Abstract

Developmental prosopagnosia (DP), also known as face blindness, is a cognitive disorder with a severe deficit in recognizing faces. However, the heterogeneous nature of DP leads to a longstanding debate on which stages the deficit occurs, face perception (e.g., matching two consecutively presented faces) or face memory (e.g., matching a face to memorized faces). Here, we used the individual difference approach with functional magnetic resonance imaging to explore the neural substrates of DPs’ face perception and face memory that may illuminate DPs’ heterogeneity. Specifically, we measured the behavioral performance of face perception and face memory in a large sample of individuals suffering DP (N = 64) and then associated the behavioral performance with their face-selective neural responses in the core face network (CFN) and the extended face network (EFN), respectively. Behaviorally, we found that DP individuals were impaired in both face perception and face memory; however, there was only a weak correlation between the performances of two tasks. Consistent with this observation, the neural correlate of DPs’ performance in face memory task was localized in the bilateral fusiform face area, whereas DPs’ performance in face perception task was correlated with the face selectivity in the right posterior superior temporal sulcus, suggesting that the neural substrates in the CFN for face memory and face perception were separate in DP. In contrast, shared neural substrates of deficits in face perception and face memory tasks were identified in the EFN, including the right precuneus and the right orbitofrontal cortex. In summary, our study provides one of the first empirical evidence that the separate and shared neural substrates of face perception and face memory were identified in the CFN and EFN, respectively, which may help illuminating DP’s heterogeneous nature.

Highlights

  • Face recognition plays an important role in our daily life, yet approximately 2–2.9% of the population (Kennerknecht et al, 2006; Bowles et al, 2009) suffers difficulty to recognize faces, which is called developmental prosopagnosia (DP)

  • The core face network (CFN) includes the fusiform face area (FFA) (Kanwisher et al, 1997; McCarthy et al, 1997), the occipital face area (OFA) (Gauthier et al, 2000), and the posterior superior temporal sulcus (Puce et al, 1998), which processes the visual aspects of faces, such as facial features, identity, and expression

  • We found a cluster in the right posterior superior temporal sulcus (pSTS) whose face selectivity was positively correlated with face perception in DPs (Figure 2B)

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Summary

Introduction

Face recognition plays an important role in our daily life, yet approximately 2–2.9% of the population (Kennerknecht et al, 2006; Bowles et al, 2009) suffers difficulty to recognize faces, which is called developmental prosopagnosia (DP). It has been shown that the face selectivity in the FFA is related to face recognition in mixed normal and DP participants (Furl et al, 2011), and recent studies in normal participants found that the face selectivity or activity pattern in the FFA and OFA could predict face-specific memory (Huang et al, 2014; Ramot et al, 2019), face identification (Tsantani et al, 2021), and holistic face processing (Li et al, 2017) These studies did not differentiate neural correlates of face memory and face perception in DP. We measured DPs’ performance in both face perception and face memory tasks and explored their neural substrates in the CFN and the EFN, respectively

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