Memory Loss: Stanford Study Improves the Understanding within Seniors

Recent Stanford research has proven a promising future for Alzheimer’s disease research and general memory loss recovery. They decided to study the “differences across individuals are critical for understanding the complexities of brain aging, including how to promote resilience and longevity,” said Alexandra Trelle, a postdoctoral research fellow at Stanford University Memory Lab. “Some individuals exhibit remarkable maintenance of memory function throughout late adulthood, whereas others experience significant memory decline,” Trelle added, and that is precisely where they began their research. 

Learning from memory loss in younger people

Trelle and her team of colleagues took it upon themselves to learn from previous memory loss studies that focused on younger populations to guide their new research, which investigates memory recall in healthy, older adults, as part of the Stanford Aging and Memory Study

Their recent study was published May 29 in eLife and discovered that memory recall processes in the brains of older adults can look very similar to those previously observed in the brains of young adults. However, for those seniors who had more trouble remembering, evidence for these processes was noticeably diminished.

By gaining a better understanding of memory function in older adults, the hope is that this data can help better enable earlier and more precise predictions of when memory failures signal the increased risk for dementia.

Progress Proven

When Anthony Wagner, the Lucie Stern Professor in the Social Sciences at Stanford’s School of Humanities and Sciences, was a graduate student at Stanford in the ’90s, he conducted some of the first fMRI studies of memory formation. At that time, state-of-the-art imaging and analysis technologies only allowed measurement of the magnitude of activity from a centimeter-and-a-half section of the brain.

In comparison, the current study measured activity from the whole brain at high-resolution, and analyses not only focused on the magnitude of activity, but also on the memory information that is contained in patterns of brain activity.

“It’s exciting to have basic science tools that allow us to witness when a memory is being replayed in an individual mind and to draw on these neural processes to explain why some older adults remember better than others,” said Wagner, who is senior author of the paper. “As a graduate student, I would never have predicted that we would do this kind of science someday.”

The study explained

In Trelle’s experiment, 100 participants between the ages of 60 and 82 had brain scans while they studied words paired with pictures of famous people and places. Then, during a scanned memory test, they were prompted with words they had seen and asked to recall the associated picture. The memory test was designed to assess one’s ability to remember specific associations between elements of an event, a form of memory that is often disproportionately affected by aging.

In the scans, the researchers observed that brains that support remembering in older adults resemble those in younger populations. Note: When people actively remember or recall things, there is an increase in hippocampal activity, a brain structure long known to be important for remembering events, along with the reinstatement of activity patterns in the cortex that were present when the event was initially experienced. To put it another way, the act of remembering entails neural time travel, replaying patterns that were previously established in the brain.

“It was striking that we were able to replicate this moment-to-moment relationship between hippocampal activity, replay in the cortex, and memory recall, which has previously been observed only in healthy younger adults,” said Trelle. “In fact, we could predict whether or not an individual would remember at a given moment in time based on the information carried in patterns of brain activity.”

Conclusion

The researchers found that, on average, recall ability declined with age. Critically, however, regardless of one’s age, stronger hippocampal activity and replay in the cortex are linked to a better memory performance. This was true not only for the memory test conducted during the scan, but also for memory tests administered on different days of the study. 

This finding suggests that fMRI measures of brain activity during memory recall are tapping into stable differences across individuals, and potentially could allow a window into brain health.

Promising future for Alzheimer research

This research lays the foundation for many future investigations of memory in older adults in Stanford’s Aging and Memory Study cohort. Continued work is promised to process memory creation and recall, studies of change in memory performance over time, and research that pairs fMRI studies with other kinds of health data, such as changes in brain structure and the build-up of proteins in the brain that are linked to Alzheimer’s disease.

The goal

The ultimate aim is to develop new and advanced tools to identify individuals who are at increased risk for Alzheimer’s disease before significant memory decline occurs.

“We’re beginning to ask whether individual differences in the ability to mentally travel back in time can be explained by asymptomatic disease that impacts the brain and predicts future clinical diagnosis,” said Wagner. “We’re hopeful that our work, which requires rich collaborations across disciplines, will inform clinical problems and advance human health.”


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