun Zhuo
- 1 Department of Psychiatry, Wenzhou Seventh People's Hospital, Wenzhou, Zhejiang Province, China.,4 Department of Psychiatry, Tianjin Anding Hospital, Tianjin Mental Health Center, Tianjin City 300300, China
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6
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Davidson TL, Jones S, Roy M, Stevenson RJ. The Cognitive Control of Eating and Body Weight: It's More Than What You "Think". Front Psychol 2019; 10:62. [PMID: 30814963 PMCID: PMC6381074 DOI: 10.3389/fpsyg.2019.00062] [Citation(s) in RCA: 65] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2018] [Accepted: 01/10/2019] [Indexed: 12/18/2022] Open
Abstract
Over the past decade, a great deal of research has established the importance of cognitive processes in the control of energy intake and body weight. The present paper begins by identifying several of these cognitive processes. We then summarize evidence from human and nonhuman animal models, which shows how excess intake of obesity-promoting Western diet (WD) may have deleterious effects on these cognitive control processes. Findings that these effects may be manifested as early-life deficits in cognitive functioning and may also be associated with the emergence of serious late-life cognitive impairment are described. Consistent with these possibilities, we review evidence, obtained primarily from rodent models, that consuming a WD is associated with the emergence of pathophysiologies in the hippocampus, an important brain substrate for learning, memory, and cognition. The implications of this research for mechanism are discussed within the context of a “vicious-cycle model,” which describes how eating a WD could impair hippocampal function, producing cognitive deficits that promote increased WD intake and body weight gain, which could contribute to further hippocampal dysfunction, cognitive decline, and excess eating and weight gain.
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Affiliation(s)
- Terry L Davidson
- Center for Behavioral Neuroscience, Department of Psychology, American University, Washington, DC, United States
| | - Sabrina Jones
- Center for Behavioral Neuroscience, Department of Psychology, American University, Washington, DC, United States
| | - Megan Roy
- Center for Behavioral Neuroscience, Department of Psychology, American University, Washington, DC, United States
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7
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Zokaei N, Nour MM, Sillence A, Drew D, Adcock J, Stacey R, Voets N, Sen A, Husain M. Binding deficits in visual short-term memory in patients with temporal lobe lobectomy. Hippocampus 2019; 29:63-67. [PMID: 30069971 PMCID: PMC6492115 DOI: 10.1002/hipo.22998] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2017] [Revised: 04/27/2018] [Accepted: 05/26/2018] [Indexed: 12/31/2022]
Abstract
Classical views of the medial temporal lobe (MTL) have established that it plays a crucial role in long-term memory (LTM). Here we demonstrate, in a sample of patients who have undergone anterior temporal lobectomy for the treatment of pharmacoresistant epilepsy, that the MTL additionally plays a specific, causal role in short-term memory (STM). Patients (n=22) and age-matched healthy control participants (n=26) performed a STM task with a sensitive continuous report measure. This paradigm allowed us to examine recall memory for object identity, location and object-location binding, independently on a trial-by-trial basis. Our findings point to a specific involvement of MTL in object-location binding, but, crucially, not retention of either object identity or location. Therefore the MTL appears to perform a specific computation: binding disparate features that belong to a memory. These results echo findings from previous studies, which have identified a role for the MTL in relational binding for LTM, and support the proposal that MTL regions perform such a function for both STM and LTM, independent of the retention duration. Furthermore, these findings and the methodology employed here may provide a simple, sensitive and clinically valuable means to test memory dysfunuction in MTL disorders.
