Reduced prefrontal oxygenation in mild cognitive impairment during memory retrieval

• Published in: International journal of geriatric psychiatry Vol. 31; no. 6; pp. 583 - 591
• Main Authors: Uemura, Kazuki, Shimada, Hiroyuki, Doi, Takehiko, Makizako, Hyuma, Tsutsumimoto, Kota, Park, Hyuntae, Suzuki, Takao
• Format: Journal Article
• Language: English
• Published: England Blackwell Publishing Ltd 01.06.2016; Wiley Subscription Services, Inc
• Subjects: Aged; Aged, 80 and over; Alzheimer's disease; Biomarkers - metabolism; brain aging; Brain Mapping - methods; Case-Control Studies; Cerebrovascular Circulation - physiology; cognition; Cognition & reasoning; Cognitive Dysfunction - physiopathology; dementia; Female; Geriatric psychiatry; Geriatric psychology; Humans; Male; Memory; Memory, Short-Term - physiology; neuroimaging; Neuropsychological Tests; Neuropsychology; NIRS; Oxygen Consumption; Oxyhemoglobins - metabolism; Prefrontal Cortex - physiology; Reaction Time - physiology; Spectroscopy, Near-Infrared; NIRS; brain aging; dementia; cognition; neuroimaging
• ISSN: 0885-6230; 1099-1166; 1099-1166
• DOI: 10.1002/gps.4363

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. Copyright © 2015 John Wiley & Sons, Ltd.