Memory Flashcards

Lecture 11

1
Q

how is memory affected by retrograde amnesia?

A
  • person can create new memories but forgets old ones
  • can be temporally graded, remember super old memories but not more recent ones before injury
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2
Q

how is memory affected by anterograde amnesia?

A

person can’t create new memories but remembers old ones

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3
Q

who is patient HM

A
  • had bilateral medial temporal lobes removed because of severe epilepsy (hippocampus, amygdala, part of temporal cortex)
  • developed anterograde amnesia and had temporally graded retrograde amnesia
  • but working memory was intact
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4
Q

what were patient HM’s symptoms (how did he perform on tasks)

A
  • had severe anterograde amnesia but short term and working memory were intact
  • could perform a digit span task with 6-7 digits
  • but, when asked to remember things that can’t be actively rehearsed and repeated, he couldn’t (picture matching)
  • got better at tasks they did multiple times, but had no memory of doing the task in the past
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5
Q

what was patient HM’s memory duration like?

A
  • they had working (short-term) memory, and could learn motor skills
  • they could not consolidate memory into long term storage
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6
Q

what is implicit vs. explicit memory?

A
  • implicit memory - things we remember without being conscious of it
    • ex. learning to ride a bike
  • explicit memory - things that require effort to remember, need to be actively recalled
    • ex. general facts about the world
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7
Q

what are the two types of explicit memory?

A
  • episodic memory - personally experiences events
  • semantic memory - facts and general knowledge
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8
Q

who is patient KC?

A
  • had bilateral hippocampus lesions
  • remembered general facts but couldn’t remember experiences he had
  • semantic memory was intact but episodic memory was not
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9
Q

what is the hippocampal indexing theory?

A
  • all sensory information and stimuli from the event gets indexed together in the hippocampus
  • indexing required at first in order to generate recall from other areas
  • connections are strong and are able to be associated with each other even without the hippocampus
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10
Q

what is long term potentiation?

A
  • repetitive strengthening of synapses that enables a long-lasting increase in synaptic transmission
  • performed in the hippocampus of rats
  • use weak vs. strong stimuli and measure EPSPs via electrodes to create a strong neural connections
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11
Q

what happens during long term potentiation?

A
  • EPSP causes glutamate to release into the synapse and bind to AMPARs and NMDARs
  • magnesium blocks in NMDARs require a very strong positive charge/depolarization in order to open and allow sodium in
  • stronger signals = more calcium = more AMPARs go to bind to more glutamate
    • more sodium and calcium are let in for a stronger connection
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12
Q

what are the immediate short term changes (functional) associated with LTP?

A

AMPARs are recruited to the membrane to have more signals and stronger connection between neurons

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13
Q

what are the long-lasting, slower changes (structural) associated with LTP?

A
  • it can make synapses stronger and able to make more connections
  • can start second messenger signalling and changes in genes to create more AMPARs
  • ability for stronger memories
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14
Q

how and why are NMDARs related to brain dysfunction?

A
  • LTP is more prominent in memory-related areas
    • also epilepsy because of excitable brain areas
  • NMDAR activity allows calcium into the cell
    • calcium is a potent signalling molecule but too much can trigger apoptosis
  • alcohol, PCP, ketamine are NMDAR antagonists
    • lose abilities to form memories
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15
Q

what is alzheimer’s disease?

A
  • irreversible (no cure), progressive, neurogenerative disease
  • most common cause of dementia
  • appears first in the medial temporal lobe then progresses to the cortex
  • occasional early onset (familial or genetic form of AD) but there is no single gene associated with AD
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16
Q

what are the symptoms of alzheimer’s disease?

A

cognitive and non-cognitive symptoms

  • early symptoms - being “forgetful”, selective declines in memory
  • later symptoms - confusion, irritability, anxiety, problems with speech
  • advanced stage symptoms - difficulties with even simple responses or behaviours
17
Q

what are the defining characteristics of AD?

A
  1. brain volume decreases
  2. neurofibrillary tangles
  3. amyloid plaques
18
Q

what are neurofibrillary tangles?

A
  • hyperphosphorylated tau aggregates
    • causes structure of the neuron and their axons to break down
    • cell degeneration and death
  • is intracellular - happens within the cell
19
Q

what are amyloid plaques?

A
  • comprised of beta-amyloid proteins (A-beta Aβ) that stick to each other and create plaques (are meant to be broken down)
  • beta-amyloid comes from amyloid precursor protein (APP)
  • is extracellular - happens outside and around the neuron
20
Q

what is the usual time course of AD in terms of amyloid plaques and neurofibrillary tangles?

A
  • amyloid plaques form and neuronal integrity declines before symptoms even arise
  • neurofibrillary tangles begin a little later on
21
Q

what are the biomarkers for AD?

A
  1. low beta-amyloid levels in CSF (because they are not being broken down)
  2. high tau levels in CSF
  3. PET imaging of beta-amyloid levels (amyvid)
  4. PET imaging of tau/hyperphosphorylated tau
  5. decreases in hippocampal volume (MRI)
  6. decreases in brain metabolism
22
Q

what are the main theories of pathogenesis for AD?

A
  1. amyloid cascade hypothesis
  2. neurofibrillary (tau) hypothesis
  3. vascular hypothesis
  4. pathogenic spread
  5. bacterial hypothesis (gum disease)
  6. fungal hypothesis
  7. autoimmune hypothesis
23
Q

what is the amyloid cascade hypothesis for AD?

A
  • as beta amyloids clump up in the brain, it stimulates other abnormalities in the brain
  • causes tau to hyperphosphorylate
24
Q

what is the neurofibrillary (tau) hypothesis for AD?

A
  • idea that neurofibrillary tangles come first
  • we now know beta amyloids come first
25
Q

what is the vascular hypothesis for AD?

A
  • some risk factors for AD are also risk factors for cardiovascular disease (hypertension, high cholesterol)
  • we also see vascular problems in the brain in people with AD
26
Q

what is the pathogenic spread hypothesis for AD?

A
  • proteins get misfolded in the brain and cause dysfunction, also spread other misfolded proteins
  • if this were true, we would have to see a transmission of misfolded proteins between neurons, but we aren’t yet
27
Q

why do some scientists believe in the bacterial and fungal hypothesis for AD?

A
  • lots of people with AD have also had bacterial infections (gum disease - gingivitis)
  • found fungus in the brains of AD patients
28
Q

what is the autoimmune hypothesis for AD?

A
  • pathogen is detected, beta amyloid increases, is over produced, and attacks its own cells
  • as beta amyloids clump, they signal even more immune response
29
Q

what are some treatments for AD?

A
  1. cholinergic (ACh) agonists (acetylcholinesterase inhibitors) - prevents enzymes from breaking down signalling neurotransmitter
  2. NMDAR antagonist (memantine) - prevent too much calcium and cell death
  3. lithium - prevents over excitability that happens during mania
  4. aducanumab (aduhelm) - antibodies for beta-amyloid, has been discontinued
  5. lecanemab (leqembi) - antibodies for beta amyloid, has been recently approved
  6. physical exercise, environmental enrichment as disease prevention