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Affiliation(s)
- Nahid Zokaei
- Department of Psychiatry, Oxford Centre for Human Brain Activity, Wellcome Centre for Integrative NeuroimagingUniversity of OxfordOxfordUK
- Department of Experimental PsychologyUniversity of OxfordOxfordUK
| | - Matthew M. Nour
- Institute of Psychiatry, Psychology, and NeuroscienceKings College LondonLondonUK
| | - Annie Sillence
- Department of Experimental PsychologyUniversity of OxfordOxfordUK
| | - Daniel Drew
- Department of Experimental PsychologyUniversity of OxfordOxfordUK
- Nuffield Department of Clinical Neurosciences, Oxford NIHR Biomedical Research CentreUniversity of OxfordOxfordUK
| | - Jane Adcock
- Nuffield Department of Clinical Neurosciences, Oxford NIHR Biomedical Research CentreUniversity of OxfordOxfordUK
| | - Richard Stacey
- Oxford University HospitalsNHS Foundation Trust, University of OxfordOxfordUK
| | - Natalie Voets
- Nuffield Department of Clinical Neurosciences, Oxford NIHR Biomedical Research CentreUniversity of OxfordOxfordUK
| | - Arjune Sen
- Nuffield Department of Clinical Neurosciences, Oxford NIHR Biomedical Research CentreUniversity of OxfordOxfordUK
- Oxford Epilepsy Research GroupOxford University Hospitals, NHS Foundation Trust, University of OxfordOxfordUK
| | - Masud Husain
- Department of Experimental PsychologyUniversity of OxfordOxfordUK
- Nuffield Department of Clinical Neurosciences, Oxford NIHR Biomedical Research CentreUniversity of OxfordOxfordUK
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8
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Esfahani-Bayerl N, Finke C, Kopp U, Moon DU, Ploner CJ. Musical memory and hippocampus revisited: Evidence from a musical layperson with highly selective hippocampal damage. Cortex 2019; 119:519-527. [PMID: 30795831 DOI: 10.1016/j.cortex.2018.12.023] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2018] [Revised: 12/07/2018] [Accepted: 12/12/2018] [Indexed: 01/27/2023]
Abstract
The role of the human hippocampus for musical memory is still unclear. While imaging studies in healthy humans have repeatedly shown hippocampal activation in musical memory tasks, studies in musicians with chronic bilateral medial temporal lobe damage and in non-musicians suffering from neuro-degenerative diseases suggest that musical memory may at least partly be independent of hippocampal integrity. Here, we report on a musical layperson who acutely developed an amnesic syndrome in the context of autoimmune encephalitis. Structural and resting state functional MRI revealed exceptionally selective bilateral lesions of the hippocampi and altered functional connectivity with retrosplenial cortex and precuneus. Neuropsychological testing showed a severe global amnesic syndrome. Perception and processing of scales, melodic contours, intervals, rhythms and meter were unaffected. Most notably, the patient performed completely normally on tests of recognition memory for unfamiliar melodies and excerpts of complex musical material, while recognition memory for visual and verbal information was severely impaired. Likewise, emotional evaluation of musical excerpts did not differ from controls. We infer that integrity of musical processing and recognition memory in patients with hippocampal dysfunction does not result from training-induced or post-lesional brain plasticity, but rather reflects integrity of brain networks outside the hippocampi and presumably also outside retrosplenial cortex and precuneus. Our findings suggest major differences in the neural substrates of musical and non-musical recognition memory.
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Affiliation(s)
| | - Carsten Finke
- Department of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Ute Kopp
- Department of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Daa-Un Moon
- Department of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Christoph J Ploner
- Department of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
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9
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Abstract
Working memory impairments are frequently observed in patients with Alzheimer's disease (AD) and Parkinson's disease (PD). Recent research suggests that the mechanisms underlying these deficits might be dissociable using sensitive tasks, specifically those that rely on the reproduction of the exact quality of features held in memory.In patients with AD, working memory impairments are mainly due to an increase in misbinding errors. They arise when patients misremember which features (e.g., color, orientation, shape, and location) belong to different objects held in memory. Hence, they erroneously report features that belong to items in memory other than the one they are probed on. This misbinding of features that belong to different objects in memory can be considered a form of interference between stored items. Such binding errors are evident even in presymptomatic individuals with familial AD (due to gene mutations) who do not have AD yet. Overall, these findings are in line with the role of the medial temporal lobes, and specifically the hippocampus, in retention of feature bindings, regardless of retention duration, i.e., in both short- or long-term memory.Patients with PD, on the other hand, do not show increased misbinding. Their working memory deficits are associated with making more random errors or guesses. These random responses are not modulated by manipulations of their dopaminergic medication and hence may reflect involvement of non-dopaminergic neurotransmitters in this deficit. In addition, patients with PD demonstrate impairments in gating of information into relevant vs. irrelevant items in memory, a cognitive operation that is modulated by dopaminergic manipulation in line with a frontal executive effect of this neurotransmitter. Thus, although AD and PD are both associated with working memory impairments, these surface manifestations appear to be underpinned by very different mechanisms.
