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遗忘型轻度认知障碍患者情景记忆和语义记忆的逆行性遗忘

Retrograde Amnesia for Episodic and Semantic Memories in Amnestic Mild Cognitive Impairment.

作者信息

De Simone Maria Stefania, Fadda Lucia, Perri Roberta, De Tollis Massimo, Aloisi Marta, Caltagirone Carlo, Carlesimo Giovanni Augusto

机构信息

Laboratory of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Rome, Italy.

University "Tor Vergata" Rome, Italy.

出版信息

J Alzheimers Dis. 2017;59(1):241-250. doi: 10.3233/JAD-170317.

Abstract

Retrograde amnesia (RA), which includes loss of memory for past personal events (autobiographical RA) and for acquired knowledge (semantic RA), has been largely documented in patients with amnestic mild cognitive impairment (aMCI). However, previous studies have produced controversial results particularly concerning the temporal extent of memory impairment. Here we investigated whether, with the onset of hippocampal pathology, age of memory acquisition and retrieval frequency play different roles in modulating the progressive loss of semantic and episodic contents of retrograde memory respectively. For this purpose, aMCI patients and healthy controls were tested for the ability to recall semantic and autobiographical information related to famous public events as a function of both age of acquisition and retrieval frequency. In aMCI patients, we found that the impairment in recollecting past personal incidents was modulated by the combined action of memory age and retrieval frequency, because older and more frequently retrieved episodes are less susceptible to loss than more recent and less frequently retrieved ones. On the other side, we found that the loss of semantic information depended only on memory age, because the remoteness of the trace allows for better preservation of the memory. Our results provide evidence that the loss of the two components of retrograde memory is regulated by different mechanisms. This supports the view that diverse neural mechanisms are involved in episodic and semantic memory trace storage and retrieval, as postulated by the Multiple Trace Theory.

摘要

逆行性遗忘(RA),包括对过去个人事件(自传性RA)和后天获得知识(语义性RA)的记忆丧失,在遗忘型轻度认知障碍(aMCI)患者中已有大量记录。然而,先前的研究产生了有争议的结果,特别是关于记忆障碍的时间范围。在这里,我们研究了随着海马体病变的出现,记忆获取的年龄和检索频率是否分别在调节逆行性记忆的语义和情景内容的逐渐丧失中发挥不同作用。为此,我们测试了aMCI患者和健康对照者回忆与著名公共事件相关的语义和自传信息的能力,该能力是记忆获取年龄和检索频率的函数。在aMCI患者中,我们发现回忆过去个人事件的障碍受到记忆年龄和检索频率的共同作用的调节,因为与更新近和检索频率较低的事件相比,更久远且检索频率较高的事件更不容易丢失。另一方面,我们发现语义信息的丧失仅取决于记忆年龄,因为记忆痕迹的久远程度有助于更好地保存记忆。我们的结果提供了证据,表明逆行性记忆的两个组成部分的丧失是由不同机制调节的。这支持了多重痕迹理论所假设的观点,即不同的神经机制参与情景记忆和语义记忆痕迹的存储和检索。

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