A large body of evidence suggests that the medial temporal lobes (MTL) play a critical role in long-term memory (LTM) but little or no role in short-term memory (STM). However, recent data have challenged this standard view of MTL function by demonstrating (1) activity in the MTL when information is held in memory over short delays and (2) STM impairments in amnesic patients with MTL damage. A key function of the MTL in LTM is to bind distinct elements of experience into a unified memory so that items can later be remembered with their contextual associations (episodic memory). One possibility is that the relational binding function of the MTL extends beyond the LTM domain to support STM as well. The experiments in this application use a combined neuroimaging and neuropsychological approach to test this hypothesis in a group of amnesic patients with MTL damage and a comparison group of neurologically intact controls. The neuropsychological experiments investigate (1) whether MTL damage selectively interferes with relational STM at multiple levels of representation and (2) whether MTL damage impairs the ability to integrate across events in STM to support generalization. If amnesic patients demonstrate impairments in relational STM and generalization, this would argue against traditional neuroanatomical distinctions between STM and LTM and would provide important new insight into the role of the MTL in memory. [To compliment this neuropsychological approach, the neuroimaging procedures provide a comprehensive assessment of the neuropathology in amnesia that goes beyond standard lesion volumetric analyses. Measures of both white matter structural integrity (diffusion tensor imaging) and neuronal function (functional magnetic resonance imaging) will be collected to better characterize the local and network disruptions that may accompany damage to the MTL in amnesia. By jointly addressing questions of both cognitive and neural disruptions in amnesia, the experiments in this application will provide greater insights into the relationship between these two domains.] Linking specific measures of neuropathology to behavior will clarify the contributions of the MTL to STM and advance both mechanistic accounts of MTL function as well as theoretical accounts of STM. Because memory impairments are common in patients with neurological disorders and disease, a greater understanding of the nature of these impairments and their neural substrates will inform new strategies for reducing the burden of such illnesses.

Public Health Relevance

This project will increase understanding of how memory representations are formed in the human brain by characterizing the nature of memory impairments in amnesia and relating these impairments to neural structure and function. In turn, such insight may serve as a foundation for improved diagnosis and more targeted treatment of memory disorders.

National Institute of Health (NIH)
National Institute of Neurological Disorders and Stroke (NINDS)
Postdoctoral Individual National Research Service Award (F32)
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Special Emphasis Panel (ZRG1-F12A-R (20))
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Babcock, Debra J
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Boston University
Schools of Medicine
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Race, Elizabeth; Palombo, Daniela J; Cadden, Margaret et al. (2015) Memory integration in amnesia: prior knowledge supports verbal short-term memory. Neuropsychologia 70:272-80
Race, Elizabeth; Keane, Margaret M; Verfaellie, Mieke (2015) Sharing mental simulations and stories: hippocampal contributions to discourse integration. Cortex 63:271-81
Race, Elizabeth; Keane, Margaret M; Verfaellie, Mieke (2013) Living in the moment: patients with MTL amnesia can richly describe the present despite deficits in past and future thought. Cortex 49:1764-6
Race, Elizabeth; LaRocque, Karen F; Keane, Margaret M et al. (2013) Medial temporal lobe contributions to short-term memory for faces. J Exp Psychol Gen 142:1309-22
Foerde, Karin; Race, Elizabeth; Verfaellie, Mieke et al. (2013) A role for the medial temporal lobe in feedback-driven learning: evidence from amnesia. J Neurosci 33:5698-704
Race, Elizabeth; Keane, Margaret M; Verfaellie, Mieke (2012) Losing sight of the future: Impaired semantic prospection following medial temporal lobe lesions. Hippocampus :
Race, Elizabeth; Verfaellie, Mieke (2012) Remote memory function and dysfunction in Korsakoff's syndrome. Neuropsychol Rev 22:105-16
Race, Elizabeth; Keane, Margaret M; Verfaellie, Mieke (2011) Medial temporal lobe damage causes deficits in episodic memory and episodic future thinking not attributable to deficits in narrative construction. J Neurosci 31:10262-9