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Affiliation(s)
- Nahid Zokaei
- Oxford Centre for Human Brain Activity, University of Oxford, Oxford, UK.
- Department of Experimental Psychology, University of Oxford, Oxford, UK.
| | - Masud Husain
- Department of Experimental Psychology, University of Oxford, Oxford, UK
- Nuffield Department of Clinical Neuroscience, University of Oxford, Oxford, UK
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10
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Wuethrich S, Hannula DE, Mast FW, Henke K. Subliminal encoding and flexible retrieval of objects in scenes. Hippocampus 2018; 28:633-643. [PMID: 29704287 PMCID: PMC6282531 DOI: 10.1002/hipo.22957] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2017] [Revised: 10/05/2017] [Accepted: 04/24/2018] [Indexed: 01/05/2023]
Abstract
Our episodic memory stores what happened when and where in life. Episodic memory requires the rapid formation and flexible retrieval of where things are located in space. Consciousness of the encoding scene is considered crucial for episodic memory formation. Here, we question the necessity of consciousness and hypothesize that humans can form unconscious episodic memories. Participants were presented with subliminal scenes, that is, scenes invisible to the conscious mind. The scenes displayed objects at certain locations for participants to form unconscious object-in-space memories. Later, the same scenes were presented supraliminally, that is, visibly, for retrieval testing. Scenes were presented absent the objects and rotated by 90°-270° in perspective to assess the representational flexibility of unconsciously formed memories. During the test phase, participants performed a forced-choice task that required them to place an object in one of two highlighted scene locations and their eye movements were recorded. Evaluation of the eye tracking data revealed that participants remembered object locations unconsciously, irrespective of changes in viewing perspective. This effect of gaze was related to correct placements of objects in scenes, and an intuitive decision style was necessary for unconscious memories to influence intentional behavior to a significant degree. We conclude that conscious perception is not mandatory for spatial episodic memory formation.
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Affiliation(s)
- Sergej Wuethrich
- Institute of Psychology, University of Bern, Fabrikstrasse 8, Bern 3012, Switzerland.,Center for Cognition, Learning and Memory, University of Bern, Fabrikstrasse 8, Bern 3012, Switzerland
| | - Deborah E Hannula
- Department of Psychology, University of Wisconsin-Milwaukee, 224 Garland Hall, 2441 Hartford Ave, Milwaukee, Wisconsin 53211
| | - Fred W Mast
- Institute of Psychology, University of Bern, Fabrikstrasse 8, Bern 3012, Switzerland.,Center for Cognition, Learning and Memory, University of Bern, Fabrikstrasse 8, Bern 3012, Switzerland
| | - Katharina Henke
- Institute of Psychology, University of Bern, Fabrikstrasse 8, Bern 3012, Switzerland.,Center for Cognition, Learning and Memory, University of Bern, Fabrikstrasse 8, Bern 3012, Switzerland
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11
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Phillips OR, Joshi SH, Narr KL, Shattuck DW, Singh M, Di Paola M, Ploner CJ, Prüss H, Paul F, Finke C. Superficial white matter damage in anti-NMDA receptor encephalitis. J Neurol Neurosurg Psychiatry 2018; 89:518-525. [PMID: 29101253 PMCID: PMC5899027 DOI: 10.1136/jnnp-2017-316822] [Citation(s) in RCA: 46] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Revised: 10/09/2017] [Accepted: 10/19/2017] [Indexed: 12/18/2022]
Abstract
BACKGROUND Clinical brain MRI is normal in the majority of patients with anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis. However, extensive deep white matter damage wasrecently identifiedin these patients using diffusion weighted imaging. Here, our aim was to study a particularly vulnerable brain compartment, the late myelinating superficial white matter. METHODS Forty-six patients with anti-NMDAR encephalitis were included. Ten out of these were considered neurologically recovered (modified Rankin scale of zero), while 36 patients were non-recovered. In addition, 30 healthy controls were studied. MRI data were collected from all subjects and superficial white matter mean diffusivity derived from diffusion tensor imaging was compared between groups in whole brain, lobar and vertex-based analyses. Patients underwent comprehensive cognitive testing, and correlation analyses were performed between cognitive performance and superficial white matter integrity. RESULTS Non-recovered patients showed widespread superficial white matter damage in comparison to recovered patients and healthy controls. Vertex-based analyses revealed that damage predominated in frontal and temporal lobes. In contrast, the superficial white matter was intact in recovered patients. Importantly, persistent cognitive impairments in working memory, verbal memory, visuospatial memory and attention significantly correlated with damage of the superficial white matter in patients. CONCLUSIONS Anti-NMDAR encephalitis is associated with extensive superficial white matter damage in patients with incomplete recovery. The strong association with impairment in several cognitive domains highlights the clinical relevance of white matter damage in this disorder and warrants investigations of the underlying pathophysiological mechanisms.
