Abstract
Human functional magnetic resonance imaging (fMRI) studies have long investigated the hippocampus without differentiating between its subfields, even though theoretical models and rodent studies suggest that subfields support different and potentially even opposite functions. The CA3 region of the hippocampus has been ascribed a pivotal role both in initially forming associations during encoding and in reconstructing a memory representation based on partial cues during retrieval. These functions have been related to pattern separation and pattern completion, respectively. In recent years, studies using high-resolution fMRI in humans have begun to separate different hippocampal subregions and identify the role of the CA3 subregion relative to the other subregions. However, some of these findings have been inconsistent with theoretical models and findings from electrophysiology. In this review, we describe selected recent studies and highlight how their results might help to define different processes and functions that are presumably carried out by the CA3 region, in particular regarding the seemingly opposing functions of pattern separation and pattern completion. We also describe how these subfield-specific processes are related to behavioral, functional and structural alterations in patients with mild cognitive impairment and Alzheimer’s disease. We conclude with discussing limitations of functional imaging and briefly outline possible future developments of the field.
INTRODUCTION
The hippocampus is something of a lodestone for functional imaging studies in human memory research. Thousands of articles have been published investigating the exact role of the hippocampus (a Pubmed search on October 3rd 2013 for “hippocampus AND human AND memory AND fMRI” returned 2366 results). However, in addition to methodological shortcomings inherent to functional magnetic resonance imaging (fMRI) such as the indirect relationship to neuronal activity and the relatively low signal-to-noise ratio (SNR) and significant susceptibility artifacts in this region (; Schacter and Wagner, 1999), many of these studies might also implicitly accept a flawed premise: That the hippocampus is a functional unit, and as such can be imaged and analyzed as a whole.
Everything we know from in vitro and animal studies points in the opposite direction. Not only is the hippocampus histologically heterogeneous, but electrophysiological recordings in subfields of the rodent hippocampus suggest a functional dissociation, and circumscribed lesions produce dissociable deficits (; ; ). Some of the hippocampal subfields might even be involved in contrary operations, which could easily lead to null results or opposite conclusions across studies.
Some studies in humans acknowledge a possible functional heterogeneity by considering the anterior and posterior hippocampus differentially (e.g., ; ; ; Poppenk et al., 2013), which in rodents maps onto the ventral-to-dorsal axis (). However, the different subregions of the hippocampus (such as dentate gyrus (DG), and cornu ammonis (CA) regions CA3 and then CA1) extend along the longitudinal axis of the hippocampus and are still collapsed together in these analyses. As this review centers on region CA3, long-axis differentiation (see e.g., ; Poppenk et al., 2013) will not be further discussed here.
Theoretical models of the function of hippocampal subfields (see Figure 1 for an overview of the structure) propose that during encoding, CA3 receives sparse, orthogonalized input via the mossy fibers from the DG, an area that in turn receives multimodal input from the entorhinal cortex (ERC; e.g., ; van Strien et al., 2009). Orthogonalization here refers to a theoretical process by which neural patterns are rendered even more dissimilar than they originally were. In CA3, dense recurrent connections are hypothesized to promote rapid conjunctive representations of arbitrary coactive elements – i.e., of elements that are experienced together, but have not been previously linked to each other (). These anatomical properties are ideally suited to allow CA3 to effectively act as an autoassociative network (; ; ). After encoding, CA3 is thought to be able to use a partial or degraded input pattern as a cue to retrieve and complete previously established memory traces, e.g., to retrieve an associated pair from one element of the pair only (O’Reilly and McClelland, 1994; ; ), a process called pattern completion (; ; ). Pattern separation, on the other hand, is the putative computational mechanism which renders partly overlapping neuronal patterns more dissimilar and thus prevents interference and allows novelty detection (Treves and Rolls, 1992; ; O’Reilly and Rudy, 2001). Hence, successful pattern completion depends on previous pattern separation. In other words, a sufficient separation of putatively interfering patterns is a necessary prerequisite for later accurate pattern completion. Rodent studies show that CA3 may promote both pattern completion and pattern separation depending on the degree of similarity or dissimilarity between contexts or learning material (; see Figure 2). It has been proposed that CA1, in turn, uses the retrieved information from CA3 to compare it to perceptual input from the ERC, acting as a match/mismatch detector between CA3 predictions and EC perceptual input (; ; ; ).
