Orlovsky Irina, Huijbers Willem, Hanseeuw Bernard J, Mormino Elizabeth C, Hedden Trey, Buckley Rachel F, LaPoint Molly, Rabin Jennifer S, Rentz Dorene M, Johnson Keith A, Sperling Reisa A, Papp Kathryn V
Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Tilburg University, Department of Cognitive Science and Artificial Intelligence, Jheronimus Academy of Data Science, Tilburg, Netherlands.
Alzheimers Dement (Amst). 2017 Nov 23;10:121-129. doi: 10.1016/j.dadm.2017.11.003. eCollection 2018.
Alzheimer's disease (AD) patients exhibit temporally graded memory loss with remote memories remaining more intact than recent memories. It is unclear whether this temporal pattern is observable in clinically normal adults with amyloid pathology (i.e. preclinical AD).
Participants were asked to recall the names of famous figures most prominent recently (famous after 1990) and remotely (famous from 1960-1980) and were provided with a phonemic cue to ensure that memory failure was not purely due to verbal retrieval weaknesses. In addition, participants identified line drawings of objects. Clinically normal older adults (n = 125) were identified as amyloid β positive or negative (Aβ+/-) using Pittsburgh compound B positron emission tomography. The relationship between Aβ+/- and recall of remote and recent famous face-names and objects was examined using repeated measures analyses and general linear models controlling for demographics and media usage.
When provided with a phonemic cue, Aβ+ participants recalled the names of fewer recent famous faces compared with Aβ- participants. However, recall of remote famous face-names and objects did not differ by Aβ group.
Relative sparing of remotely learned information compared with recently learned information is (1) detectable in the preclinical stages of AD and (2) related to amyloid pathology. Both this temporal gradient and assessment of person-centered rather than object-centered semantic information may be particularly meaningful for tracking early memory changes in the AD trajectory.
阿尔茨海默病(AD)患者表现出时间梯度性记忆丧失,远期记忆比近期记忆更完整。目前尚不清楚这种时间模式在具有淀粉样蛋白病理特征的临床正常成年人(即临床前AD)中是否可观察到。
要求参与者回忆近期(1990年以后出名)和远期(1960 - 1980年出名)最著名人物的名字,并提供一个音素线索,以确保记忆失败并非纯粹由于言语检索能力不足。此外,参与者还要识别物体的线条图。使用匹兹堡化合物B正电子发射断层扫描将临床正常的老年人(n = 125)确定为淀粉样β蛋白阳性或阴性(Aβ+/-)。使用重复测量分析和控制人口统计学及媒体使用情况的一般线性模型,研究Aβ+/-与远期和近期著名人物名字及物体回忆之间的关系。
在提供音素线索的情况下,与Aβ-参与者相比,Aβ+参与者回忆起的近期著名人物名字较少。然而,远期著名人物名字和物体的回忆在Aβ组之间没有差异。
与近期学习的信息相比,远期学习信息的相对保留(1)在AD临床前阶段是可检测到的,并且(2)与淀粉样蛋白病理相关。这种时间梯度以及对以人物为中心而非以物体为中心的语义信息的评估,对于追踪AD病程中的早期记忆变化可能特别有意义。