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Affiliation(s)
- Owen Robert Phillips
- Department of Psychiatry, Division of Child and Adolescent Psychiatry, Stanford University School of Medicine, Stanford, California, USA
| | - Shantanu H Joshi
- Department of Neurology, Ahmanson Lovelace Brain Mapping Center, David Geffen School of Medicine at UCLA, Los Angeles, California, USA
| | - Katherine L Narr
- Department of Neurology, Ahmanson Lovelace Brain Mapping Center, David Geffen School of Medicine at UCLA, Los Angeles, California, USA
| | - David W Shattuck
- Department of Neurology, Ahmanson Lovelace Brain Mapping Center, David Geffen School of Medicine at UCLA, Los Angeles, California, USA
| | - Manpreet Singh
- Department of Psychiatry, Division of Child and Adolescent Psychiatry, Stanford University School of Medicine, Stanford, California, USA
| | - Margherita Di Paola
- Department of Mental Health, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.,Department of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Rome, Italy
| | - Christoph J Ploner
- Department of Neurology, Charité University Medicine Berlin, Berlin, Germany
| | - Harald Prüss
- Department of Neurology, Charité University Medicine Berlin, Berlin, Germany.,German Center for Neurodegenerative Diseases (DZNE), Berlin, Germany
| | - Friedemann Paul
- Department of Neurology, Charité University Medicine Berlin, Berlin, Germany.,NeuroCure Clinical Research Center, Berlin, Germany.,Experimental and Clinical Research Center, Charité Universitätsmedizin, Berlin, Germany.,Experimental and Clinical Research Center, Max Delbrueck Center for Molecular Medicine, Berlin, Germany
| | - Carsten Finke
- Department of Neurology, Charité University Medicine Berlin, Berlin, Germany.,Berlin School of Mind and Brain, Humboldt-Universität zu Berlin, Berlin, Germany
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12
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Gempt J, Lange N, Bette S, Foreman SC, Cammardella JH, Albertshauser J, Gradtke C, Buchmann N, Ryang YM, Schmidt-Graf F, Meyer B, Ringel F. Factors influencing neurocognitive function in patients with neuroepithelial tumors. Sci Rep 2017; 7:17764. [PMID: 29259230 PMCID: PMC5736700 DOI: 10.1038/s41598-017-17833-w] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2017] [Accepted: 11/14/2017] [Indexed: 11/09/2022] Open
Abstract
Though cognitive function is proven to be an independent predictor of survival in patients with intrinsic brain tumors, cognitive functions are still rarely considered. Aim of this study was to assess neurocognitive function and to identify risk factors for neurocognitive deficits. 103 patients with primary neuroepithelial tumors who received tumor resections or biopsies were included in this prospective study. The following data was acquired: mini-mental state examination, preoperative tumor volume, WHO grade, tumor entity and location, and the Karnofsky performance status scale. Furthermore, patients participated in extensive neuropsychological testing of attentional, memory and executive functions. General factors like age, clinical status, WHO grade, tumor volume and tumor location correlated with patients' neurocognitive functions. Affection of the parietal lobe resulted in significant impairment of attention and memory functions. Frontal lobe involvement significantly affected patients' abilities in planning complex actions and novel problem solving. Patients with temporal lesions were more likely to have impaired memory and executive functions. Comparing results among neuroepithelial tumor patients enables the identification of risk factors for cognitive impairment. General parameters such as age, KPS score, tumor size, and WHO grade are apart from the respective tumor location of high importance for neurocognitive function.