FIGURE 1
FIGURE 2

(A) Design (A1) and results (A2) from a functional MRI study in humans (
A closer look at the experimental literature on human hippocampal subfield functions reveals a gap between these elaborate theoretical and computational models and electrophysiological results on the one hand and what has actually been confirmed in studies in humans on the other. This is mainly because, until recently, the vast majority of fMRI studies collapsed across these different subregions. This lack of discrimination with regard to hippocampal subfields in humans is due to the sheer difficulty to accurately differentiate subfields based on fMRI data in humans. The hippocampus is a relatively small structure, and its subfields are even smaller (on the order of only a few millimeters, with regions CA1, CA2 and CA3 together having an average volume of around 1 cm3; see
In the last decade, more powerful MR scanners with strong magnetic fields of 7T and beyond have become available. Together with scanning parameters specifically optimized for imaging medial temporal lobe structures (Weiskopf et al., 2006;
In this review, we first summarize selected fMRI studies that aimed to differentiate between hippocampal subregions in healthy participants. We discuss how these studies contribute to testing the theoretical models outlined above in terms of the processes thought to be performed by the CA3 subregion. We focus on CA3 and mention results on other subregions only where necessary for understanding the specific role of CA3. We then consider investigations in patient populations with subfield-specific damage. Finally, we conclude by discussing future developments which could potentially allow us to investigate the CA3 region in greater detail – possibly even resolving different subparts of this region. Table 1 provides an overview of the main findings in selected recent studies and the subfields that have been delineated in them.
Table 1
| Paper | ERC | PRC | PHC | CA1 | CA2 | CA3 | DG | SUB | Results (CA3) |
|---|---|---|---|---|---|---|---|---|---|
| Pattern separation during encoding | |||||||||
| Pattern completion | |||||||||
| Subsequent memory only for late recall | |||||||||
| Correct vs. incorrect retrieval | |||||||||
| Pattern completion | |||||||||
| Sigmoidal dependence on similarity | |||||||||
| Encoding > retrieval | |||||||||
| Sigmoidal dependence on similarity | |||||||||
| Preserved function in AD | |||||||||
| Preserved function in MCI and AD | |||||||||
| Pattern completion | |||||||||
| Activation during DMS sample and delay | |||||||||
| Schapiro et al. (2012) | Increased similarity via temporal proximity | ||||||||
| Suthana et al. (2011) | Encoding > retrieval | ||||||||
| Wisse et al. (2012) | Reliable manual segmentation | ||||||||
| Yassa et al. (2010b) | Hyperactivity during pattern separation in aMCI | ||||||||
| Zeineh et al. (2003) | Encoding > retrieval |
Overview of selected publications which have investigated the function of CA3 and other MTL and hippocampal subfields in humans.
ERC, entorhinal cortex; PRC, perirhinal cortex; PHC, parahippocampal cortex; CA1–CA3, cornu ammonis subregions 1–3, respectively; DG, dentate gyrus; SUB, subiculum. Gray boxes indicate the subfields that have been segmented in a given study; most studies combined subfields CA2, CA3, and dentate gyrus as indicated by gray boxes stretching several columns. The last column summarizes the main finding with regard to CA3 function.
FUNCTIONAL IMAGING IN HEALTHY PARTICIPANTS
As mentioned above, a wealth of theories about the role of hippocampal subfields for memory exist (
CA3 IS IMPORTANT FOR MEMORY ENCODING
It has long been established that the hippocampus per se is critically important for memory formation (Scoville and Milner, 1957). But does subregion CA3 play a special role in encoding? As has been reviewed before (
It should be noted that in these studies, the fMRI signal from a combined region of CA2, CA3 and DG (CA2/3/DG) was analyzed, which limits interpretation. Also, the time between encoding and retrieval differs vastly, from 30 s (
CA3 SUPPORTS PATTERN SEPARATION OF DISSIMILAR INPUTS DURING ENCODING
Several fMRI studies have investigated the role of the CA3 region related to pattern separation and completion during memory encoding, for example two studies from Craig Stark’s lab (
That CA3 should be involved in pattern separation-like processes seems to be at odds with the notion that this subfield performs pattern completion (
In another high resolution fMRI study (
The studies described thus far used classical univariate approaches to data analysis, investigating whether BOLD activity systematically differs between conditions, usually modeled within the general linear model (GLM) framework. However, these approaches are limited in elucidating the functional role of different hippocampal subfields, because many theoretical models conceptualize the subfields in terms of information content rather than activation level. Therefore, multivariate pattern analysis (MVPA) approaches may not only uncover differences that would not be detected in classical GLMs, but may be conceptually better suited to address predictions from these models.
