Visual working memory impairments for single items following medial temporal lobe damage

Timescales of learning in prefrontal cortex

The lateral prefrontal cortex (PFC) in humans and other primates is critical for immediate, goal-directed behaviour and working memory, which are classically considered distinct from the cognitive and neural circuits that support long-term learning and memory. Over the past few years, a reconsideration of this textbook perspective has emerged, in that different timescales of memory-guided behaviour are in constant interaction during the pursuit of immediate goals. Here, we will first detail how neural activity related to the shortest timescales of goal-directed behaviour (which requires maintenance of current states and goals in working memory) is sculpted by long-term knowledge and learning - that is, how the past informs present behaviour. Then, we will outline how learning across different timescales (from seconds to years) drives plasticity in the primate lateral PFC, from single neuron firing rates to mesoscale neuroimaging activity patterns. Finally, we will review how, over days and months of learning, dense local and long-range connectivity patterns in PFC facilitate longer-lasting changes in population activity by changing synaptic weights and recruiting additional neural resources to inform future behaviour. Our Review sheds light on how the machinery of plasticity in PFC circuits facilitates the integration of learned experiences across time to best guide adaptive behaviour.

The role of recollection and familiarity in visual working memory: A mixture of threshold and signal detection processes

Whether working memory reflects a thresholded recollection process whereby only a limited number of items are maintained in memory, or a signal detection process in which each studied item is increased in familiarity strength, is a topic of considerable debate. A review of visual working memory studies that have examined receiver operating characteristics (ROCs) across a broad set of materials and test conditions indicates that both signal detection and threshold processes contribute to working memory. In addition, the role that these two processes play varies systematically across conditions, such that a threshold process plays a particularly critical role when binary old/new judgments are required, when changes are relatively discrete, and when the hippocampus does not contribute to performance. In contrast, a signal detection process plays a greater role when confidence judgments are required, when the materials or the changes are global in nature, and when the hippocampus contributes to performance. In addition, the ROC results indicate that in standard single-probe tests of working memory, items that are maintained in an active recollected state support both recall-to-accept and recall-to-reject responses; whereas in complex-probe tests, recollection preferentially supports recall-to-reject; and in item-recognition tests it preferentially supports recall-to-accept. Moreover, there is growing evidence that these threshold and strength-based processes are related to distinct states of conscious awareness whereby they support perceiving- and sensing-based responses, respectively. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The role of recollection, familiarity, and the hippocampus in episodic and working memory

The hippocampus plays an essential role in long-term episodic memory by supporting the recollection of contextual details, whereas surrounding regions such as the perirhinal cortex support familiarity-based recognition discriminations. Working memory - the ability to maintain information over very brief periods of time - is traditionally thought to rely heavily on frontoparietal attention networks, but recent work has shown that it can also rely on the hippocampus. However, the conditions in which the hippocampus becomes involved in working memory tasks are unclear and whether it contributes to recollection or familiarity-based responses in working memory is only beginning to be explored. In the current paper, we first review and contrast the existing amnesia literature examining recollection and familiarity in episodic and working memory. The results indicate that recollection and familiarity contribute to both episodic and working memory. However, in contrast to episodic memory, in working memory the hippocampus is particularly critical for familiarity-based rather than recollection-based discrimination. Moreover, the results indicate that the role of the hippocampus in working memory can be obscured due to 'criterion-induced process-masking' because it primarily supports intermediate-confidence recognition decisions. We then report results from a new working memory study examining the ability of amnesics to detect global and local changes in novel complex objects (i.e., fribbles), which indicates that the hippocampus plays an especially critical role in working memory when the task requires the detection of global rather than discrete changes. We conclude by considering the results in light of neurocomputational models and proposing a general framework for understanding the relationship between episodic and working memory.

No convincing evidence the hippocampus is associated with working memory

In a previous discussion paper , twenty-six working memory fMRI studies that reported activity in the hippocampus were systematically analyzed. None of these studies provided convincing evidence that the hippocampus was active during the late delay phase, the only period in which working memory can be isolated from long-term memory processes. Based on these results, it was concluded that working memory does not activate the hippocampus. Six commentaries on the discussion paper were received from Courtney (2022), Kessels & Bergmann (2022), Peters and Reithler (2022), Rose and Chao (2022), Stern & Hasselmo (2022), and Wood, Clark, and Nee (2022). Based on these commentaries, the present response paper considered whether there is evidence of sustained hippocampal activity during the working memory delay period based on depth-electrode recording, whether there are activity-silent working memory mechanisms in the hippocampus, and whether there is hippocampal lesion evidence indicating this region is important for working memory. There was no convincing electrophysiological or neuropsychological evidence that the hippocampus is associated with working memory maintenance, and activity-silent mechanisms were arguably speculative. Given that only a small fraction (approximately 5%) of fMRI studies have reported hippocampal activity in working memory tasks and lesion evidence indicates the hippocampus is not necessary for working memory, the burden of proof is on proponents of view that the hippocampus is important for working memory to provide compelling evidence to support their position. To date, in my view, there is no convincing evidence that the hippocampus is associated with working memory.

