Deficits in recent but not lifetime familiarity in amnestic mild cognitive impairment

The Multiple Dimensions of Familiarity: From Representations to Phenomenology

This article focuses on familiarity, the form of memory allowing humans to recognize stimuli that have been encountered before. We aim to emphasize its complex nature which includes representational and phenomenological dimensions. The former implies that its neural correlates depend on the type and complexity of the cue stimulus, as different classes of stimuli are represented in distributed ventral visual and medial temporal regions. The second dimension relates to the subjective feeling of familiarity, which results from a fluency signal that is attributed to past encounters with the stimulus. We review mnemonic and non-mnemonic sources of fluency that can induce a sense of familiarity, as well as cases where fluency is not attributed to memory, among which the phenomenological experience of déjà-vu. Across these two dimensions, we highlight key questions to be answered by future studies to improve our understanding of the underpinnings of this form of memory and contribute to building an integrative neurocognitive model of familiarity. Essential to this aim is the clarification of the computational, cognitive, and neural mechanisms involved, namely global matching, fluency attribution, and sharpening. Furthermore, future research is needed to unravel the relationships between these mechanisms. We argue that to achieve these goals, researchers must use appropriate behavioral paradigms and clearly define which dimension of familiarity they investigate.

Lifetime familiarity cue effects for autobiographical memory

Recollecting an autobiographical memory requires a cue to initiate processes related to accessing and then elaborating on a past personal experience. Prior work has shown that the familiarity of a cue can influence the autobiographical memory retrieval process. Extending this work, we tested how familiarity accrued from cumulative lifetime exposures associated with the cue-as well as associated semantic knowledge-can affect how we access and remember autobiographical memories. In Experiment 1, we measured reaction times to access and report memories in response to cue words. In Experiment 2 we examined the details with which participants described memories in response to cue words. For both experiments, participants provided estimates of lifetime exposure and semantic knowledge for each cue. In Experiment 1, we found a cue's lifetime exposure, independent of semantic knowledge, led to quicker memory access. In Experiment 2, we found the lifetime exposure and semantic knowledge of a cue interactively affected the specificity of a described autobiographical memory. These results provide new evidence that the amount of lifetime exposure associated with a cue, both independently and interactively with semantic knowledge, influences how autobiographical memories are accessed and described.Clinical trial This was not a clinical trial.Trial Registration Number (TRN) N/A.

Computational models can distinguish the contribution from different mechanisms to familiarity recognition

Familiarity is the strange feeling of knowing that something has already been seen in our past. Over the past decades, several attempts have been made to model familiarity using artificial neural networks. Recently, two learning algorithms successfully reproduced the functioning of the perirhinal cortex, a key structure involved during familiarity: Hebbian and anti-Hebbian learning. However, performance of these learning rules is very different from one to another thus raising the question of their complementarity. In this work, we designed two distinct computational models that combined Deep Learning and a Hebbian learning rule to reproduce familiarity on natural images, the Hebbian model and the anti-Hebbian model, respectively. We compared the performance of both models during different simulations to highlight the inner functioning of both learning rules. We showed that the anti-Hebbian model fits human behavioral data whereas the Hebbian model fails to fit the data under large training set sizes. Besides, we observed that only our Hebbian model is highly sensitive to homogeneity between images. Taken together, we interpreted these results considering the distinction between absolute and relative familiarity. With our framework, we proposed a novel way to distinguish the contribution of these familiarity mechanisms to the overall feeling of familiarity. By viewing them as complementary, our two models allow us to make new testable predictions that could be of interest to shed light on the familiarity phenomenon.

Perirhinal cortex automatically tracks multiple types of familiarity regardless of task-relevance

Perirhinal cortex (PrC) has long been implicated in familiarity assessment for objects and corresponding concepts. However, extant studies have focused mainly on changes in familiarity induced by recent exposure in laboratory settings. There is an increasing appreciation of other types of familiarity signals, in particular graded familiarity accumulated throughout one's lifetime. In prior work (Duke et al., 2017, Cortex, 89, 61-70), PrC has been shown to track lifetime familiarity ratings when participants make related judgements. A theoretically important characteristic of familiarity is its proposed automaticity. Support for automaticity comes from a documented impact of recent stimulus exposure on behavioral performance, and on PrC signals, under conditions in which this exposure is not task relevant. In the current fMRI study, we tested whether PrC also tracks lifetime familiarity of object concepts automatically, and whether this type of familiarity influences behavior even when it is not task relevant. During scanning, neurotypical participants (N = 30, age range 18-40, 7 males) provided animacy judgements about concrete object concepts presented at differing frequencies in an initial study phase. In a subsequent test phase, they made graded judgements of recent or lifetime familiarity. Behavioral performance showed sensitivity to lifetime familiarity even when it was not relevant for the task at hand. Across five sets of fMRI analyses, we found that PrC consistently tracked recent and lifetime familiarity of object concepts regardless of the task performed. Critically, while several other temporal-lobe regions also showed isolated familiarity effects, none of them tracked familiarity with the same consistency. These findings demonstrate that PrC automatically tracks multiple types of familiarity. They support models that assign a broad role in the representation of information about object concepts to this structure.

