Northwestern University Interdepartmental Neuroscience Program, Northwestern University, Chicago, Illinois.
Ken and Ruth Davee Department of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Hippocampus. 2019 Jul;29(7):595-609. doi: 10.1002/hipo.23054. Epub 2018 Dec 11.
Episodic memory is thought to rely on interactions of the hippocampus with other regions of the distributed hippocampal-cortical network (HCN) via interregional activity synchrony in the theta frequency band. We sought to causally test this hypothesis using network-targeted transcranial magnetic stimulation. Healthy human participants completed four experimental sessions, each involving a different stimulation pattern delivered to the same individualized parietal cortex location of the HCN for all sessions. There were three active stimulation conditions, including continuous theta-burst stimulation, intermittent theta-burst stimulation, and beta-frequency (20-Hz) repetitive stimulation, and one sham condition. Resting-state fMRI and episodic memory testing were used to assess the impact of stimulation on hippocampal fMRI connectivity related to retrieval success. We hypothesized that theta-burst stimulation conditions would most strongly influence hippocampal-HCN fMRI connectivity and retrieval, given the hypothesized relevance of theta-band activity for HCN memory function. Continuous theta-burst stimulation improved item retrieval success relative to sham and relative to beta-frequency stimulation, whereas intermittent theta-burst stimulation led to numerical but nonsignificant item retrieval improvement. Mean hippocampal fMRI connectivity did not vary for any stimulation conditions, whereas individual differences in retrieval improvements due to continuous theta-burst stimulation were associated with corresponding increases in fMRI connectivity between the hippocampus and other HCN locations. No such memory-related connectivity effects were identified for the other stimulation conditions, indicating that only continuous theta-burst stimulation affected memory-related hippocampal-HCN connectivity. Furthermore, these effects were specific to the targeted HCN, with no significant memory-related fMRI connectivity effects for two distinct control brain networks. These findings support a causal role for fMRI connectivity of the hippocampus with the HCN in episodic memory retrieval and indicate that contributions of this network to retrieval are particularly sensitive to continuous theta-burst noninvasive stimulation.
情景记忆被认为依赖于海马体与分布式海马体-皮质网络(HCN)的其他区域之间的相互作用,通过θ频带中的区域间活动同步实现。我们试图使用针对网络的经颅磁刺激来对此假设进行因果检验。健康的人类参与者完成了四个实验,每个实验都涉及到在相同的个体化 HCN 顶叶皮质位置上施加不同的刺激模式,所有实验均采用相同的位置。有三种主动刺激条件,包括连续θ爆发刺激、间歇性θ爆发刺激和β频带(20 Hz)重复刺激,以及一种假刺激条件。静息态 fMRI 和情景记忆测试用于评估刺激对与检索成功相关的海马 fMRI 连接的影响。我们假设,鉴于θ带活动与 HCN 记忆功能的相关性,θ爆发刺激条件将最强烈地影响海马体-HCN fMRI 连接和检索。连续θ爆发刺激相对于假刺激和β频带刺激提高了项目检索成功率,而间歇性θ爆发刺激则导致了项目检索的数值但无统计学意义的改善。任何刺激条件下的平均海马体 fMRI 连接都没有变化,而连续θ爆发刺激引起的检索改善的个体差异与海马体与其他 HCN 位置之间的 fMRI 连接的相应增加相关。对于其他刺激条件,没有发现与记忆相关的连接效应,表明只有连续θ爆发刺激会影响与记忆相关的海马体-HCN 连接。此外,这些效应是针对靶向 HCN 的,对于两个不同的对照脑网络,没有与记忆相关的 fMRI 连接效应。这些发现支持了海马体与 HCN 的 fMRI 连接在情景记忆检索中的因果作用,并表明该网络对检索的贡献特别容易受到连续θ爆发非侵入性刺激的影响。
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