CA2/3-dependent stability of frontal mnemonic representations predict episodic deficits in human amnesia.

Thomas D. Miller,Alice L Hickling,Yan I. Wu,Joseph H. Zhou,A. E. Handel,Ester Coutinho,Thomas A. Pollak,Michael S. Zandi,Eleanor A. Maguire,Clive R. Rosenthal

Published 2025 in Cell Reports

ABSTRACT

The hippocampus reconstructs past experiences by integrating sensory, perceptual, and conceptual information across a cortico-hippocampal autobiographical memory network. Here, in 18 human participants with amnesia, we decode the effects of bilateral focal hippocampal damage on distinct autobiographical representations using representational dissimilarity matrices (RDMs). Hippocampal pathology results in impaired generalized episodic memory retrieval RDM model fit in the left angular gyrus and in reduced distinct episodic memory RDM model fit in the right inferior frontal gyrus (rIFG), while right angular gyrus (rANG) and right orbitofrontal cortex (rOFC) fall below multiple correction thresholds. Trial-by-trial voxel-representational stability is reduced in the rANG, rIFG, and rOFC. The RDM model fits and mnemonic stability are predicted by total CA2/3 volumes. Trial-by-trial retrieval stability within the rOFC and rIFG predicts episodic memory performance, providing a direct neural correlation between hippocampal dysfunction, altered mnemonic representations, and amnesia.

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