The primate amygdala and reinforcement: a dissociation between rule-based and associatively-mediated memory revealed in neuronal activity.

To investigate the role of the primate amygdala in stimulus-reinforcement association learning, the activity of single amygdala neurons was recorded in macaques during two memory tasks. In a visual discrimination task, a population of neurons (17/659) was analyzed which responded differentially to a visual stimulus which always indicated that the primary reinforcer fruit juice could be obtain if the monkey licked, and a different visual stimulus that indicated that the primary reinforcer aversive saline would be obtained if the monkey licked. Most (16/17) of these neurons responded more to the reward-related than the aversive visual stimulus. In a recognition memory task, the majority (12/14 analyzed) of these neurons responded equally well to the trial unique stimuli when they were shown as novel and the monkey had to not lick in order to avoid saline, and when they were shown a second time as familiar and the monkey used the rule that if he licked, fruit juice would be obtained. The responses of these amygdala neurons thus reflect the direct associations of stimuli with reinforcement, but do not reflect the reward value of the stimuli when this must be assessed based on a rule (in the recognition memory task, that a stimulus will be punished the first time it is shown, and rewarded the second). This finding also shows that these amygdala neurons respond to relatively novel stimuli in the same way as they do to stimuli that have become rewarding by stimulus-reinforcement association learning. This provides a neural basis for relatively novel stimuli to be treated as rewarding, and approached.

Quercetin glucosides are completely hydrolyzed in ileostomy patients before absorption.

Flavonoids, dietary components in vegetables, fruits and beverages, may protect against coronary heart disease, stroke and cancer. However, the bioavailability of these compounds is questionable. A previous study in ileostomy patients of the most abundant flavonoid, quercetin, suggested a 52% absorption of its major dietary forms, monoglucoside (QMG) and diglucoside (QDG), from an onion meal. However, this was based on indirect measurements after acid hydrolysis. Because human intestinal Caco-2 cell monolayers showed minimal absorption of the glucosides, we repeated the study in ileostomy patients, using molecularly specific analytical methodology for the intact glucosides and quercetin. The onion meal had high concentrations of both QMG and QDG with only trace amounts of quercetin. The intake of QMG and QDG in four patients ranged from 10.9 to 51.6 mg. No QMG or QDG was detected in the ileostomy fluid. In contrast, the amounts of the aglycone quercetin were substantial, 2.9-11.3 mg. This corresponded to 19.5-35.2% of total quercetin glucosides ingested, implying absorption of 64.5-80.7%. These findings suggest a different interpretation than that from the previous study, i.e., that both QMG and QDG are efficiently hydrolyzed in the small intestine by beta-glucosidases to quercetin, most of which is then absorbed.

Neuronal responses related to visual recognition.

To analyse the neural basis of long-term memory, recordings were made from single neurons in monkeys performing a visual recognition task of the type impaired in anterograde amnesia in man. Each visual stimulus was shown twice per day, once as novel, and after 0 to 17 other intervening items in the recognition task, on a second trial, as familiar, when the monkey could lick to obtain fruit juice if he recognized the stimulus correctly. At the anterior border of the thalamus, a population of neurons was found which responded to the stimuli only when they were familiar. The activity of these neurons was not related to lick responses. Further, in a different, visual discrimination, task, a number of these neurons were found to respond both to the familiar rewarded stimulus to which the monkey always licked, and to the familiar aversive stimulus to which he did not lick. This shows that in a reward association task these neurons respond on the basis of familiarity, providing evidence for a dissociation of recognition and associative memories. Analysis of the responses of these neurons in the continuous visual recognition task showed that the responses to familiar stimuli were time-locked to the onset and duration of the visual stimulation (brief exposures producing brief responses). The response latencies were in the range 100 to 200 ms. A 100 ms exposure of the stimulus was sufficient for the stimulus to be encoded, and a 100 ms exposure was also sufficient for a recognition related response. The magnitude of the neuronal response on trials with familiar stimuli decreased as the number of trials between the first (novel) and second (familiar) presentation of the same stimulus increased. The rate of this decay or 'forgetting' varied from cell to cell and was best described by an exponential function. Repeated exposure tended to slow the rate of forgetting, and two or three repeated presentations prolonged some cell 'memories' for more than 100 intervening trials. Although the majority of the neurons did not have such long 'memories', in that they responded as novel to stimuli seen on a preceding day, so that their responses could be related to recency but not to absolute recognition of ever having seen a stimulus before, 2 neurons did respond to stimuli which had not been seen for 24 h. The neurons showed some ability to respond to stimuli as familiar despite changes in viewing conditions and transformations such as 90 deg rotation. These findings indicate that the responses of these neurons at the anterior border of the thalamus are activated during recency or longer term recognition processing, both of which are impaired in anterograde amnesia in man. Measurement of the responses of these neurons, which appear to have access to memory mechanisms, has allowed parameters affecting such memory mechanisms to be investigated.

Retinopathy following jejunoileal bypass surgery: report of a case.

Vitamin A deficiency associated with retinopathy and night blindness was observed in a patient 4 yr after jejunoileal bypass. Upon further investigation, a multiple vitamin deficiency state was established. Daily supplementation with 30 000 units of vitamin A resulted in normal levels of vitamin A and retinol-binding protein. The patient's night blindness improved, but his retinopathy remained unchanged as demonstrated by fluorescein angiography. We conclude that patients who have undergone jejunoileal bypass should be supplemented with vitamin A since the vitamin A deficiency is preventable and the retinopathy associated with the deficiency may not be totally reversible.