
Functional contributions of medial
temporal lobe substructures to declarative memory
Memory permits us to bridge the past with
the present, providing information about prior encounters
with a stimulus or context that can serve to build predictive
models for the present. At the neurobiological level, it is
well established that the hippocampus and surrounding medial
temporal lobe (MTL) cortices play an essential role in declarative
memory––long-term memory for general facts and
specific events. The MTL comprises several structures, including
the hippocampal formation (dentate gyrus, CA fields, and subiculum),
and surrounding entorhinal, perirhinal and parahippocampal
cortices. These structures are likely to contribute differently
to declarative memory, but the unique contribution of each
structure remains debated. Using a combination of high-resolution
fMRI and cortical flattening techniques that allow for differentiation
of MTL substructures, our research explores functional specialization
within the MTL based on anatomically guided hypotheses that
rely on knowledge of the anatomical connectivity of the region
with structures in neocortex, as well as information about
the intrinsic connectivity within MTL. Isolating the function
of each of these structures, as well as specifying how they
interact, is central to understanding declarative memory processing
and how damage or disease disrupts such processing.
Interactions between
memory and attention in the medial temporal lobe
Attention can interact and guide memory
by selecting the most relevant information for processing.
Functional neuroimaging studies have revealed attention-dependent
modulations in lateral cortical regions involved in the perceptual
processing of visual information, but it is unclear how attention
may modulate activity in MTL regions important for declarative
memory processing. Encoding processes in the MTL may rely
on top-down influence from goal-directed attentional mechanisms
mediated by regions in frontal and parietal cortex. Modulation
of MTL regions by goal-directed attention may help to enhance
declarative memory encoding. Similarly, goal-directed attention
might also enhance the successful expression of memory by
influencing retrieval processes mediated by the MTL. Using
high-resolution fMRI techniques, our research investigates
how modulations in goal-directed attention affect activation
in MTL subregions during both declarative memory encoding
and retrieval specifically examining whether attention differentially
affects memory processing subserved by specific MTL subregions.
Medial temporal lobe
function in schizophrenia
Schizophrenia is typically associated with
psychosis (hallucinations, delusions, thought disorder). However,
cognitive deficits in memory, attention, and executive function,
along with affective changes are also characteristics of the
disease. Cognitive dysfunction in schizophrenia is associated
with poor psychosocial function, and impairments in memory
and attention are particularly unresponsive to treatment contributing
to poor prognosis and disability. The impairments in declarative
memory that are observed in schizophrenia are accompanied
by correlated hippocampal abnormalities as revealed by functional
neuroimaging studies. Further evidence from structural neuroimaging
indicates that the CA3 region of the hippocampus may be particularly
affected in the disease suggesting a specific role for this
region in the pathology of schizophrenia. Employing high-resolution
functional MRI techniques that allow differentiation between
hippocampal subfields, our research seeks to directly investigate
disruptions in MTL function (specifically CA3 function) that
may be associated with structural abnormalities observed in
schizophrenia. The ability to observe and characterize MTL
function in schizophrenia is likely to facilitate understanding
of how declarative memory is affected in the disease and may
provide insight into new avenues for treatment and intervention.
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