The entorhinal-DG/CA3 pathway in the medial temporal lobe retains visual working memory of a simple surface feature

Classic models consider working memory (WM) and long-term memory as distinct mental faculties that are supported by different neural mechanisms. Yet, there are significant parallels in the computation that both types of memory require. For instance, the representation of precise item-specific memory requires the separation of overlapping neural representations of similar information. This computation has been referred to as pattern separation, which can be mediated by the entorhinal-DG/CA3 pathway of the medial temporal lobe (MTL) in service of long-term episodic memory. However, although recent evidence has suggested that the MTL is involved in WM, the extent to which the entorhinal-DG/CA3 pathway supports precise item-specific WM has remained elusive. Here, we combine an established orientation WM task with high-resolution fMRI to test the hypothesis that the entorhinal-DG/CA3 pathway retains visual WM of a simple surface feature. Participants were retrospectively cued to retain one of the two studied orientation gratings during a brief delay period and then tried to reproduce the cued orientation as precisely as possible. By modeling the delay-period activity to reconstruct the retained WM content, we found that the anterior-lateral entorhinal cortex (aLEC) and the hippocampal DG/CA3 subfield both contain item-specific WM information that is associated with subsequent recall fidelity. Together, these results highlight the contribution of MTL circuitry to item-specific WM representation.

The medial temporal lobe supports the quality of visual short-term memory representation

The quality of short-term memory (STM) underlies our ability to recall the exact details of a recent event, yet how the human brain enables this core cognitive function remains poorly understood. Here we use multiple experimental approaches to test the hypothesis that the quality of STM, such as its precision or fidelity, relies on the medial temporal lobe (MTL), a region commonly associated with the ability to distinguish similar information remembered in long-term memory. First, with intracranial recordings, we find that delay-period MTL activity retains item-specific STM content that is predictive of subsequent recall precision. Second, STM recall precision is associated with an increase in the strength of intrinsic MTL-to-neocortical functional connections during a brief retention interval. Finally, perturbing the MTL through electrical stimulation or surgical removal can selectively reduce STM precision. Collectively, these findings provide converging evidence that the MTL is critically involved in the quality of STM representation.

Prefrontal and Medial Temporal Lobe Cortical Contributions to Visual Short-Term Memory

A number of recent studies have indicated that the medial temporal lobe (MTL) plays a critical role in working memory (WM) and perception, but these results have been highly controversial given the traditional association of MTL with long-term memory. We review the research and highlight important factors that need to be considered in determining the role of MTL in WM including set-size of used stimuli and feature complexity and/or feature conjunctions/bindings embedded in those stimuli. These factors relate to hierarchical and, accordingly, domain-specific theories of functional organization within the temporal lobe. In addition, one must consider process-specific theories too, because two key processes commonly understood to contribute recognition memory, namely, recollection and familiarity, also have robust support from neurophysiological and neuroimaging research as to their functional dissociations within MTL. PFC has long been heavily implicated in WM; however, relatively less is known about how the PFC contributes to recollection and familiarity, although dynamic prefrontal coding models in WM may help to explain their neural mechanisms. The MTL and PFC are heavily interconnected and do not operate independently in underlying WM. We propose that investigation of the interactions between these two regions in WM, particularly their coordinated neural activities, and the modeling of such interactions, will be crucial for the advancing understanding of the neural mechanisms of WM.

Working memory and active sampling of the environment: Medial temporal contributions

Working memory (WM) refers to the ability to maintain and actively process information-either derived from perception or long-term memory (LTM)-for intelligent thought and action. This chapter focuses on the contributions of the temporal lobe, particularly medial temporal lobe (MTL) to WM. First, neuropsychological evidence for the involvement of MTL in WM maintenance is reviewed, arguing for a crucial role in the case of retaining complex relational bindings between memorized features. Next, MTL contributions at the level of neural mechanisms are covered-with a focus on WM encoding and maintenance, including interactions with ventral temporal cortex. Among WM use processes, we focus on active sampling of environmental information, a key input source to capacity-limited WM. MTL contributions to the bidirectional relationship between active sampling and memory are highlighted-WM control of active sampling and sampling as a way of selecting input to WM. Memory-based sampling studies relying on scene and object inspection, visual-based exploration behavior (e.g., vicarious behavior), and memory-guided visual search are reviewed. The conclusion is that MTL serves an important function in the selection of information from perception and transfer from LTM to capacity-limited WM.

Random number generation and the ability of mentally reconstructing context in patients with organic amnesia

Studies investigating amnesic patients have shown the involvement of the medial temporal lobe during working memory (WM) tasks, especially when multiple items or features have to be associated. However, so far, no study has examined the relationship between episodic memory and WM components in patients with amnesia for comprehensive neuropsychological evaluation.

Objective

The objective of this study was to investigate whether the null retention relates to deficits in the episodic buffer (EB) or the central executive (CE) components of WM.