In summary, recent studies have provided evidence for both pattern separation and pattern completion-like processes in hippocampal subfield CA3 during working and long-term memory operations, even though these results are not always specific for CA3 but are sometimes also reported for CA1. Which of the two processes is observed in CA3 likely depends on a variety of factors such as the degree of similarity or dissimilarity of inputs and whether the stimulus material in general is novel (as in
CA3 PROMOTES BINDING DURING ENCODING AND PATTERN COMPLETION DURING RETRIEVAL
A key function that is attributed to CA3 is the binding of previously not associated elements. An MVPA approach was used by Schapiro et al. (2012) to investigate how representational similarity (i.e., pattern similarity in fMRI scans) for unfamiliar, unrelated fractal pictures would change if they were presented repeatedly in a temporally structured manner. First, they presented abstract fractal pictures in random order. Then, the fractals were presented again with some fractals forming pairs in which one always followed the other (strong pairs) or followed the other in a third of all cases (weak pairs). Finally, fractals were shown in a random order again, and representational similarity independent of temporal proximity between the pairs was compared between the initial and the final scanning. Similarity for strong pairs relative to non-pairs and weak pairs increased in SUB, CA1 and combined CA2/CA3/DG, thereby showing that a temporal association between items increases the similarity of their representations, but only CA2/3/DG did so in a forward-looking, predictive manner (the first of a pair leading to reinstatement of the second part of the pair, but not the other way around). This study provides support for both the notion that CA3 is involved in forming arbitrary associations (e.g., between previously unrelated fractals), but also suggests that after encoding, CA3 uses parts of the newly formed association to retrieve the complete pattern, i.e., pattern completion.
In a similar vein as Schapiro et al. (2012),
Investigating how hippocampal subfields react to pairs of stimuli is a promising approach. On the one hand, this line of research allows one to test the hypothesis that the CA3 region promotes rapid binding of disparate elements. MVPA approaches might in future be used to track the “learning” process of such associative pairing (i.e., how similarity changes over the course of a learning process). On the other hand, paired associative studies also allow testing the assumption that CA3 uses parts of a memory trace to reinstate or retrieve the complete trace. In pair-association studies, it would be especially interesting to separate DG from CA3 because these two regions in such tasks likely perform different or even opposite operations, which may make it difficult to observe significant findings for the regions in the first place.
STRUCTURAL AND FUNCTIONAL ALTERATIONS IN ALZHEIMER’S DISEASE AND MILD COGNITIVE IMPAIRMENT
Investigations into the function of hippocampal subfields in humans may also benefit from studies in patient populations in whom these functions are disturbed. Accordingly, the link between changes in hippocampal subfields and psychiatric and neurological diseases has been intensively investigated (for a review, see Small et al., 2011). Of special interest here is Alzheimer’s disease (AD), not only because it is primarily a memory disorder, but also because of its high prevalence, making it a major medical issue in an increasingly aging population. Mild cognitive impairment (MCI) has also been the target of many studies because MCI patients often progress to AD (Petersen et al., 1999), especially in case of the amnesic subtype which is characterized by subjective and objective unusual impairment in memory in the presence of preserved general cognitive abilities and function in daily activities (Petersen, 2004). Studies on amnesic MCI (aMCI) patients therefore offer the possibility to detect early symptoms and alterations in the memory system.
Healthy aging and AD are associated with different morphological changes in the hippocampal formation: In AD, volume loss occurs rather in ERC, CA1 and SUB than in CA3 or DG (
It has been suggested that one of the first behavioral deficits in patients with aMCI is a reduced ability to separate patterns (i.e., to recognize differences between very similar events), and that this basic deficit accounts for many of the amnesic symptoms (Yassa et al., 2010b). To address this question, Yassa et al. (2010b) investigated patients with aMCI. In addition to differences in volume and shape of hippocampal subfields in patients, they found reduced activity in the ERC during an encoding task that employed highly similar “lure” items and thus required pattern separation for successful performance. They found behavioral deficits in pattern separation compared to healthy controls and hyperexcitability of the CA3/DG region during the task. Interestingly, this corresponds well to results from Wilson et al. (2005) who reported increased firing in CA3 place cells in healthy aged rats. This hyperactivity could be a sign for a computational shift from pattern separation to pattern completion (Yassa et al., 2010b). In contrast to
A pattern separation deficit in aMCI, associated with decreased volume and hyperexcitability in CA3/DG, seems to be at odds with the notion that CA3/DG is relatively spared in patients with AD (assuming that some of the aMCI patients are on the way to developing the disease). Differences in segmentation methods could be one explanation for the different conclusions. In addition, patients with aMCI also exhibit abnormal activity in the ERC, which could lead to altered downstream DG and CA3 function even in the absence of structural alterations in CA3 itself (Yassa et al., 2010b).
