Abstract

The goal of this research was to investigate the changes in neural processing in mild cognitive impairment. We measured phase synchrony, amplitudes, and event-related potentials in veridical and false memory to determine whether these differed in participants with mild cognitive impairment compared with typical, age-matched controls. Empirical mode decomposition phase locking analysis was used to assess synchrony, which is the first time this analysis technique has been applied in a complex cognitive task such as memory processing. The technique allowed assessment of changes in frontal and parietal cortex connectivity over time during a memory task, without a priori selection of frequency ranges, which has been shown previously to influence synchrony detection. Phase synchrony differed significantly in its timing and degree between participant groups in the theta and alpha frequency ranges. Timing differences suggested greater dependence on gist memory in the presence of mild cognitive impairment. The group with mild cognitive impairment had significantly more frontal theta phase locking than the controls in the absence of a significant behavioural difference in the task, providing new evidence for compensatory processing in the former group. Both groups showed greater frontal phase locking during false than true memory, suggesting increased searching when no actual memory trace was found. Significant inter-group differences in frontal alpha phase locking provided support for a role for lower and upper alpha oscillations in memory processing. Finally, fronto-parietal interaction was significantly reduced in the group with mild cognitive impairment, supporting the notion that mild cognitive impairment could represent an early stage in Alzheimer’s disease, which has been described as a ‘disconnection syndrome’.

Highlights

  • Alzheimer’s disease (AD) is a neurodegenerative process responsible for fifty to sixty percent of cases of dementia over the age of 65 [1]

  • The results suggest that the neural mechanisms employed both in the true and in the false memory processing differed between typical participants and those with mild cognitive impairment (MCI), with phase synchrony calculated using empirical mode decomposition phase locking (EMDPL) providing the most information about how neural processing differs between groups and conditions

  • We suggest that frontal theta Phase locking (PL) might be a neural correlate of the verification-inhibition mechanism which is impaired in AD, and that this impairment might begin early in the disease process when the person has MCI

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Summary

Introduction

Alzheimer’s disease (AD) is a neurodegenerative process responsible for fifty to sixty percent of cases of dementia over the age of 65 [1]. MCI can be defined as subjective memory impairment and reduced memory for age, but typical general cognitive function and activities of daily living and no dementia, and using this definition, 12% of patients with MCI develop AD per year [8]. Detection of underlying neural mechanisms that differ between those with normal memory and those with MCI should lead to refinement of future diagnostic tests, allowing more accurate prediction of which people with MCI will go on to develop AD, and of this group, who will benefit from specific treatment approaches. A greater understanding of the electrophysiological correlates of memory processing may in future allow development of new treatment approaches, including both pharmacological and electrical.

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