Lost memories might be able to be restored

Date:
December 20, 2014
Source:
University of California, Los Angeles
Summary:
New research indicates that lost memories can be restored. The findings offer some hope for patients in the early stages of Alzheimer's disease.

New UCLA research indicates that lost memories can be restored. The findings offer some hope for patients in the early stages of Alzheimer's disease.
Credit: © frenta / Fotolia
New UCLA research indicates that lost memories can be restored. The findings offer some hope for patients in the early stages of Alzheimer's disease.
For decades, most neuroscientists have believed that memories are stored at the synapses -- the connections between brain cells, or neurons -- which are destroyed by Alzheimer's disease. The new study provides evidence contradicting the idea that long-term memory is stored at synapses.
"Long-term memory is not stored at the synapse," said David Glanzman, a senior author of the study, and a UCLA professor of integrative biology and physiology and of neurobiology. "That's a radical idea, but that's where the evidence leads. The nervous system appears to be able to regenerate lost synaptic connections. If you can restore the synaptic connections, the memory will come back. It won't be easy, but I believe it's possible."
The findings were published recently in eLife.
Glanzman's research team studies a type of marine snail called Aplysia to understand the animal's learning and memory. The Aplysia displays a defensive response to protect its gill from potential harm, and the researchers are especially interested in its withdrawal reflex and the sensory and motor neurons that produce it.
They enhanced the snail's withdrawal reflex by giving it several mild electrical shocks on its tail. The enhancement lasts for days after a series of electrical shocks, which indicates the snail's long-term memory. Glanzman explained that the shock causes the hormone serotonin to be released in the snail's central nervous system.
Long-term memory is a function of the growth of new synaptic connections caused by the serotonin, said Glanzman, a member of UCLA's Brain Research Institute. As long-term memories are formed, the brain creates new proteins that are involved in making new synapses. If that process is disrupted -- for example by a concussion or other injury -- the proteins may not be synthesized and long-term memories cannot form. (This is why people cannot remember what happened moments before a concussion.)
"If you train an animal on a task, inhibit its ability to produce proteins immediately after training, and then test it 24 hours later, the animal doesn't remember the training," Glanzman said. "However, if you train an animal, wait 24 hours, and then inject a protein synthesis inhibitor in its brain, the animal shows perfectly good memory 24 hours later. In other words, once memories are formed, if you temporarily disrupt protein synthesis, it doesn't affect long-term memory. That's true in the Aplysia and in human's brains." (This explains why people's older memories typically survive following a concussion.)
Glanzman's team found the same mechanism held true when studying the snail's neurons in a Petri dish. The researchers placed the sensory and motor neurons that mediate the snail's withdrawal reflex in a Petri dish, where the neurons re-formed the synaptic connections that existed when the neurons were inside the snail's body. When serotonin was added to the dish, new synaptic connections formed between the sensory and motor neurons. But if the addition of serotonin was immediately followed by the addition of a substance that inhibits protein synthesis, the new synaptic growth was blocked; long-term memory could not be formed.
The researchers also wanted to understand whether synapses disappeared when memories did. To find out, they counted the number of synapses in the dish and then, 24 hours later, added a protein synthesis inhibitor. One day later, they re-counted the synapses.
What they found was that new synapses had grown and the synaptic connections between the neurons had been strengthened; late treatment with the protein synthesis inhibitor did not disrupt the long-term memory. The phenomenon is extremely similar to what happens in the snail's nervous system during this type of simple learning, Glanzman said.
Next, the scientists added serotonin to a Petri dish containing a sensory neuron and motor neuron, waited 24 hours, and then added another brief pulse of serotonin -- which served to remind the neurons of the original training -- and immediately afterward add the protein synthesis inhibitor. This time, they found that synaptic growth and memory were erased. When they re-counted the synapses, they found that the number had reset to the number before the training, Glanzman said. This suggests that the "reminder" pulse of serotonin triggered a new round of memory consolidation, and that inhibiting protein synthesis during this "reconsolidation" erased the memory in the neurons.
If the prevailing wisdom were true -- that memories are stored in the synapses -- the researchers should have found that the lost synapses were the same ones that had grown in response to the serotonin. But that's not what happened: Instead, they found that some of the new synapses were still present and some were gone, and that some of the original ones were gone, too.
Glanzman said there was no obvious pattern to which synapses stayed and which disappeared, which implied that memory is not stored in synapses.
When the scientists repeated the experiment in the snail, and then gave the animal a modest number of tail shocks -- which do not produce long-term memory in a naive snail -- the memory they thought had been completely erased returned. This implies that synaptic connections that were lost were apparently restored.
"That suggests that the memory is not in the synapses but somewhere else," Glanzman said. "We think it's in the nucleus of the neurons. We haven't proved that, though."
Glanzman said the research could have significant implications for people with Alzheimer's disease. Specifically, just because the disease is known to destroy synapses in the brain doesn't mean that memories are destroyed.
"As long as the neurons are still alive, the memory will still be there, which means you may be able to recover some of the lost memories in the early stages of Alzheimer's," he said.
Glanzman added that in the later stages of the disease, neurons die, which likely means that the memories cannot be recovered.
The cellular and molecular processes seem to be very similar between the marine snail and humans, even though the snail has approximately 20,000 neurons and humans have about 1 trillion. Neurons each have several thousand synapses.
Glanzman used to believe that traumatic memories could be erased but he has changed his mind. He now believes that, because memories are stored in the nucleus, it may be much more difficult to modify them. He will continue to study how the marine snail's memories are restored and how synapses re-grow.
Co-authors of the study include Shanping Chen, Diancai Cai and Kaycey Pearce, research associates in Glanzman's laboratory.
The research was funded by the National Institutes of Health's National Institute of Neurological Disorders and Stroke, the National Institute of Mental Health and the National Science Foundation.
Almost all the processes that are involved in memory in the snail also have been shown to be involved in memory in the brains of mammals, Glanzman said.
In a 1997 study published in the journal Science, Glanzman and colleagues identified a cellular mechanism in the Aplysia that plays an important role in learning and memory. A protein called N-methyl D-aspartate, or NMDA, receptor enhances the strength of synaptic connections in the nervous system and plays a vital role in memory and in certain kinds of learning in the mammalian brain as well. Glanzman's demonstration that the NMDA receptor plays a critical role in learning in a simple animal like the marine snail was entirely unexpected at the time.

