Posterior Cingulate Cortex and Executive Control of Episodic Memory

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-50
SponsorUniversity of Pennsylvania

About this trial

This project will use intracranial recordings and stimulation of the human brain to understand the unique contributions of the posterior cingulate cortex (PCC) to episodic memory behavior. The goal is to test how distinct subregions of the PCC differentially contribute to memory-based decisions (e.g., have I seen this picture before?). The ability to perform invasive studies of the human brain is through routine clinical monitoring of brain activity which occurs during the neurosurgical treatment of epilepsy. However, this project only focuses on the basic science of PCC and memory behavior. Specifically, the investigators will use single-0cell and population measures of brain activity to test a new theory of PCC function which focuses on the executive processes needed to support memory retrieval and memory-based decisions. By studying the PCC, a convergence zone of memory and executive brain systems, progress can be made in elucidating how the failure to successfully leverage past experiences in daily behavior can occur as a common symptom of both neurodegenerative disease (e.g., Alzheimer's disease) and multiple psychiatric conditions (e.g., schizophrenia) implicating PCC dysfunction.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

All participants are patients undergoing invasive brain monitoring for epilepsy and will be asked to consent to participation in this basic science protocol (which is focused on the patient group but is not focused on the study of epilepsy).

Disqualifiers

Individuals not undergoing invasive brain monitoring for epilepsy.

Individuals outside of the age range (18-50 yrs).

Individuals with cognitive impairment or intellectual difficulty.

Trial design

Design model

Crossover

Treatments tested in this trial

  • Cognitive testing

    Behavioral

    Cognitive tasks testing executive and episodic based decisions, and the switching between these processes.

Treatment groups

130 Participants
are divided into 3 treatment groups
Group A: Experiment 1 - episodic / executive switchExperimental treatment 1 intervention
Group B: Experiment 2 - executive decision taskExperimental treatment 1 intervention
Group C: Experiment 3 - episodic decision taskExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Episodic/Executive behavioral task performance accuracy

Participants will perform three tasks each testing the accuracy of executive (reward) or episodic (memory strength) based decisions. Outcome measures will be decision accuracy (% correct).

Time frame
Outcome assessed 10 minutes after intervention
2

Episodic/Executive behavioral task performance speed

Participants will perform three tasks each testing the speed of executive (reward) or episodic (memory strength) based decisions. Outcome measures will be response/decision reaction time (milliseconds).

Time frame
Outcome assessed 10 minutes after intervention
3

Changes in high-frequency electrophysiological brain response

During behavioral task performance, electrophysiological signals recorded from the brain will be quantified for changes in the mean high-frequency activity (70-150 Hz) amplitude during correct and incorrect episodic/executive decisions. The goal is to track this electrophysiological activity to quantify if and when brain activity in the posterior cingulate cortex occurs during memory and non-memory based decisions.

Time frame
Outcome assessed 1 hour after intervention

Secondary outcomes

Other outcomes

Sponsors and contacts

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