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Targeted memory reactivation experiments to explore the pathomechanisms of accelerated long-term forgetting in patients with epilepsy

Research Project

Project/Area Number 18K07530
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 52020:Neurology-related
Research InstitutionKyushu University

Principal Investigator

Shigeto Hiroshi  九州大学, 医学研究院, 教授 (50335965)

Co-Investigator(Kenkyū-buntansha) 山下 謙一郎  九州大学, 医学研究院, 助教 (00596687)
上原 平  九州大学, 医学研究院, 助教 (30631585)
緒方 勝也  国際医療福祉大学, 福岡保健医療学部, 教授 (50380613)
Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2020: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000)
Keywordsてんかん / 記憶障害 / 忘却の促進 / 睡眠
Outline of Final Research Achievements

Accelerated long-term forgetting (ALF) is the rapid loss of newly acquired memories over days to weeks mainly encountered in patients with temporal lobe epilepsy (TLE). ALF is thought to be a disorder of memory consolidation, but the underlying mechanisms remain unclear. We performed targeted memory reactivation (TMR) experiments on patients with TLE in which selected memory contents were forcedly reactivated during slow-wave sleep and enhanced. We found that TLE patients having ALF showed smaller TMR effects than healthy controls. We also observed the reduced connectivity between the left hippocampal CA1 and the left frontal lobe in patients with TLE showing low memory retention. Due to the technical complexity of TMR experiments, our sample size was limited. Our findings suggest that disordered memory consolidation during sleep associated with cortico-hippocampal disconnection may cause ALF in patients with TLE but are awaiting confirmation by studies of larger sample sizes.

Academic Significance and Societal Importance of the Research Achievements

加速的長期健忘(ALF)はてんかん患者の生活の質に直結しているが、これまで原因がはっきりしておらず、治療法も確立していない。今回の成果は、徐波睡眠中の記憶再活性化の障害がALFに関与していることを、初めて実験的に示すことができた点で学術的意義がある。また、睡眠中の記憶固定化を促進するような介入技術が、複数考案されているが、ALFで困っているてんかん患者の治療にこれらの技術が応用できることを示した点で社会的意義がある。

Report

(4 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (45 results)

All 2021 2020 2019 2018 2017

All Journal Article (19 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 9 results,  Open Access: 6 results) Presentation (23 results) (of which Int'l Joint Research: 3 results,  Invited: 14 results) Book (3 results)

  • [Journal Article] Language related brain region~From an epileptologist’s point of view2021

    • Author(s)
      重藤寛史, 萩原綱一, 茶谷 裕
    • Journal Title

      Japanese Journal of Cognitive Neuroscience

      Volume: 22 Issue: 2 Pages: 78-87

    • DOI

      10.11253/ninchishinkeikagaku.22.78

    • NAID

      130008024233

    • ISSN
      1344-4298, 1884-510X
    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 「問題症例の脳波」の特集にあたって2020

    • Author(s)
      重藤寛史
    • Journal Title

      Japanese Journal of Clinical Neurophysiology

      Volume: 48 Issue: 2 Pages: 81-81

    • DOI

      10.11422/jscn.48.81

    • NAID

      130007831297

    • ISSN
      1345-7101, 2188-031X
    • Year and Date
      2020-04-01
    • Related Report
      2020 Annual Research Report
    • Open Access
  • [Journal Article] Hippocampal modulation of auditory processing in epilepsy2020

    • Author(s)
      Shigeto H
    • Journal Title

      Neurology and Clinical Neuroscience

      Volume: 9 Issue: 1 Pages: 17-23

    • DOI

      10.1111/ncn3.12470

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 睡眠とてんかん2020

    • Author(s)
      重藤寛史
    • Journal Title

      直方鞍手医報

      Volume: 80 Pages: 5-5

    • Related Report
      2020 Annual Research Report
  • [Journal Article] OSA (閉塞性睡眠時無呼吸)を伴うてんかんの一例2020