Methods

This study included 15 amnesic patients with mixed etiologies and 13 matched healthy controls. These 15 amnesic patients with mixed etiologies were divided into two subgroups: NUL subgroup (n=7) patients whose raw score was 0 (zero) on the Logical Memory delayed recall test and MOR subgroup (n=8) patients who recalled at least 1 item. The EB was assessed by complex span tasks, and the CE was assessed by random number generation (RNG) test.

Results

EB tasks were impaired in both subgroups compared with controls. RNG was impaired in NUL (p=0.03), but not in MOR (p=0.99), subgroup.

Conclusions

CE impairment hampers the retrieval mode action, preventing it from initiating the mental reconstruction of the context in which the to-be-remembered information was presented minutes ago.

The Hippocampal Horizon: Constructing and Segmenting Experience for Episodic Memory

How do we recollect specific events that have occurred during continuous ongoing experience? There is converging evidence from non-human animals that spatially modulated cellular activity of the hippocampal formation supports the construction of ongoing events. On the other hand, recent human oriented event cognition models have outlined that our experience is segmented into discrete units, and that such segmentation can operate on shorter or longer timescales. Here, we describe a unification of how these dynamic physiological mechanisms of the hippocampus relate to ongoing externally and internally driven event segmentation, facilitating the demarcation of specific moments during experience. Our cross-species interdisciplinary approach offers a novel perspective in the way we construct and remember specific events, leading to the generation of many new hypotheses for future research.

Relating the Past with the Present: Information Integration and Segregation during Ongoing Narrative Processing

This study examined how the brain dynamically updates event representations by integrating new information over multiple minutes while segregating irrelevant input. A professional writer custom-designed a narrative with two independent storylines, interleaving across minute-long segments (ABAB). In the last (C) part, characters from the two storylines meet and their shared history is revealed. Part C is designed to induce the spontaneous recall of past events, upon the recurrence of narrative motifs from A/B, and to shed new light on them. Our fMRI results showed storyline-specific neural patterns, which were reinstated (i.e., became more active) during storyline transitions. This effect increased along the processing timescale hierarchy, peaking in the default mode network. Similarly, the neural reinstatement of motifs was found during Part C. Furthermore, participants showing stronger motif reinstatement performed better in integrating A/B and C events, demonstrating the role of memory reactivation in information integration over intervening irrelevant events.

Is Activity Silent Working Memory Simply Episodic Memory?

Working memory (WM) maintains task-relevant information in a state ready for processing. While traditional theories assume that sustained neuronal activity is responsible for WM, the Activity Silent WM (ASWM) account proposes that maintenance can also be supported by short-term synaptic weight changes. Here, we argue that the evidence for ASWM can be explained more parsimoniously by the involvement of episodic memory (EM) in WM tasks. Like ASWM, EM relies on rapid synaptic modification that is also activity silent; however, while ASWM posits transient synaptic modifications, EM traces persist over longer time periods. We discuss how, despite this difference, well-established EM mechanisms can account for the key findings attributed to ASWM, and describe predictions of this account.

Aberrant default mode network and auditory network underlying the sympathetic skin response of the penis (PSSR) of patients with premature ejaculation: A resting-state fMRI study

INTRODUCTION

Hyperactivity of the sympathetic nervous system is considered as an important component involved in the pathological mechanisms of premature ejaculation (PE). However, the neural mechanisms of PE with high sympathetic activity are still not well understood.

METHODS

The activity of the sympathetic innervations in the penis was evaluated by the sympathetic skin response of the penis (PSSR) with an electromyograph and evoked potential equipment. Resting-state functional magnetic resonance imaging (fMRI) data were acquired from 18 PE patients with high sympathetic activity (sPE), 17 PE patients with normal sympathetic activity (nsPE), and 24 healthy controls (HC). We investigated the neural basis of sPE based on the measure of regional homogeneity (ReHo). Moreover, the correlations between brain regions with altered ReHo and PEDT scores and PSSR latencies in the patient group were explored.

RESULTS

Altered ReHo values among three groups were found in the temporal, cingulated, and parietal cortex in the default mode network (DMN), as well as the temporal cortex in the auditory network (AUD). Compared with HC, Patients with sPE had increased ReHo values of brain regions in DMN, AUD, and decreased ReHo values of brain regions in DMN. In addition, increased ReHo values were found in DMN of patients with nsPE, while decreased ReHo values were found in DMN and the attention network (AN). Moreover, sPE patients had increased ReHo values in AUD and decreased ReHo values in DMN when compared with nsPE patients. Finally, altered ReHo values of brain regions in DMN and AUD were associated with PEDT scores and PSSR latencies in the patient group.

CONCLUSION

Our results suggested that PE patients had abnormal ReHo values in DMN, AUD, and AN. Patients with sPE were characterized by increased neuronal activity in AUD and decreased activity in DMN. This highlighted the significances of DMN, AUD, and AN in the pathophysiology of PE and also provided potential neuroimaging biomarkers for distinguishing sPE from nsPE and HC.