دورية أكاديمية
Evidence and implications of abnormal predictive coding in dementia.
العنوان: | Evidence and implications of abnormal predictive coding in dementia. |
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المؤلفون: | Kocagoncu E; Cambridge Centre for Frontotemporal Dementia, Department of Clinical Neurosciences, University of Cambridge, Cambridge CB2 0SZ, UK.; Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, Cambridge CB2 7EF, UK.; Cambridge University Hospital NHS Foundation Trust, University of Cambridge, Cambridge, CB2 2QQ, UK., Klimovich-Gray A; Basque Centre on Cognition, Brain and Language, San Sebastian 20009, Spain., Hughes LE; Cambridge Centre for Frontotemporal Dementia, Department of Clinical Neurosciences, University of Cambridge, Cambridge CB2 0SZ, UK.; Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, Cambridge CB2 7EF, UK., Rowe JB; Cambridge Centre for Frontotemporal Dementia, Department of Clinical Neurosciences, University of Cambridge, Cambridge CB2 0SZ, UK.; Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, Cambridge CB2 7EF, UK.; Cambridge University Hospital NHS Foundation Trust, University of Cambridge, Cambridge, CB2 2QQ, UK. |
المصدر: | Brain : a journal of neurology [Brain] 2021 Dec 16; Vol. 144 (11), pp. 3311-3321. |
نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't; Review |
اللغة: | English |
بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 0372537 Publication Model: Print Cited Medium: Internet ISSN: 1460-2156 (Electronic) Linking ISSN: 00068950 NLM ISO Abbreviation: Brain Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Oxford : Oxford University Press Original Publication: London. |
مواضيع طبية MeSH: | Brain/*physiopathology , Dementia/*physiopathology, Cognition/physiology ; Humans |
مستخلص: | The diversity of cognitive deficits and neuropathological processes associated with dementias has encouraged divergence in pathophysiological explanations of disease. Here, we review an alternative framework that emphasizes convergent critical features of cognitive pathophysiology. Rather than the loss of 'memory centres' or 'language centres', or singular neurotransmitter systems, cognitive deficits are interpreted in terms of aberrant predictive coding in hierarchical neural networks. This builds on advances in normative accounts of brain function, specifically the Bayesian integration of beliefs and sensory evidence in which hierarchical predictions and prediction errors underlie memory, perception, speech and behaviour. We describe how analogous impairments in predictive coding in parallel neurocognitive systems can generate diverse clinical phenomena, including the characteristics of dementias. The review presents evidence from behavioural and neurophysiological studies of perception, language, memory and decision-making. The reformulation of cognitive deficits in terms of predictive coding has several advantages. It brings diverse clinical phenomena into a common framework; it aligns cognitive and movement disorders; and it makes specific predictions on cognitive physiology that support translational and experimental medicine studies. The insights into complex human cognitive disorders from the predictive coding framework may therefore also inform future therapeutic strategies. (© The Author(s) (2021). Published by Oxford University Press on behalf of the Guarantors of Brain.) |
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معلومات مُعتمدة: | United Kingdom WT_ Wellcome Trust; 103838 United Kingdom WT_ Wellcome Trust; MR/M009041/1 United Kingdom MRC_ Medical Research Council; SUAG/051 G101400 United Kingdom MRC_ Medical Research Council |
فهرسة مساهمة: | Keywords: dementia; neurodegeneration; prediction; predictive coding; top-down processing |
تواريخ الأحداث: | Date Created: 20210709 Date Completed: 20220217 Latest Revision: 20220323 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC8677549 |
DOI: | 10.1093/brain/awab254 |
PMID: | 34240109 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1460-2156 |
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DOI: | 10.1093/brain/awab254 |