    • Author(s)
      重藤寛史
    • Journal Title

      Epilepsy

      Volume: 14 Pages: 23-26

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Monaural 40-Hz auditory steady-state magnetic responses can be useful for identifying epileptic focus in mesial temporal lobe epilepsy2019

    • Author(s)
      Matsubara Teppei、Ogata Katsuya、Hironaga Naruhito、Uehara Taira、Mitsudo Takako、Shigeto Hiroshi、Maekawa Toshihiko、Tobimatsu Shozo
    • Journal Title

      Clinical Neurophysiology

      Volume: 130 Issue: 3 Pages: 341-351

    • DOI

      10.1016/j.clinph.2018.11.026

    • Related Report
      2019 Research-status Report 2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] てんかんの治療:薬物療法Update; Post ガイドライン20182019

    • Author(s)
      重藤寛史
    • Journal Title

      医学のあゆみ

      Volume: 270 Pages: 537-542

    • Related Report
      2019 Research-status Report
  • [Journal Article] 脳機能をみつめるてんかん診療2019

    • Author(s)
      重藤寛史
    • Journal Title

      認知神経科学

      Volume: 21 Pages: 10-20

    • NAID

      130007845573

    • Related Report
      2019 Research-status Report
  • [Journal Article] 若年ミオクロニーてんかん(JME)に対する抗てんかん薬処方2019

    • Author(s)
      重藤寛史
    • Journal Title

      月刊薬事

      Volume: 61 Pages: 55-58

    • Related Report
      2019 Research-status Report
  • [Journal Article] 生理検査レポートの見方④ 脳波検査2019

    • Author(s)
      重藤寛史
    • Journal Title

      総合リハビリテーション

      Volume: 47 Pages: 591-595

    • Related Report
      2019 Research-status Report
  • [Journal Article] 診療のスキルアップを考える-この症例をどう診るか2019

    • Author(s)
      船山道隆 重藤寛史 小原知之 岩田 淳 佐藤謙一郎 村山繁雄
    • Journal Title

      老年精神医学雑誌

      Volume: 30巻増刊号 Pages: 7-29

    • Related Report
      2019 Research-status Report
  • [Journal Article] 判読結果比較機能を用いた脳波技師の施設内スキルコントロールの試み2019

    • Author(s)
      板倉朋子 酒田あゆみ 渡邉恵利子 前田トモ子 上原平 重藤寛史 堀田多恵子 康東天
    • Journal Title

      日本臨床検査自動化学会会誌

      Volume: 44 Pages: 34-40

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] 「脳波が主役 : 意識障害・神経救急の診断学」 特集にあたって2019

    • Author(s)
      重藤寛史
    • Journal Title

      臨床神経生理学

      Volume: 47 Pages: 34-34

    • Related Report
      2019 Research-status Report
  • [Journal Article] Grand Total EEG Score Can Differentiate Parkinson's Disease From Parkinson-Related Disorders2019

    • Author(s)
      Barcelon Ela Austria、Mukaino Takahiko、Yokoyama Jun、Uehara Taira、Ogata Katsuya、Kira Jun-ichi、Tobimatsu Shozo
    • Journal Title

      Frontiers in Neurology

      Volume: 10 Pages: 398-398

    • DOI

      10.3389/fneur.2019.00398

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] てんかんとdefault mode network2019

    • Author(s)
      上原 平
    • Journal Title

      Clinical Neuroscience

      Volume: 37 Pages: 201-203

    • Related Report
      2018 Research-status Report
  • [Journal Article] Functional connectivity change between posterior cingulate cortex and ventral attention network relates to the impairment of orientation for time in Alzheimer’s disease patients2018

    • Author(s)
      Yamashita Ken-ichiro、Uehara Taira、Prawiroharjo Pukovisa、Yamashita Koji、Togao Osamu、Hiwatashi Akio、Taniwaki Yoshihide、Utsunomiya Hidetsuna、Matsushita Takuya、Yamasaki Ryo、Kira Jun-ichi
    • Journal Title