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Affiliation(s)
- Jens Gempt
- Neurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Germany.
| | - Nicole Lange
- Neurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Germany
| | - Stefanie Bette
- Abteilung für Neuroradiologie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Germany
| | - Sarah Charlotte Foreman
- Neurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Germany.,Abteilung für Neuroradiologie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Germany
| | - Jasmin Hernandez Cammardella
- Neurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Germany
| | - Jennifer Albertshauser
- Neurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Germany
| | - Corinna Gradtke
- Neurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Germany
| | - Niels Buchmann
- Neurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Germany
| | - Yu-Mi Ryang
- Neurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Germany
| | - Friederike Schmidt-Graf
- Neurologische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Germany
| | - Bernhard Meyer
- Neurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Germany
| | - Florian Ringel
- Neurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Germany
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13
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Maran T, Sachse P, Martini M, Weber B, Pinggera J, Zuggal S, Furtner M. Lost in Time and Space: States of High Arousal Disrupt Implicit Acquisition of Spatial and Sequential Context Information. Front Behav Neurosci 2017; 11:206. [PMID: 29170634 PMCID: PMC5684831 DOI: 10.3389/fnbeh.2017.00206] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2017] [Accepted: 10/10/2017] [Indexed: 01/05/2023] Open
Abstract
Biased cognition during high arousal states is a relevant phenomenon in a variety of topics: from the development of post-traumatic stress disorders or stress-triggered addictive behaviors to forensic considerations regarding crimes of passion. Recent evidence indicates that arousal modulates the engagement of a hippocampus-based "cognitive" system in favor of a striatum-based "habit" system in learning and memory, promoting a switch from flexible, contextualized to more rigid, reflexive responses. Existing findings appear inconsistent, therefore it is unclear whether and which type of context processing is disrupted by enhanced arousal. In this behavioral study, we investigated such arousal-triggered cognitive-state shifts in human subjects. We validated an arousal induction procedure (three experimental conditions: violent scene, erotic scene, neutral control scene) using pupillometry (Preliminary Experiment, n = 13) and randomly administered this method to healthy young adults to examine whether high arousal states affect performance in two core domains of contextual processing, the acquisition of spatial (spatial discrimination paradigm; Experiment 1, n = 66) and sequence information (learned irrelevance paradigm; Experiment 2, n = 84). In both paradigms, spatial location and sequences were encoded incidentally and both displacements when retrieving spatial position as well as the predictability of the target by a cue in sequence learning changed stepwise. Results showed that both implicit spatial and sequence learning were disrupted during high arousal states, regardless of valence. Compared to the control group, participants in the arousal conditions showed impaired discrimination of spatial positions and abolished learning of associative sequences. Furthermore, Bayesian analyses revealed evidence against the null models. In line with recent models of stress effects on cognition, both experiments provide evidence for decreased engagement of flexible, cognitive systems supporting encoding of context information in active cognition during acute arousal, promoting reduced sensitivity for contextual details. We argue that arousal fosters cognitive adaptation towards less demanding, more present-oriented information processing, which prioritizes a current behavioral response set at the cost of contextual cues. This transient state of behavioral perseverance might reduce reliance on context information in unpredictable environments and thus represent an adaptive response in certain situations.