Targeting the function of the transentorhinal cortex to identify early cognitive markers of Alzheimer's disease

Initial neuropathology of early Alzheimer's disease accumulates in the transentorhinal cortex. We review empirical data suggesting that tasks assessing cognitive functions supported by the transenthorinal cortex are impaired as early as the preclinical stages of Alzheimer's disease. These tasks span across various domains, including episodic memory, semantic memory, language, and perception. We propose that all tasks sensitive to Alzheimer-related transentorhinal neuropathology commonly rely on representations of entities supporting the processing and discrimination of items having perceptually and conceptually overlapping features. In the future, we suggest a screening tool that is sensitive and specific to very early Alzheimer's disease to probe memory and perceptual discrimination of highly similar entities.

Familiarity Deficits for Words and Objects in Amnestic Mild Cognitive Impairment in a Context Minimizing the Role of Recollection

OBJECTIVES

Amnestic mild cognitive impairment (aMCI) is associated with cortical thinning in perirhinal and entorhinal cortices, key regions of the brain supporting familiarity. Individuals with aMCI demonstrate familiarity deficits in their behavior, often repeating questions in the same conversation. While familiarity deficits in healthy aging are minimal, past studies measuring familiarity in aMCI have mixed results, perhaps due to the influence of recollection. We therefore used a paradigm that minimized the influence of recollection, and hypothesized that familiarity would be impaired in aMCI relative to age-matched controls, but not in healthy older adults relative to younger adults. We also hypothesized that familiarity deficits in aMCI would be greater for objects than words because the perirhinal cortex plays a significant role in visual discrimination.

METHODS

A sample of 36 younger adults, 38 cognitively intact older adults, and 30 older adults with aMCI made absolute frequency judgments for words and objects seen a variable number of times in an incidental encoding task. Estimates of familiarity were derived from correlating participants' frequency judgments with the actual frequency of presentation.

RESULTS

Familiarity was largely spared in healthy aging, with minor deficits in familiarity for words. Familiarity deficits were evident in aMCI comparably for words and objects.

DISCUSSION

The present research underscores the need to study familiarity in contexts minimizing recollection, particularly when comparing groups with different levels of recollection, and adds to our understanding of the phenomenology of aMCI. Familiarity deficits may provide an early biomarker of dementia risk.

Neurophysiological markers of prospective memory and working memory in typical ageing and mild cognitive impairment

OBJECTIVE

Prospective memory (PM) -the memory of delayed intentions- is impacted by age-related cognitive decline. The current event-related potential study investigates neural mechanisms underpinning typical and atypical (Mild Cognitive Impairment, MCI) age-related decline in PM.

METHODS

Young adults (YA, n = 30, age = 24.7, female n = 13), healthy older adults (OA, n = 39, age = 72.87, female n = 24) and older adults with MCI (n = 27, age = 77.54, female n = 12) performed two event-based PM tasks (perceptual, conceptual) superimposed on an ongoing working memory task. Electroencephalographic data was recorded from 128 electrodes. Groups were compared for P2 (higher order perceptual processing), N300/frontal positivity (cue detection), the parietal positivity (retrieval), reorienting negativity (RON; attention shifting).

RESULTS

Participants with MCI had poorer performance (ongoing working memory task, conceptual PM), lower P2 amplitudes, and delayed RON (particularly for perceptual PM) than YA and OA. MCI had lower parietal positivity relative to YA only. YA had earlier latencies for the parietal positivity than MCI and OA, and lower amplitudes for N300 (than OA) and frontal positivity (than OA and MCI).

CONCLUSIONS

Impaired attention and working memory may underpin PM deficits in MCI.

SIGNIFICANCE

This is the first study to document the role of RON in PM and to investigate neurophysiological mechanisms underpinning PM in MCI.