Clearly, more research is needed to investigate the specific behavioral deficits of patients with aMCI and relate them to structural and functional changes in CA3. Paradigms asking participants to differentiate between highly similar stimulus material provide a good model for the investigation of pattern separation processes, but they should be complemented by experiments which require participants to retrieve paired associates, which is another major function ascribed to CA3. The field will also benefit from studies that look at healthy young populations who have a genetic risk for developing AD such as carriers of the epsilon4 subtype of the apolipoprotein E gene (
OUTLOOK – NEW METHODS
Taken together, recent high-resolution MRI and fMRI studies have provided support for theoretical models with regard to pattern completion and pattern separation functions of CA3, its key role in forming new associations and relevance for retrieval of complete patterns based on only some parts of a memory trace. It has become clear from the studies described above that it is essential to use well designed studies that control factors such as incidental versus instructed encoding, whether novel or highly familiar stimuli are used and whether working memory or long-term memory processes are investigated.
It also seems to be important to develop methods for reliable separation of CA3 from DG. Combining these two subfields may lead to conflicting results. Also, the extent of subfield delineation along the longitudinal axis of the hippocampus should be more consistent across studies, especially because the relative proportion of CA3 and DG volume might be affected by the different portions of the hippocampus that are included (Poppenk et al., 2013).
Despite the many interesting findings that research on hippocampal subfields in humans has yielded so far, interpretation should always be careful. Even when stepping from theoretical models to rodent studies, some discrepancies can be observed between model and data, which are likely due to both methodological difficulties as well as the challenge of operationalizing specific memory processes. In humans, especially with fMRI imaging, these problems increase further. The BOLD response is a coarse signal when compared to single cell activity, both in time and in space. It is not possible to unequivocally attribute the BOLD signal to input, output or local processes within a subregion (
An integrative approach is required to bring together data from different modalities (such as animal research, intracranial EEG, lesion studies, volumetry studies in patient populations and high resolution functional MRI) with refined theoretical models and well-conceived standard paradigms. We expect that in the next decade, availability of high-field MRI scanners and the development of new scanning protocols will allow vastly improved delineation of subfields. Studies using 7T report resolutions as fine as in 0.8 mm, optimized for resolution of individual cell layers, in fMRI (
Taken together, improved scanning and stronger experimental control might, in the future, lead to better understanding, more accurate diagnosis and even targeted treatment of memory disorders.
Statements
Author contributions
Lorena Deuker, Christian F. Doeller, Juergen Fell, and Nikolai Axmacher wrote the manuscript.
Acknowledgments
The authors thank Alejandro Vicente Grabovetsky for helpful suggestions for the manuscript. Christian F. Doeller is supported by the European Research Council (ERC-StG 261177). Lorena Deuker and Christian F. Doeller are supported by the Netherlands Organisation for Scientific Research (NWO-Vidi 452-12-009). Nikolai Axmacher received funding via a DFG Emmy Noether grant (AX82/2) and via the SFB 1089. Juergen Fell was supported via SFB 1089 and via DFG grant FE366/6.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Abbreviations
- AD
Alzheimer’s disease
- aMCI
amnesic mild cognitive impairment
- BOLD
blood oxygen level dependent
- CA
ornu ammonis
- DG
dentate gyrus
- DMS
delayed matching-to-sample
- EEG
electroencephalography
- ERC
entorhinal cortex
- fMRI
functional magnetic resonance imaging
- GLM
general linear model
- MCI
mild cognitive impairment
- MTL
medial temporal lobe
- MVPA
multi-voxel pattern analysis
- PHC
parahippocampal cortex
- PRC
perirhinal cortex
- SNR
signal-to-noise ratio
- SUB
subiculum
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Summary
Keywords
high-resolution fMRI, hippocampus, CA3, pattern separation, pattern completion
Citation
Deuker L, Doeller CF, Fell J and Axmacher N (2014) Human neuroimaging studies on the hippocampal CA3 region – integrating evidence for pattern separation and completion. Front. Cell. Neurosci. 8:64. doi: 10.3389/fncel.2014.00064
Received
17 October 2013
Accepted
13 February 2014
Published
04 March 2014
Volume
8 - 2014
Edited by
Richard Miles, Institut pour le Cerveau et la Moëlle Epinière, France
Reviewed by
Enrico Cherubini, International School for Advanced Studies, Italy; Richard Miles, Institut pour le Cerveau et la Moëlle Epinière, France
Copyright
© 2014 Deuker, Doeller, Fell and Axmacher.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Lorena Deuker, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Kapittelweg 29, 6525 EN Nijmegen, Netherlands e-mail: lorenadeuker@gmail.com
This article was submitted to the journal Frontiers in Cellular Neuroscience.
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