      Brain Imaging and Behavior

      Volume: 印刷中 Issue: 1 Pages: 154-161

    • DOI

      10.1007/s11682-018-9860-x

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Altered neural synchronization to pure tone stimulation in patients with mesial temporal lobe epilepsy: An MEG study2018

    • Author(s)
      Matsubara Teppei、Ogata Katsuya、Hironaga Naruhito、Kikuchi Yoshikazu、Uehara Taira、Chatani Hiroshi、Mitsudo Takako、Shigeto Hiroshi、Tobimatsu Shozo
    • Journal Title

      Epilepsy & Behavior

      Volume: 88 Pages: 96-105

    • DOI

      10.1016/j.yebeh.2018.08.036

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 医学と医療の最前線 新規抗てんかん薬の特色と臨床的有用性2018

    • Author(s)
      重藤寛史
    • Journal Title

      日本内科学会雑誌

      Volume: 107 Pages: 1108-1114

    • Related Report
      2018 Research-status Report
  • [Journal Article] A case of multiple system atrophy-parkinsonian type with stuttering- and palilalia-like dysfluencies and putaminal atrophy.2017

    • Author(s)
      Kikuchi Y, Umezaki T, Uehara T, Yamaguchi H, Yamashita K, Hiwatashi A, Sawatsubashi M, Adachi K, Yamaguchi Y, Murakami D, Kira JI, Nakagawa T.
    • Journal Title

      J Fluency Disord.

      Volume: 14 Pages: 51-58

    • DOI

      10.1016/j.jfludis.2017.11.002

    • NAID

      120006956773

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Presentation] 両側側頭葉てんかん患者への切除術の有効性と適応に関する検討2020

    • Author(s)
      田中秀明、大原信司、萩原綱一、重藤寛史、赤松直樹、松島俊夫、井上 亨
    • Organizer
      第43回日本てんかん外科学会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 高齢発症てんかんの診療2020

    • Author(s)
      重藤寛史
    • Organizer
      第44回佐賀脳血管障害懇話会
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] 発作間欠期てんかん性放電が認知機能に及ぼす影響2020

    • Author(s)
      岡留敏樹、横山淳、向野隆彦、上原平、重藤寛史、吉良潤一
    • Organizer
      第27回九州山口てんかん外科研究会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 側頭葉てんかんでは左海馬CA1の相対的容積の減少が長期記憶の健忘を加速させる2020

    • Author(s)
      向野隆彦, 上原 平, 岡留敏樹, 横山淳, 荒川友美,酒田あゆみ, 横山節, 赤松直樹, 重藤寛史, 吉良潤一
    • Organizer
      第61回日本神経学会学術大会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 部分てんかん2020

    • Author(s)
      重藤寛史
    • Organizer
      第6回脳波セミナー・アドバンスコース
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] 臨床脳波の現状と未来2020

    • Author(s)
      重藤寛史
    • Organizer
      第50回日本臨床神経生理学会学術大会
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] 正常と異常の狭間のグレイゾーン-正常亜型脳波2020

    • Author(s)
      重藤寛史
    • Organizer
      第50回日本臨床神経生理学会学術大会
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] 正常亜型とアーチファクト ご判読しないTIPS2020

    • Author(s)
      重藤寛史
    • Organizer
      第50回日本臨床神経生理学会学術大会
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] 睡眠紡錘波と徐波振動の連関に与える発作間欠期てんかん性放電の影響2020

    • Author(s)
      上原平, 向野隆彦, 横山淳, 岡留敏樹, 迎伸孝, 重藤寛史, 酒田あゆみ, 赤松直樹, 村井弘之
    • Organizer
      第50回日本臨床神経生理学会学術大会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 睡眠障害とてんかん2019

