Kazuki Uemura1, Hiroyuki Shimada2, Takehiko Doi2,3, Hyuma Makizako2, Kota Tsutsumimoto2, Hyuntae Park4,5, Takao Suzuki4. 1. Institute of Innovation for Future Society, Nagoya University, Nagoya, Japan. 2. Department of Functioning Activation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Japan. 3. Research Fellow of the Japan Society for the Promotion of Science, Tokyo, Japan. 4. National Center for Geriatrics and Gerontology, Obu, Japan. 5. Department of Medicinal Biotechnology, Dong-A University, Busan, Korea.
Abstract
BACKGROUND: Memory impairment is considered a hallmark of amnestic mild cognitive impairment (aMCI) and dementia. Emerging evidence suggests that the prefrontal lobe is required to maintain memory functions. The purpose of this study was to clarify whether older adults with aMCI have decreased prefrontal oxygenation during memory encoding and retrieval compared with age-matched healthy older adults, using multi-channel near-infrared spectroscopy. METHODS: We examined 64 older adults with aMCI (mean 71.8 years) and 66 cognitively healthy control subjects comparable in age and gender (mean 71.7 years). The concentration of oxy-hemoglobin, which is a reliable biomarker of changes in regional cerebral blood flow, was measured in the prefrontal cortex during encoding and delayed retrieval of a list of 10 target words. Task performance was evaluated as average number of correct answers in the retrieval task. RESULTS: Subjects with aMCI showed reduced activation in the bilateral dorsolateral cortex (approximately Brodmann area 9) and provided fewer correct answers in the retrieval period than control subjects. There were no significant differences during encoding. CONCLUSIONS: Reduced activation in the dorsolateral cortex during retrieval may cause deficits in memory performance, which may be used as a marker of aMCI. Further studies are required to examine the predictive validity of this decreased activation pattern for the incidence of Alzheimer's disease.
BACKGROUND:Memory impairment is considered a hallmark of amnestic mild cognitive impairment (aMCI) and dementia. Emerging evidence suggests that the prefrontal lobe is required to maintain memory functions. The purpose of this study was to clarify whether older adults with aMCI have decreased prefrontal oxygenation during memory encoding and retrieval compared with age-matched healthy older adults, using multi-channel near-infrared spectroscopy. METHODS: We examined 64 older adults with aMCI (mean 71.8 years) and 66 cognitively healthy control subjects comparable in age and gender (mean 71.7 years). The concentration of oxy-hemoglobin, which is a reliable biomarker of changes in regional cerebral blood flow, was measured in the prefrontal cortex during encoding and delayed retrieval of a list of 10 target words. Task performance was evaluated as average number of correct answers in the retrieval task. RESULTS: Subjects with aMCI showed reduced activation in the bilateral dorsolateral cortex (approximately Brodmann area 9) and provided fewer correct answers in the retrieval period than control subjects. There were no significant differences during encoding. CONCLUSIONS: Reduced activation in the dorsolateral cortex during retrieval may cause deficits in memory performance, which may be used as a marker of aMCI. Further studies are required to examine the predictive validity of this decreased activation pattern for the incidence of Alzheimer's disease.
Authors: Cristina Udina; Stella Avtzi; Turgut Durduran; Roee Holtzer; Andrea L Rosso; Carmina Castellano-Tejedor; Laura-Monica Perez; Luis Soto-Bagaria; Marco Inzitari Journal: Front Aging Neurosci Date: 2020-01-21 Impact factor: 5.750
Authors: Theodore J Huppert; Helmet Karim; Chia-Cheng Lin; Bader A Alqahtani; Susan L Greenspan; Patrick J Sparto Journal: PLoS One Date: 2017-10-12 Impact factor: 3.240