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Elephant man’ gets rid of 22-year-old face tumour at Delhi hospital



NEW DELHI: Lalit Ram was in a strange predicament for 22 years—till he underwent a rare surgery for removal of a large facial tumour that looked like an elephant's trunk. While some worshipped him, thinking he was an incarnation of Lord Ganesha, others found his deformed face repulsive. 

But no one understood the mental agony and pain he suffered because of the tumour, which affects a minuscule percentage of people across the world. 

"The tumour started growing rapidly when I was 10 years old and soon it covered the chin, ears and a part of the chest. Children were scared of me and the elderly, including Brahmins,thronged to seek my blessings—I told them "sadaa sukhi raho" (stay happy forever)," said the 24-year-old, a resident of Madhubani in Bihar. 

Ram remained confined to a cattle-shed for nearly a decade, years before his case was highlighted in a global TV series that described him as "India's elephant man". He was offered free surgery by Sir Ganga Ram Hospital here. 

"We were no less shocked to see the patient when he came to our hospital in September 2012. His MRI and CT angiography revealed that Ram was suffering from the most acute form of neurofibromatosis, a condition in which tumour develops on or under the skin and along the nerves," said Dr Vivek Kumar, consultant, plastic surgery at the hospital. 

He said it took nearly eight hours to remove the tumour and one month of stay for post-operative care. "The tumour was rooted in the blood vessels as well as nerves of the face and the neck, which put him at a high risk of paralysis and death due to bleeding. We performed the surgery under magnification to preserve vital vessels and nerves, and arranged adequate blood to deal with any emergency," said the doctor. 

During the surgery, doctors successfully excised two-third of the tumour—the overhanging growth on the right side of the face. "While operating upon him, the tumor was found to be more vascular than expected. There was extensive bleeding; medications and repeated transfusions couldn't prevent his blood pressure from falling to a dangerous level. We decided to abandon the procedure after eight hours to save his life," Dr Kumar said. The surgery, he added, was planned in a way that the face is not disfigured and the cut marks stay hidden below it. 

"We managed to find a bride for him and got him married recently. He is happy and helping his father in farming," said Budhni Devi, the patient's mother. 

Dr D S Rana, chairman, board of management at Sir Ganga Ram, said patients like Ram are denied treatment due to poverty and little awareness. "We hope this case would serve as an example for the many facing stigma and discrimination due to similar medical issues. I am pleased that our efforts were successful and he is married and rehabilitated," said Dr Rana.