    • Author(s)
      重藤寛史
    • Organizer
      第3回 北九州認知機能・脳疾患研究会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] ハンズオン脳波2019

    • Author(s)
      重藤寛史
    • Organizer
      第16回日本神経学会生涯教育セミナー
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] Predictors of postsurgical seizure relapse and post-relapse after surgery of temporal lobe epilepsy in the era of new antiepileptic drugs2019

    • Author(s)
      Hideaki Tanaka, MD; Hiroshi Shigeto, MD, PhD; Shinji Ohara, MD, PhD; Toshio Matsushima, MD, PhD; Tooru Inoue, MD, PhD; Naoki Akamatsu, MD, PhD
    • Organizer
      33rd International Epilepsy Congress
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] てんかんと睡眠2019

    • Author(s)
      重藤寛史
    • Organizer
      文京 Epilepsy Forum
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 睡眠とてんかん2019

    • Author(s)
      重藤寛史
    • Organizer
      直方鞍手医師会学術講演会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 第5回脳波セミナー・アドバンスコース 部分てんかん2019

    • Author(s)
      重藤寛史
    • Organizer
      第56回 日本臨床神経生理学会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] てんかんと睡眠2019

    • Author(s)
      重藤寛史
    • Organizer
      11th integrated Sleep Medicine Society Japan 学術集会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] ANZAN-J方式によるデジタル脳波判読の実際2019

    • Author(s)
      重藤寛史
    • Organizer
      第53回日本てんかん学会学術集会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] てんかんと睡眠2019

    • Author(s)
      重藤寛史
    • Organizer
      第40回 長崎てんかん研究会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 肝不全を背景として非痙攣性てんかん重積状態を起こし脳波判読に苦慮した一例2019

    • Author(s)
      上原 平、重藤 寛史
    • Organizer
      第49回日本臨床神経生理学会学術大会
    • Related Report
      2019 Research-status Report
  • [Presentation] Time-dependent functional specialization of hippocampal subfields detected by MRI in patients with temporal lobe epilepsy2019

    • Author(s)
      Mukaino T1, Uehara T1,2, Yokoyama J1, Okadome T1, Sakata A3, Arakawa T4, Yokoyama S5, Akamatsu N6, Shigeto H7, Kira J-I1
    • Organizer
      American Epilepsy Society Annual Meeting 2019
    • Related Report
      2019 Research-status Report
  • [Presentation] てんかんと記憶障害2018

    • Author(s)
      上原 平
    • Organizer
      第17回若松認知症研究会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] Visualization of Intrinsic Functional Connectivity in Intracranial EEG Signals2018

    • Author(s)
      Taira Uehara
    • Organizer
      The 12th ICME International Conference on Complex Medical Engineering
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Surgical strategy using two-step stereo-EEG and subdural EEG recordings for neocortical epilepsy2018

    • Author(s)
      Hideaki Tanaka, Shigeto Hiroshi, et al.
    • Organizer
      The American Epilepsy Society's Annual Meeting
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Book] てんかん、早わかり!診療アルゴリズムと病態別アトラス2020

    • Author(s)
      重藤寛史(池田昭夫編集)
    • Total Pages
      222
    • Publisher
      南山堂
    • ISBN
      9784524258673
    • Related Report
      2020 Annual Research Report
  • [Book] モノグラフ 臨床脳波を基礎から学ぶ人のために 第2版2019

    • Author(s)
      重藤寛史(日本臨床神経生理学会編)
    • Total Pages
      272
    • Publisher
      診断と治療社
    • ISBN
      9784787824455
    • Related Report
      2019 Research-status Report
  • [Book] 脳波の行間を読む デジタル脳波判読術2019

    • Author(s)
      飛松省三、重藤寛史
    • Total Pages
      269
    • Publisher
      南山堂
    • ISBN
      9784525225810
    • Related Report
      2019 Research-status Report

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Published: 2018-04-23   Modified: 2022-01-27  

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