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Affiliation(s)
- Thomas Maran
- Department of Psychology, University of Innsbruck, Innsbruck, Austria.,Department of Educational Sciences and Research, Alps-Adria University of Klagenfurt, Klagenfurt, Austria
| | - Pierre Sachse
- Department of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Markus Martini
- Department of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Barbara Weber
- Department of Applied Mathematics and Computer Science, Technical University of Denmark, Kongens Lyngby, Denmark
| | - Jakob Pinggera
- Department of Computer Science, University of Innsbruck, Innsbruck, Austria
| | - Stefan Zuggal
- Department of Computer Science, University of Innsbruck, Innsbruck, Austria
| | - Marco Furtner
- Department of Psychology, University of Innsbruck, Innsbruck, Austria.,Department of Entrepreneurship, University of Liechtenstein, Vaduz, Liechtenstein
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14
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Pajkert A, Finke C, Shing YL, Hoffmann M, Sommer W, Heekeren HR, Ploner CJ. Memory integration in humans with hippocampal lesions. Hippocampus 2017; 27:1230-1238. [DOI: 10.1002/hipo.22766] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2017] [Revised: 07/06/2017] [Accepted: 07/28/2017] [Indexed: 01/03/2023]
Affiliation(s)
- Anna Pajkert
- Department of Neurology; Charité-Universitätsmedizin Berlin; Berlin D-10117 Germany
| | - Carsten Finke
- Department of Neurology; Charité-Universitätsmedizin Berlin; Berlin D-10117 Germany
- Berlin School of Mind & Brain; Humboldt-Universität zu Berlin; Berlin D-10117 Germany
| | - Yee Lee Shing
- Max Planck Institute for Human Development; Center for Lifespan Psychology; Berlin D-14195 Germany
- Division of Psychology, Faculty of Natural Sciences; University of Stirling; Scotland FK94LA United Kingdom
| | - Martina Hoffmann
- Department of Neurology; Charité-Universitätsmedizin Berlin; Berlin D-10117 Germany
| | - Werner Sommer
- Department of Biological Psychology and Psychophysiology, Institute of Psychology; Humboldt-Universität zu Berlin; Berlin D-10099 Germany
| | - Hauke R. Heekeren
- Department of Education and Psychology; Freie Universität Berlin; Berlin D-14195 Germany
| | - Christoph J. Ploner
- Department of Neurology; Charité-Universitätsmedizin Berlin; Berlin D-10117 Germany
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15
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Koen JD, Borders AA, Petzold MT, Yonelinas AP. Visual short-term memory for high resolution associations is impaired in patients with medial temporal lobe damage. Hippocampus 2017; 27:184-193. [PMID: 27859914 PMCID: PMC5235973 DOI: 10.1002/hipo.22682] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/07/2016] [Indexed: 12/23/2022]
Abstract
The medial temporal lobe (MTL) plays a critical role in episodic long-term memory, but whether the MTL is necessary for visual short-term memory is controversial. Some studies have indicated that MTL damage disrupts visual short-term memory performance whereas other studies have failed to find such evidence. To account for these mixed results, it has been proposed that the hippocampus is critical in supporting short-term memory for high resolution complex bindings, while the cortex is sufficient to support simple, low resolution bindings. This hypothesis was tested in the current study by assessing visual short-term memory in patients with damage to the MTL and controls for high resolution and low resolution object-location and object-color associations. In the location tests, participants encoded sets of two or four objects in different locations on the screen. After each set, participants performed a two-alternative forced-choice task in which they were required to discriminate the object in the target location from the object in a high or low resolution lure location (i.e., the object locations were very close or far away from the target location, respectively). Similarly, in the color tests, participants were presented with sets of two or four objects in a different color and, after each set, were required to discriminate the object in the target color from the object in a high or low resolution lure color (i.e., the lure color was very similar or very different, respectively, to the studied color). The patients were significantly impaired in visual short-term memory, but importantly, they were more impaired for high resolution object-location and object-color bindings. The results are consistent with the proposal that the hippocampus plays a critical role in forming and maintaining complex, high resolution bindings. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Joshua D. Koen
- Center for Vital Longevity, University of Texas at Dallas, TX 75235, USA
- School of Behavioral and Brain Sciences, University of Texas at Dallas, TX 75235, USA
| | - Alyssa A. Borders
- Department of Psychology, University of California, Davis, CA 95616, USA
| | - Michael T. Petzold
- Department of Psychology, University of California, Davis, CA 95616, USA
| | - Andrew P. Yonelinas
- Department of Psychology, University of California, Davis, CA 95616, USA
- Center for Mind and Brain, University of California, Davis, CA 95616, USA
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