Monday, December 14, 2009

Don't I Know You? How Cues and Context Kick-Start Memory Recall

ScienceDaily (Dec. 12, 2009) — We have all had the embarrassing experience of seeing an acquaintance in an unfamiliar setting. We know we know them but can't recall who they are. But with the correct cues from conversation or context, something seems to click and we can readily access very rich and vivid memories about the individual.


A team of researchers from the University of Toronto and the Krembil Neuroscience Centre at the University Health Network have shed some light on this mysterious process, discovering that the hippocampus, a brain region in the temporal lobe, is only involved when cues enable us to recall these rich memories.
"We used a technique called functional Magnetic Resonance Imaging (fMRI) that allows us to identify brain regions engaged during specific types of mental processes," says Melanie Cohn, a postdoctoral fellow in neuropsychology and lead author of the paper published online December 8 by the Proceedings of the National Academy of Sciences.


In the first stage of the study, healthy young adults were exposed to pairings of oddly unrelated words, such as "alligator" and "chair," and invited to learn them by putting them in the same sentence and so on. Next, while being scanned in the fMRI, participants were shown a series of single words -- some of which had been studied in the word pairings and some of which had not. Participants were asked to rate their memory for each word in terms of how confident they were that it was a word that they had studied earlier or not.


After each decision, participants were given a cue: the word was presented along with the word it was initially paired with. For about half of the familiar words, ie those that subjects recalled learning earlier, the pairing triggered rich detailed memories of the context -- such as the sentence they had made up to include both words -- in which the original pairing was learned. The fMRI scan showed hippocampus activity only when cues were used to retrieve memories.
"This study is important because it resolves a current debate on the role of the hippocampus in retrieving memories.

Some have argued it is the strength of the memory that matters most in retrieval. We have shown it is actually context that activates the hippocampus," explains Cohn. The findings also have direct relevance to understanding the type of memory problems found in Epilepsy or Alzheimer's, diseases in which patients have suffered damage to the hippocampus "Being able to characterize specific types of memory loss will lead to development of better clinical measures for diagnosis and monitoring of temporal-lobe dysfunction," she says


Other research team members from the University of Toronto's Department of Psychology are Mary Pat McAndrews, who also holds an appointment with the Krembil Neuroscience Centre, Ayelet Lahat and Morris Moscovitch. Programming and data analysis were done by Marilyne Ziegler, Sybille Schulz, Megan Walberg and Deborah Shwartz, all members of the University of Toronto's Department of Psychology. Research was funded by the Canadian Institutes of Health Research.

With Amino Acid, Mice Improve Memory After Brain Injury

ScienceDaily (Dec. 12, 2009) — Neurology researchers have shown that feeding amino acids to brain-injured animals restores their cognitive abilities and may set the stage for the first effective treatment for cognitive impairments suffered by people with traumatic brain injuries.


"We have shown in an animal model that dietary intervention can restore a proper balance of neurochemicals in the injured part of the brain, and simultaneously improves cognitive performance," said study leader Akiva S. Cohen, Ph.D., a neuroscientist at The Children's Hospital of Philadelphia.
The study appears December 7 in the online issue of the Proceedings of the National Academy of Sciences.


If these results in mice can be translated to human medicine, there would be a broad clinical benefit. Every 23 seconds, a man, woman or child in the United States suffers a traumatic brain injury (TBI). The primary cause of death and disability in children and young adults, TBI also accounts for permanent disabilities in more than 5 million Americans. The majority of those cases are from motor vehicle injuries, along with a rising incidence of battlefield casualties.


Although physicians can relieve the dangerous swelling that occurs after a TBI, there are currently no treatments for the underlying brain damage that brings in its wake cognitive losses in memory, learning and other functions.
The animals in the current study received a cocktail of three branched chain amino acids (BCAAs), specifically leucine, isoleucine and valine, in their drinking water. Previous researchers had shown that people with severe brain injuries showed mild functional

improvements after receiving BCAAs through an intravenous line.
BCAAs are crucial precursors of two neurotransmitters -- glutamate and gamma-aminobutyric acid, or GABA, which function together to maintain an appropriate balance of brain activity. Glutamate excites neurons, stimulating them to fire, while GABA inhibits the firing. Too much excitement or, too little, and the brain doesn't work properly. A TBI upsets the balance.
In particular, a TBI frequently damages the hippocampus, a structure deep in the brain involved in higher learning and memory. In the current study, the researchers found that an injury to the hippocampus reduced levels of BCAAs. Although overall levels of glutamate and GABA were unchanged, the loss of BCAAs disturbed the critical balance of neurotransmitters in the hippocampus, making some localized regions more excitable and others less excitable. Cohen's team tested the hypothesis that providing dietary BCAAs would restore the balance in neural response.
In this study, Cohen's study team first created standardized brain injuries in mice, and one week later compared the animals' conditioned fear response to that of uninjured mice. A week after receiving a mild electric shock in a specific cage, normal mice tend to "freeze" when placed in the same cage, anticipating another shock. The brain-injured mice demonstrated fewer freezing responses -- a sign that they had partially lost that piece of learning.
On the other hand, brain-injured mice that received a diet of BCAAs showed the same normal response as the uninjured mice. The BCAA cocktail had restored their learning ability.
In addition to the behavioral results, the team conducted electrophysiological experiments in slices of hippocampus from brain-injured and non-injured mice, and showed that BCAA restored a normal balance of neural activity. "The electrophysiological results were consistent with what we saw in the animals' functional recovery," said Cohen.
If the results in mice can be reproduced in people, patients with traumatic brain injuries could receive the BCAAs in a drink. Cohen suggests that BCAAs as a dietary supplement could have a more sustained, measured benefit than that seen when patients receive BCAAs intravenously, in which the large IV dose may flood brain receptors and have more limited benefits.
Although much work remains to be done to translate the finding into a therapy, Cohen expects to collaborate over the next year with other researchers in an early-phase clinical trial of dietary BCAAs in patients with mild to moderate TBI.
The National Institutes of Health provided funding for this study. Cohen's co-authors were Jeffrey Cole, Ph.D., Christina M. Mitala, Ph.D., Suhali Kundu and Itzhak Nissim, Ph.D., all of Children's Hospital; Jaclynn A. Elkind of the University of Pennsylvania; and Ajay Verma, M.D., Ph.D., of the Uniformed Services University of the Health Sciences, Bethesda, Md. Cohen and Nissim are also on the faculty of the University of Pennsylvania School of Medicine.