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Advanced Neurology                                             Neuroimaging regarding spatial navigation in AD



            landmark can be identified by egocentric and allocentric   relationship between action potentials and periodic
            reference frames together. Excellent navigators tend to   rhythmic field potentials (theta oscillation) of some specific
            integrate different spatial information to flexibly translate   neuron species (e.g., place cells in the hippocampus and
            between egocentric and allocentric strategies to maximize   grid cells in the entorhinal cortex) . Phase precession
                                                                                            [33]
            navigation efficiency . In addition, a study has shown that   is  a common and  critical  neuronal mechanism  for  the
                            [16]
            age, sex, and cultural background have potential influences   coordination of behavior and cognitive processes .
                                                                                                      [34]
            on strategic preference during navigation .
                                             [17]
                                                               2.3. Spatial navigation and normal aging
            2.2. Neural correlates of spatial navigation       Healthy older adults experience a decrease in navigation
            The navigation process involves a wide range of brain   ability  with  aging,  which  is  mainly  manifested  by
            navigation networks, including the prefrontal lobe, parietal   impaired abilities of movement self-perception and path
            lobe, medial temporal lobe (MTL), caudate nucleus, and   integration [18,35,36] . In both real and virtual navigation,
            thalamus . The parietal lobe mainly includes the posterior   older adults performed worse than younger adults as the
                   [3]
            cingulate  cortex  (PCC),  precuneus,  and  retrosplenial   task became more difficult; however, the basic cognitive
            cortex (RSC); the MTL mainly includes the hippocampus,   abilities required for successful performance of object-
            entorhinal  cortex,  and  parahippocampal  cortex  (PHC).   location memory tasks seemed to be preserved in older
            The previous studies have shown that MTL structures   adults [37,38] .
            play prominent roles in allocentric navigation, while the   Aging has different effects on egocentric and allocentric
            parietal lobe and the caudate nucleus mainly contribute to   strategies. Research shows that healthy older people
            egocentric navigation . In addition, the RSC and PCC are   tend to take a fixed route to avoid entering unfamiliar
                             [18]
            crucial for the flexible transformation between egocentric   environments, indicating a preference for egocentric
            and allocentric reference frames [19-21] .         rather than allocentric strategies . A similar conclusion
                                                                                         [39]
              Spatial  navigation  requires  effective  neural  was reached by the study conducted by Rodgers  et al.,
            representations that code location, head direction, speed,   which showed that older adults overwhelmingly preferred
            and boundaries. The discovery of place, head direction,   an egocentric strategy, while younger adults had equally
            grid, border, boundary-vector, and speed cells identify   distributed egocentric and allocentric preferences . In
                                                                                                        [40]
            these representations [22-27] . At the macroscopic level,   addition, healthy older adults reached the target location
            functional magnetic resonance imaging (fMRI) has   with longer movement paths and spent longer time reaching
            also revealed representations [24,28] . The activity of some   the destination compared to the young participants in the
            hippocampal neurons is closely related to their position in   human version of the Morris Water Maze (hMWM) test.
            the space of animals or humans [22,29] . These cells are called   These results demonstrate that aging could affect one’s
            place cells, which fire in a specific location and contribute   preference for egocentric navigation strategies, which may
            to the formation of cognitive maps of the environment.   be partly attributed to worse impairments in the allocentric
            Thus, memories of the environment can be stored as a   reference frames. Furthermore, studies have identified
            combination of specific activity in place cells. Later, grid   age-related impairments in translation between navigation
            cells were identified in the medial entorhinal cortex [25,30] .   strategies, not only switching from an egocentric to an
            These cells are regularly activated in a unique space to   allocentric frame, but also switching from an allocentric to
            calculate vector relationships and distances between spatial   an egocentric frame [41-43] .
            locations. Grid cells and place cells work together to form   A study based on structural MRI data found that
            a comprehensive positioning system that could function as   caudate nucleus volumes were reduced in older adults and
            the global positioning system (GPS) in the brain. Of note,   were positively associated with route learning abilities;
            head direction cells are related to the head direction in the   thus, a diminution in accurate knowledge of egocentric
            horizontal plane. For instance, a specific neuron might   navigation may be a consequence of atrophy in the caudate
            fire whenever a person is facing the west, regardless of the   nucleus during aging . Alterations in the prefrontal and
                                                                                [44]
            location. In this way, head direction cells could function   hippocampal functions, which result from atrophy in the
            as a compass. In addition, border cells activate nearby a   prefrontal cortex, hippocampus, and related MTL regions
            border , boundary-vector cells fire at specific distances   that are crucial for allocentric representations, were also
                 [26]
            from a border , and speed cells contribute to the firing of   reported to contribute to navigation impairments and
                       [31]
            grid cells through path integration .              strategic preference in healthy elderly individuals during
                                       [27]
              Furthermore, neuroelectrophysiological studies have   aging [45-48] . Moreover, fMRI studies have shown that the
            revealed the phenomenon of phase precession during   activation of the posterior hippocampus, PHC, RSC, and
            spatial navigation . Phase precession refers to the phase   some parts of the parietal lobe was significantly reduced in
                          [32]

            Volume 1 Issue 2 (2022)                         3                       https://doi.org/10.36922/an.v1i2.145
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